Apex Systems · 3 days ago
Senior QNXT Benefit Configuration Analyst
Apex Systems is a world-class IT services company that serves thousands of clients across the globe. 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.
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Responsibilities
Responsible for the analysis, design, build, and validation of complex benefit configurations within the QNXT platform to support accurate claims adjudication and compliance
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
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
Qualification
Required
6 years of experience, which includes 2 years of directly related experience in lieu of a bachelor's degree required
Bachelor's degree in healthcare administration, Information Systems, or related field with 4 years of progressive, relevant professional experience required
Required to have hands-on benefit configuration experience, preferably in a managed care or health plan environment
Required to have strong understanding of regulatory requirements across Medicare, Medicaid, ACA, and Commercial plans
Required to have excellent analytical, organizational, and problem-solving skills, strong written and verbal communication including technical documentation
Excellent interpersonal skills and team oriented
Preferred
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
Benefits
Medical
Dental
Vision
Life
Disability
Other insurance plans
ESPP (employee stock purchase program)
401K program
HSA (Health Savings Account on the HDHP plan)
SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions
Corporate discount savings program
Other discounts
On-demand training program
Access to certification prep
Library of technical and leadership courses/books/seminars
Certification discounts
Other perks to associations that include CompTIA and IIBA
Dedicated customer service team for our Consultants
Certified Career Coach
Company
Apex Systems
Apex Systems, a division of On Assignment, provides organizations with IT staffing solutions to address gaps in their current workforce.
Funding
Current Stage
Late StageLeadership Team
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