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Senior Benefit Configuration Analyst QNXT - Remote

Sentara Healthcare Inc
  • US
    Richmond, Virginia, United States
  • US
    Richmond, Virginia, United States

Über

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 Claim’s 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
Bachelor’s degree in a relevant field such as Computer Science, Information Technology, Information Systems, Engineering, Business/Administration, Finance, Accounting, or Education, or a closely related discipline.
Minimum of 4 years of progressive, relevant professional experience required.
OR
In lieu of a bachelor’s degree, an additional 2 years of directly related experience (for a total of 6 years) may be considered as equivalent.
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: $ 69,867.20 - $ 116,438.40. Additional compensation may be available for this role such as shift differentials, standby/on‑call, overtime, premiums, extra shift incentives, or bonus opportunities.
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  • Richmond, Virginia, United States

Sprachkenntnisse

  • English
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