Senior Configuration Specialist QNXT - SCAN Temp
Core
Provide strategic guidance and support to the Configuration Department, leading initiatives to improve processing accuracy through system configuration, automation, and process optimization for health plan operations.
Role type
Senior Configuration Specialist (Health Plan Systems)
Builds
Automated processes and optimized system configurations for Enrollment, Billing, Authorizations, Claims, and Member Services.
Domain
Health Insurance / Medicare Advantage / Claims Processing
Required skills
QNXT system configuration, SQL, Microsoft Office (Word, Excel, PowerPoint, Outlook, Teams), debugging, process optimization, UAT, regulatory compliance (CMS, DHCS), stakeholder management
Preferred skills
AI curiosity, knowledge of benefits administration, code sets, fee schedules, provider contracts, workflows
Technologies
QNXT, SQL, Microsoft Office Suite
Responsibilities
Perform software component configuration, analysis, monitoring, and performance optimization; Lead design, development, debugging, testing, and maintenance of automated processes; Provide guidance, training, and knowledge transfer to business partners; Support business initiatives through data analysis and UAT; Ensure compliance with change control procedures and regulatory guidelines.
Seniority
Senior, hands-on IC
