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QNXT Benefit Configuration SME

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Job Location drjobs

Alexander City - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Job Description

Title: QNXT Benefit Configuration SME
Duration: Long term
Job Id: 20713
Location: South Boston 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:
  • 35 Years of QNXT Benefit Configuration Implementation and Support Experience (Design configuration front/backend 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
  • 35 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 crossfunctional 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.

Employment Type

Full Time

Company Industry

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