Senior Benefit Configuration Analyst, QNXT

Job not on LinkedIn

September 27

🏈 Alabama – Remote

Although this job is listed in Alabama, this company may be open to hiring remote in other states.

🐊 Florida – Remote

Although this job is listed in Florida, this company may be open to hiring remote in other states.

+24 more states

🏈 Alabama – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌪️ Kansas – Remote ⚜️ Louisiana – Remote 🦞 Maine – Remote 🌾 Nebraska – Remote 🎰 Nevada – Remote 🗻 New Hampshire – Remote 🌲 North Carolina – Remote 🌾 North Dakota – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🦀 Maryland – Remote ❄️ Minnesota – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🗿 South Dakota – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ⚔️ Virginia – Remote ☕ Washington – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote 🦬 Wyoming – Remote

💵 $69.9k - $116.4k / year

⏰ Full Time

🟠 Senior

🧐 Analyst

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Sentara Health

WebsiteLinkedInAll Job Openings

Healthcare Insurance

Sentara Health is a leading healthcare system that operates over 300 sites of care in Virginia and northeastern North Carolina, including 12 acute care hospitals. The company is dedicated to providing exceptional patient care, fostering professional development, and maintaining a diverse workforce. Sentara Health aims to improve health every day and has been recognized for its clinical and operational performance, being named one of the top 15 health systems by IBM Watson Health. The organization supports its employees in achieving their full potential and encourages growth and innovation in the healthcare sector.

10,000+ employees

Founded 1890

⚕️ Healthcare Insurance

📋 Description

• Analyze, design, build, and validate complex benefit configurations within the QNXT platform to support accurate claims adjudication and compliance • Work closely with Product, Compliance, IT, Network and Claims teams to ensure benefit plans are implemented accurately, timely, and in accordance with regulatory and contractual requirements • Serve as a business and technical expert in QNXT benefit build • Support new plan implementations, annual updates, and ongoing configuration maintenance • Perform data validation and troubleshooting using T-SQL and support version management, configuration migrations, and build monitoring with CMT and QCS tools

🎯 Requirements

• Bachelor’s Degree (Required) • 7+ years of hands-on QNXT benefit configuration experience • Strong working knowledge of QNXT system architecture, including configuration tables, benefit logic, and claims integration • Proficiency in Microsoft SQL Server (T-SQL) for data validation and troubleshooting • Experience with CMT and QCS tools for version management, configuration migrations, and build monitoring • Strong understanding of regulatory requirements across Medicare, Medicaid, ACA, and Commercial plans • Excellent analytical, organizational, and problem-solving skills • Strong written and verbal communication including technical documentation • Excellent interpersonal skills and team oriented • Preferred: Familiarity with implementation methodologies for new products or market launches • Preferred: Knowledge of healthcare claims lifecycle, pricing, and accumulators • Preferred: Lean Six Sigma or process improvement background is a plus

🏖️ Benefits

• Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down – $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Opportunity to earn an annual discretionary bonus if eligibility criteria is met • Additional compensation may be available (shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities)