QNXT Benefit Configuration Manager
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Role details
Tech stack
Requirements
- Bachelor’s degree or equivalent combination of education and relevant professional experience.
- Progressive experience configuring health plan benefits within QNXT or a comparable claims administration platform, including direct hands-on experience with QNXT.
- Experience leading benefit configuration teams, supervisors, or operational functions.
- Strong knowledge of Medicare, Medicaid, Commercial, and Exchange benefit designs and applicable regulatory requirements.
- Advanced understanding of QNXT architecture, benefit configuration logic, claims adjudication, accumulators, authorization rules, and product setup.
- Proven experience managing large-scale benefit implementations and annual benefit maintenance initiatives.
- Strong analytical, organizational, project management, and problem-solving capabilities.
- Excellent written, verbal, presentation, and stakeholder management skills.
- Demonstrated ability to lead cross-functional teams and drive complex organizational initiatives.
<>Preferred Qualifications
- Extensive hands-on experience with TriZetto QNXT.
- Experience with the QNXT Configuration Management Tool (CMT) and Configuration Console Suite (QCS).
- Working knowledge of SQL Server and data validation techniques.
- Experience supporting enterprise health plan implementations, migrations, or platform transformation programs.
- Lean Six Sigma, PMP, Agile, or another relevant process improvement or project management certification.
About the company
Beacon Hill Technologies, a premier National Information Technology Staffing Group, provides world class technology talent across all industries utilizing a complete suite of staffing services. Beacon Hill Technologies’ dedicated team of recruiting and staffing experts consistently delivers quality IT professionals to solve our customers’ technical and business needs.
Beacon Hill Technologies covers a broad spectrum of IT positions, including Project Management and Business Analysis, Programming/Development, Database, Infrastructure, Quality Assurance, Production/Support and ERP roles.
Learn more about Beacon Hill and our specialty divisions, Beacon Hill Associates, Beacon Hill Financial, Beacon Hill HR, Beacon Hill Legal, Beacon Hill Life Sciences and Beacon Hill Technologies by visiting .
Benefits Information:
Beacon Hill offers a robust benefit package including, but not limited to, medical, dental, vision, and federal and state leave programs as required by applicable agency regulations to those that meet eligibility. Upon successfully being hired, details will be provided related to our benefit offerings.
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