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Note:

This is a contract-to-hire position. Eligibility for conversion to direct hire at the end of the contract is limited to individuals residing 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.

Senior QNXT Benefit Configuration Analyst

Role Overview

The Senior QNXT Benefit Configuration Analyst is responsible for designing, configuring, validating, and maintaining complex benefit setups within the QNXT platform to ensure accurate claims adjudication and regulatory compliance. This role partners closely with Product, Compliance, IT, Network, and Claims teams to support new implementations, annual renewals, and ongoing benefit maintenance.

Must-Have Qualifications

7+ years of hands-on QNXT benefit configuration experienceStrong expertise across QNXT core modules: Benefit Configuration, Claims, Enrollment, AuthorizationProficiency in Microsoft SQL Server (T-SQL) for data validation, troubleshooting, and configuration analysisSolid 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 cyclesAbility 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 updatesProven ability to perform gap analysis between business requirements and QNXT capabilities, including recommending workarounds or custom solutionsStrong troubleshooting skills for benefit configuration issues, claims validation, and unit/integration testingProficiency with QCS and CMT tools for configuration management and migrationsStrong analytical, documentation, and communication skills

Nice-to-Have

Experience with new product implementations or market launchesKnowledge of end-to-end healthcare claims lifecycle and pricing logicLean Six Sigma or process improvement experience.

Interested candidates may submit their resumes online or call at 310-906-4780 for further information regarding the position.

NS-QNXTS-NS_1768962446 To Apply for this Job Click Here