Senior Benefit Configuration Analyst QNXT
Senior Benefit Configuration Analyst QNXT
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Job Description
City/State
Richmond VAWork Shift
Multiple shifts availableOverview:
Overview
The Senior Benefit Configuration Analyst is responsible for the analysis design build and validation of complex benefit configurations within the QNXT platform to support accurate claims adjudication and compliance. This role works closely with Product Compliance IT Network and Claims teams to ensure benefit plans are implemented accurately timely and in accordance with regulatory and contractual requirements.
The senior analyst serves as a business and technical expert in QNXT benefit build and plays a key role in supporting new plan implementations annual updates and ongoing configuration maintenance.
Education
- Bachelors Degree (Required)
Certification/Licensure
- No specific certification or licensure requirements
Experience
- Required to have 7 years of hands-on QNXT benefit configuration experience preferably in a managed care or health plan environment.
- Required to have strong working knowledge of QNXT system architecture including configuration tables benefit logic and claims integration.
- Required to have proficiency in Microsoft SQL Server (T-SQL) for data validation and troubleshooting.
- Required to have experience with CMT and QCS tools for version management configuration migrations and build monitoring.
- Required to have strong understanding of regulatory requirements across Medicare Medicaid ACA and Commercial plans.
- Required to have excellent analytical organizational and problem-solving skills strong written and verbal communication including technical documentation. Excellent interpersonal skills and team oriented.
Preferred Qualifications
- Familiarity with implementation methodologies for new products or market launches.
- Knowledge of healthcare claims lifecycle pricing and accumulators.
- Lean Six Sigma or process improvement background is a plus.
We provide market-competitive compensation packages inclusive of base pay incentives and benefits. The base pay rate for Full Time employment is: $ 69867.20 - $ 116438.40. Additional compensation may be available for this role such as shift differentials standby/on-call overtime premiums extra shift incentives or bonus opportunities.
Keywords: QNXT Benefit Configuration SQL Server CMT QCS tools Medicare Medicaid ACA Commercial plans lean six sigma LSS process improvement QNXT system architecture QNXT benefit configuration
Legal Resources Plan
Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30000-member workforce. Diversity inclusion and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission to improve health every day this is a tobacco-free environment.
For positions that are available as remote work Sentara Health employs associates in the following states:
Alabama Delaware Florida Georgia Idaho Indiana Kansas Louisiana Maine Maryland Minnesota Nebraska Nevada New Hampshire North Carolina North Dakota Ohio Oklahoma Pennsylvania South Carolina South Dakota Tennessee Texas Utah Virginia Washington West Virginia Wisconsin and Wyoming.
Required Experience:
Senior IC
Employment Type
Full-Time
