Senior QNXT Benefit Configuration Analyst
3B Staffing LLC, Austin, TX, United States
This is a 100 % remote, contract-to-hire position. Eligibility for conversion to direct hire at the end of the contract is limited to individuals residing in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Senior QNXT Benefit Configuration Analyst
Role Overview
The Senior QNXT Benefit Configuration Analyst is responsible for designing, configuring, validating, and maintaining complex benefit setups within the QNXT platform to ensure accurate claims adjudication and regulatory compliance. This role partners closely with Product, Compliance, IT, Network, and Claims teams to support new implementations, annual renewals, and ongoing benefit maintenance.
Must-Have Qualifications
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
Nice-to-Have
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.
Senior QNXT Benefit Configuration Analyst
Role Overview
The Senior QNXT Benefit Configuration Analyst is responsible for designing, configuring, validating, and maintaining complex benefit setups within the QNXT platform to ensure accurate claims adjudication and regulatory compliance. This role partners closely with Product, Compliance, IT, Network, and Claims teams to support new implementations, annual renewals, and ongoing benefit maintenance.
Must-Have Qualifications
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
Nice-to-Have
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.