QNXT Benefit Configuration Manager

• 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., * 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.

Interested candidates may submit their resume online or call at 310-906-4780 for further information regarding the position.