Sr QNXT Benefit Configuration Analyst

Designing, configuring, validating, and maintaining complex benefit setups within the QNXT platform to ensure accurate claims adjudication and regulatory compliance

• 7+ years of hands-on QNXT benefit configuration experience
• Strong expertise across QNXT core modules: Benefit Configuration, Claims, Enrollment, Authorization
• Proficiency in Microsoft SQL Server (T-SQL) for data validation, troubleshooting, and configuration analysis
• Solid understanding of Commercial and Government plan designs (HMO, PPO, POS, ASO, Medicare, Medicaid, ACA)
• Experience configuring and testing benefits during new implementations and annual renewal cycles
• Ability to design and configure benefits including copays, deductibles, service codes, and accumulators (flexible on depth of multi-tier complexity)
• Hands-on experience with data migration, mapping, conversions, and mass benefit updates
• Proven ability to perform gap analysis between business requirements and QNXT capabilities, including recommending workarounds or custom solutions
• Strong troubleshooting skills for benefit configuration issues, claims validation, and unit/integration testing
• Proficiency with QCS and CMT tools for configuration management and migrations
• Strong analytical, documentation, and communication skills