100% Remote-QNXT Benefit Configuration Manager

Beacon Hill; Norfolk (VA); Remote; USD 110,000 - 140,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Leave programs

Job summary

Beacon Hill seeks a senior QNXT Benefit Configuration Manager for a 100% remote contract-to-hire role in the United States. You will lead benefit configuration projects, guide teams, and ensure compliant designs across Medicare, Medicaid, Commercial, and Exchange platforms.

Deep QNXT expertise, strong stakeholder management, and proven delivery of large-scale implementations are essential. This position offers remote work with potential direct-hire conversion.

Qualifications

• Bachelor’s degree or equivalent combination of education and experience.
• Hands-on experience configuring health plan benefits within QNXT.
• Experience leading benefit configuration teams or operations.
• Strong knowledge of Medicare, Medicaid, Commercial, and Exchange benefit designs.
• Deep understanding of QNXT architecture, rules, and product setup.
• Proven track record managing large-scale benefit implementations.
• Excellent written and verbal communication; cross-functional collaboration.

Responsibilities

• Lead benefit configuration teams and oversee major implementations.
• Drive annual maintenance initiatives and platform enhancements.
• Collaborate with cross-functional stakeholders to align designs.

Skills

Benefits configuration

Leadership

Stakeholder management

Project management

Analytical skills

Education

Bachelor's degree

Tools

QNXT

QNXT CMT

QNXT QCS

SQL Server

Data validation

Job description

QNXT Benefit Configuration Manager

Note: This is a 100 % remote, 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.

Required Qualifications

• Bachelor’s degree or equivalent combination of education and relevant professional experience.
• Progressive experience configuring health plan benefits within QNXT or a comparable claims administration platform, including direct hands-on experience with QNXT.
• Experience leading benefit configuration teams, supervisors, or operational functions.
• Strong knowledge of Medicare, Medicaid, Commercial, and Exchange benefit designs and applicable regulatory requirements.
• Advanced understanding of QNXT architecture, benefit configuration logic, claims adjudication, accumulators, authorization rules, and product setup.
• Proven experience managing large-scale benefit implementations and annual benefit maintenance initiatives.
• Strong analytical, organizational, project management, and problem‑solving capabilities.
• Excellent written, verbal, presentation, and stakeholder management skills.
• Demonstrated ability to lead cross‑functional teams and drive complex organizational initiatives.

Preferred Qualifications

• Extensive hands‑on experience with TriZetto QNXT.
• Experience with the QNXT Configuration Management Tool (CMT) and Configuration Console Suite (QCS).
• Working knowledge of SQL Server and data validation techniques.
• Experience supporting enterprise health plan implementations, migrations, or platform transformation programs.
• Lean Six Sigma, PMP, Agile, or another relevant process improvement or project management certification.

Beacon Hill is an equal opportunity employer and individuals with disabilities and/or protected veterans are encouraged to apply.

California residents: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

Beacon Hill offers a robust benefit package including, but not limited to, medical, dental, vision, and federal and state leave programs as required by applicable agency regulations to those that meet eligibility. Upon successfully being hired, details will be provided related to our benefit offerings.