Sentara Healthcare-posted 4 months ago
$69,867 - $116,438/Yr
Full-time • Senior
Remote • Richmond, VA
5,001-10,000 employees
Hospitals

The Senior 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 senior 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.

  • 7+ years of hands-on QNXT benefit configuration experience, preferably in a managed care or health plan environment.
  • 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.
  • Familiarity with implementation methodologies for new products or market launches.
  • Knowledge of healthcare claims lifecycle, pricing, and accumulators.
  • Lean Six Sigma or process improvement background.
  • 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
  • Annual discretionary bonus if established system and employee eligibility criteria is met.
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