Senior QNXT Benefit Analyst

Job Summary

To ensure accurate claims adjudication and regulatory compliance, the 100% remote Senior QNXT Benefit Configuration Analyst will design, configure, validate, and maintain complex benefit setups within the QNXT platform on a contract-to-hire basis.

Key responsibilities

• Design and configure benefits including copays, deductibles, service codes, and accumulators
• Validate and troubleshoot benefit configurations and claims to ensure compliance and accuracy
• Perform gap analysis between business requirements and QNXT capabilities, recommending solutions as needed

Required qualifications

• 7+ years of hands-on QNXT benefit configuration experience
• Strong expertise in QNXT core modules: Benefit Configuration, Claims, Enrollment, and Authorization
• Proficiency in Microsoft SQL Server (T-SQL) for data validation and configuration analysis
• Solid understanding of Commercial and Government plan designs (HMO, PPO, POS, ASO, Medicare, Medicaid, ACA)
• Experience with data migration, mapping, conversions, and mass benefit updates