Offer summary

Qualifications:

3-5 years of experience in QNXT Benefit Configuration Implementation and Support., Expertise in designing and configuring benefit plans and components in QNXT., Proven ability to create intermediate SQL queries and interpret complex data schemas., Strong analytical skills to identify and resolve issues related to benefit configuration..

Key responsabilities:

Support Benefit Configuration, data formatting, validation, and error remediation.

Collaborate with stakeholders to gather and document benefit configuration needs.

Lead communications to present findings from analytical engagements.

Research claims issues and update configurations as necessary.

Job description

QNXT Benefit Configuration SME
Virginia

Description
QNXT Benefit Configuration SMEs with emphasis on commercial plans and Member, Claims, Provider, Sponsor, Benefit modules and related reference Tables.
Scope of the Need:
The resources will support Benefit Configuration, data formatting, validation, unit testing, and error remediation.
The Benefit Configuration Analyst SME would be collaborating with stakeholders to gather, assess, interpret, and design/document Benefit configuration needs and coverage requirements.
Analysts must lead communications and facilitation efforts to present the documented findings and results from an analytical engagement.
The analysts must have the ability to independently analyze or mine data, draw sound conclusions, and is able to interpret detail plan benefit summaries
Analysts must diligently follow written instructions, oral instructions, and policy.
Experience Necessary:
3-5 Years of QNXT Benefit Configuration Implementation and Support Experience (Design, configuration, front/back-end load configuration, resolution/update)
Independently design, configure and build benefit plans and various benefit components in QNXT
Expertise in setting up and maintaining benefit plan hierarchies, including base plans, riders, and their attributes. This includes understanding the financial impact of benefit configurations on plan costs and premiums.
Deep knowledge of Claims Processing Lifecycle - Including the upstream/downstream processes that impact claims payment
Independently research claims issues to determine benefit configuration gaps, update configuration as applicable.
Exposure and demonstrated ability to create / maintain UM Authorization Templates
3-5 Years experience of a demonstrated ability to independently create intermediate SQL queries - above and beyond basic.
Ability to rapidly interpret and understand current data schemas that are new an unfamiliar
Proven ability to operate in complex projects related to benefit configuration, including the ability to lead cross-functional teams and manage timelines, resources, and deliverables effectively.
Demonstrated experience in identifying, diagnosing, and resolving complex issues related to benefit configuration in QNXT, including performance tuning and system optimization.
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