Senior Benefit Configuration Analyst QNXT - Remote
Core
Analyze, design, build, and validate complex benefit configurations within the QNXT platform to support accurate claims adjudication and compliance.
Role type
Senior Benefit Configuration Analyst
Builds
Benefit configurations (Product, Plan, Service Codes, Copay/Coinsurance, Accumulators, Limits, Authorization rules) in QNXT
Domain
Healthcare administration / Health insurance technology
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Benefit plan analysis, QNXT system architecture, Regulatory compliance (Medicare/Medicaid/ACA), SQL data validation, UAT coordination, Technical documentation, Mentoring
Preferred skills
Microsoft SQL Server (T-SQL), CMT and QCS tools, Implementation methodologies, Healthcare claims lifecycle, Lean Six Sigma
Technologies
QNXT, QNXT Configuration Management Tool (CMT), QNXT Configuration Console Suite (QCS), SQL Server
Responsibilities
Translate benefit plan documentation into QNXT configuration requirements; Build and configure new and updated benefits; Execute back-end data validations using SQL; Participate in end-to-end testing (UAT) and coordinate defect resolution; Support annual benefit configuration activities; Document configuration logic and maintain version-controlled artifacts; Provide mentorship to junior analysts; Collaborate with cross-functional teams during product launches.
Seniority
Senior, hands-on IC