Beacon Hill · 3 days ago
Sr QNXT Benefit Configuration Analyst
Beacon Hill is a premier National Information Technology Staffing Group. They are seeking a Senior QNXT Benefit Configuration Analyst responsible for designing, configuring, validating, and maintaining complex benefit setups within the QNXT platform to ensure accurate claims adjudication and regulatory compliance.
Staffing Agency
Responsibilities
Designing, configuring, validating, and maintaining complex benefit setups within the QNXT platform to ensure accurate claims adjudication and regulatory compliance
Partnering closely with Product, Compliance, IT, Network, and Claims teams to support new implementations, annual renewals, and ongoing benefit maintenance
Qualification
Required
7+ years of hands-on QNXT benefit configuration experience
Strong expertise across QNXT core modules: Benefit Configuration, Claims, Enrollment, Authorization
Proficiency in Microsoft SQL Server (T-SQL) for data validation, troubleshooting, and configuration analysis
Solid understanding of Commercial and Government plan designs (HMO, PPO, POS, ASO, Medicare, Medicaid, ACA)
Experience configuring and testing benefits during new implementations and annual renewal cycles
Ability to design and configure benefits including copays, deductibles, service codes, and accumulators (flexible on depth of multi-tier complexity)
Hands-on experience with data migration, mapping, conversions, and mass benefit updates
Proven ability to perform gap analysis between business requirements and QNXT capabilities, including recommending workarounds or custom solutions
Strong troubleshooting skills for benefit configuration issues, claims validation, and unit/integration testing
Proficiency with QCS and CMT tools for configuration management and migrations
Strong analytical, documentation, and communication skills
Preferred
Experience with new product implementations or market launches
Knowledge of end-to-end healthcare claims lifecycle and pricing logic
Lean Six Sigma or process improvement experience
Benefits
Medical
Dental
Vision
Federal and state leave programs
Company
Beacon Hill
Beacon Hill was founded to set a new standard in search, career placement and flexible staffing.
H1B Sponsorship
Beacon Hill has a track record of offering H1B sponsorships. Please note that this does not
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2025 (38)
2024 (94)
2023 (76)
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2021 (77)
2020 (86)
Funding
Current Stage
Late StageRecent News
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