QNXT Benefit Configuration Support Analyst

TEKsystemsChesapeake, VA
4d$45 - $55Remote

About The Position

The Benefit Configuration Analyst is responsible for the analysis, design, build, and validation of complex benefit configurations within the QNXT platform to support accurate claims adjudication and compliance. This role works closely with Product, Compliance, IT, Network and Claim’s teams to ensure benefit plans are implemented accurately, timely, and in accordance with regulatory and contractual requirements. The configuration analyst serves as a business and technical expert in QNXT benefit build and plays a key role in supporting new plan implementations, annual updates, and ongoing configuration maintenance. This resource will help stand up our client's Commercial QNXT environment with a focus on benefits. Day to day involves: · Meetings · QNXT configuration · Capitation · Actively using standard benefits/pricing methodologies · Solutioning detail level business requirements · Unit testing/proof of concept testing · Defect resolution · Ability to work independently Ability to meet deliverables

Requirements

  • QNXT
  • Benefits Configuration
  • commercial insurance
  • sql server
  • QCS
  • SQL
  • Contract Configuration
  • Provider Pricing
  • Health Insurance
  • Healthcare Benefits
  • Healthcare Benefit Configuration
  • Commercial Health Insurance

Responsibilities

  • Analysis of benefit configurations
  • Design of benefit configurations
  • Building benefit configurations within the QNXT platform
  • Validation of benefit configurations within the QNXT platform
  • Support accurate claims adjudication
  • Ensure compliance
  • Work closely with Product, Compliance, IT, Network and Claim’s teams
  • Support new plan implementations
  • Support annual updates
  • Ongoing configuration maintenance
  • Solutioning detail level business requirements
  • Unit testing/proof of concept testing
  • Defect resolution
  • Ability to work independently
  • Ability to meet deliverables

Benefits

  • Medical, dental & vision
  • Critical Illness, Accident, and Hospital
  • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
  • Life Insurance (Voluntary Life & AD&D for the employee and dependents)
  • Short and long-term disability
  • Health Spending Account (HSA)
  • Transportation benefits
  • Employee Assistance Program
  • Time Off/Leave (PTO, Vacation or Sick Leave)

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What This Job Offers

Career Level

Mid Level

Education Level

No Education Listed

Number of Employees

5,001-10,000 employees

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