Senior Benefit Configuration Analyst, QNXT

Emploi pas sur LinkedIn

🕒 il y a 8 mois

🏈 Alabama, Florida, +24 états de plus – Distant

🏈 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

💵 $69 867 - $116 438 / an

⏰ Temps Plein

🟠 Senior

🧐 Analyste

Postuler Maintenant

Trouver des Emplois à Distance Similaires

Recevoir des emails pour des emplois à distance

📊 Vérifiez votre score de CV pour ce poste

Améliorez vos chances d'obtenir un entretien en vérifiant votre score de CV avant de postuler.

Télécharger le CV

Sentara Health

Site WebLinkedInTous les Emplois

10 000+ employés

Fondée en 1890

⚕️ Assurance santé

Healthcare Insurance

Sentara Health est un système de santé de premier plan qui exploite plus de 300 sites de soins en Virginie et dans le nord-est de la Caroline du Nord, y compris 12 hôpitaux de soins aigus. L'entreprise est dédiée à offrir des soins exceptionnels aux patients, à encourager le développement professionnel et à maintenir une main-d'œuvre diversifiée. Sentara Health vise à améliorer la santé chaque jour et a été reconnue pour ses performances cliniques et opérationnelles, étant nommée parmi les 15 meilleurs systèmes de santé par IBM Watson Health. L'organisation soutient ses employés pour qu'ils atteignent leur plein potentiel et encourage la croissance et l'innovation dans le secteur de la santé.

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

🎯 Exigences

• 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

🏖️ Avantages

• 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)