Sentara Healthcare

Senior Benefit Configuration Analyst QNXT - Remote


PayCompetitive
LocationNew York/New York
Employment typeFull-Time
  • Job Description

      Req#: JR-84785
      Employer Industry: Healthcare Services

      Why consider this job opportunity:
      - Salary up to $116,438.40
      - Opportunity for annual discretionary bonuses based on eligibility criteria
      - Comprehensive benefits package, including medical, dental, vision, and paid time off
      - Tuition assistance up to $5,250 per year and student debt pay down up to $10,000
      - Supportive work environment with a commitment to diversity and inclusion
      - Potential for remote work in various states across the U.S.

      What to Expect (Job Responsibilities):
      - Analyze, design, build, and validate complex benefit configurations within the QNXT platform
      - Collaborate with Product, Compliance, IT, Network, and Claims teams to ensure accurate implementation of benefit plans
      - Serve as a business and technical expert in QNXT benefit build for new plan implementations and ongoing maintenance
      - Utilize Microsoft SQL Server (T-SQL) for data validation and troubleshooting
      - Maintain a strong understanding of regulatory requirements across Medicare, Medicaid, ACA, and Commercial plans

      What is Required (Qualifications):
      - Bachelor’s degree in a relevant field or an additional 2 years of related experience for a total of 6 years
      - Minimum of 7 years of hands-on QNXT benefit configuration experience in a managed care or health plan environment
      - Strong knowledge of QNXT system architecture, including configuration tables and benefit logic
      - Proficiency in Microsoft SQL Server (T-SQL) for data validation and troubleshooting
      - Excellent analytical, organizational, and problem-solving skills with strong written and verbal communication

      How to Stand Out (Preferred Qualifications):
      - Familiarity with implementation methodologies for new products or market launches
      - Knowledge of healthcare claims lifecycle, pricing, and accumulators
      - Lean Six Sigma or process improvement background is a plus

      #HealthcareServices #BenefitConfiguration #CareerOpportunity #DiversityAndInclusion #RemoteWork

      "We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
      We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."
  • About the company

      Sentara Healthcare is a not-for-profit healthcare organization serving Virginia and northeastern North Carolina.

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