Remote-Sr QNXT Benefit Configuration Analyst

Beacon Hill

Norfolk (VA)

Remote

USD 90,000 - 120,000

Full time

14 days+

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Benefits offered by this job

Medical, dental, and vision benefits
Federal and state leave programs

Job summary

A leading technology staffing firm is seeking a Senior QNXT Benefit Configuration Analyst. This role involves designing and maintaining complex benefits within the QNXT platform while ensuring claims accuracy and compliance. The successful candidate will possess over 7 years of QNXT configuration experience and strong SQL skills. This is a fully remote contract-to-hire position, ideal for versatile professionals skilled in healthcare benefits management and data analysis. Opportunities for direct hire at contract end are available based on eligibility.

Qualifications

  • 7+ years of hands-on QNXT benefit configuration experience is required.
  • Proficiency in Microsoft SQL Server (T-SQL) for data validation.
  • Ability to perform gap analysis between business requirements and QNXT capabilities.

Responsibilities

  • Design, configure, validate, and maintain benefit setups in the QNXT platform.
  • Collaborate with Product, Compliance, IT, Network, and Claims teams.
  • Support new implementations, annual renewals, and ongoing benefit maintenance.

Skills

QNXT benefit configuration experience
Microsoft SQL Server (T-SQL)
Claims validation
QCS and CMT tools
Analytical skills
Documenting and communication skills

Tools

QNXT platform
Data migration tools

Job description

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.

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 experience
  • Strong expertise across QNXT core modules: Benefit Configuration, Claims, Enrollment, Authorization
  • Proficiency in Microsoft SQL Server (T-SQL) for data validation, troubleshooting, and configuration analysis
  • Solid 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 cycles
  • Ability 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 updates
  • Proven ability to perform gap analysis between business requirements and QNXT capabilities, including recommending workarounds or custom solutions
  • Strong troubleshooting skills for benefit configuration issues, claims validation, and unit/integration testing
  • Proficiency with QCS and CMT tools for configuration management and migrations
  • Strong analytical, documentation, and communication skills
Nice-to-Have
  • Experience with new product implementations or market launches
  • Knowledge of end-to-end healthcare claims lifecycle and pricing logic
  • Lean 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.

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.

Completion of this form is voluntary and will not affect your opportunity for employment, or the terms or conditions of your employment. This form will be used for reporting purposes only and will be kept separate from all other records.

Company Profile

Beacon Hill Technologies, a premier National Information Technology Staffing Group, provides world class technology talent across all industries utilizing a complete suite of staffing services. Beacon Hill Technologies' dedicated team of recruiting and staffing experts consistently delivers quality IT professionals to solve our customers' technical and business needs.

Beacon Hill Technologies covers a broad spectrum of IT positions, including Project Management and Business Analysis, Programming/Development, Database, Infrastructure, Quality Assurance, Production/Support and ERP roles.

Learn more about Beacon Hill and our specialty divisions, Beacon Hill Associates, Beacon Hill Financial, Beacon Hill HR, Beacon Hill Legal, Beacon Hill Life Sciences and Beacon Hill Technologies by visiting www.bhsg.com.

Benefits Information

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.

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