Remote Benefit Configuration Executive (QNXT)

Sentara Health Administration, Inc.; Florida; Remote; USD 112,000 - 181,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

401k/403B with employer match

Paid Time Off

Educational assistance

Student Debt Pay Down – $10,000

Job summary

Sentara Health Administration, Inc. is seeking a Benefit Configuration Manager to lead the configuration of Medicare, Medicaid, Commercial, and Exchange products on the QNXT platform.

This fully remote role focuses on governance, quality, and strategic initiatives, supervising the configuration team while coordinating with IT and business stakeholders. You will drive annual benefit changes, regulatory updates, and new product implementations.

Qualifications

• 8+ years of progressive experience in health plan benefit configuration using QNXT or a comparable platform.
• 5+ years of experience leading configuration teams, supervisors, or operational functions.
• Demonstrated expertise in Commercial, Exchange, Medicare, and Medicaid benefit designs and regulatory requirements.
• Extensive knowledge of benefit configuration logic, claims adjudication, accumulators, authorization rules.
• Experience managing large-scale benefit implementations or annual maintenance activities.
• Strong analytical, organizational, and problem-solving skills.

Responsibilities

• Oversee analysis, design, configuration, implementation, and maintenance of benefit plans within QNXT.
• Ensure accurate configuration of products, plans, service codes, accumulators, and cost-share structures.
• Direct annual benefit change activities, new product implementations, and regulatory updates.
• Establish governance for configuration requests, prioritization, approvals, and deployments.
• Monitor configuration quality with KPIs, SLAs, and QA programs.
• Lead UAT, validation, and production readiness activities.
• Provide executive reporting on configuration activities, risks, and capacity.
• Coach and manage QNXT configuration Supervisors and staff.

Skills

Leadership

Regulatory compliance

QNXT platform

SQL queries

Stakeholder management

Project management

Analytics

Education

Bachelor's degree in Healthcare Administration or related field

Experience accepted in lieu of degree

Tools

QNXT Configuration Tool (CMT)

QNXT Configuration Console Suite (QCS)

SQL Server

Job description

Sentara Health Administration, Inc. is seeking a Benefit Configuration Manager to lead the configuration of Medicare, Medicaid, Commercial, and Exchange products on the QNXT platform.

This fully remote role focuses on governance, quality, and strategic initiatives, supervising the configuration team while coordinating with IT and business stakeholders. You will drive annual benefit changes, regulatory updates, and new product implementations.