Job#: 3018873 Job Description: Job Title: Senior Benefit Configuration Analyst - QNXTDepartment: Health Plan Operations- Configuration
Reports to: Supervisor, Benefit Configuration
Location: Remote
The Senior Benefit Configuration Analyst is responsible for the analysis, design, build, and validation of complex benefit configurations within the QNXT platform to support accurate claims adjudication and compliance. This role works closely with Product, Compliance, IT, Network and Claim's teams to ensure benefit plans are implemented accurately, timely, and in accordance with regulatory and contractual requirements.
The senior analyst serves as a business and technical expert in QNXT benefit build and plays a key role in supporting new plan implementations, annual updates, and ongoing configuration maintenance.
Education
- 6 years of experience, which includes 2 years of directly related experience in lieu of a bachelor's degree required.
Or
- Bachelor's degree in healthcare administration, Information Systems, or related field with 4 years of progressive, relevant professional experience required
Certification/Licensure
- No specific certification or licensure requirements
Experience
- Required to have hands-on benefit configuration experience, preferably in a managed care or health plan environment.
- Required to have strong understanding of regulatory requirements across Medicare, Medicaid, ACA, and Commercial plans.
- Required to have excellent analytical, organizational, and problem-solving skills, strong written and verbal communication including technical documentation. Excellent interpersonal skills and team oriented.
Preferred Qualifications
- Proficiency in Microsoft SQL Server (T-SQL) for data validation and troubleshooting.
- Experience with CMT and QCS tools for version management, configuration migrations, and build monitoring.
Apex Systems is a world-class IT services company that serves thousands of clients across the globe. When you join Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRated's Best of Staffing in Talent Satisfaction in the United States and Great Place to Work in the United Kingdom and Mexico. Apex uses a virtual recruiter as part of the application process. Click for more details.
Apex Benefits Overview: Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection. We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure. Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts. In terms of professional development, Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Apex has a dedicated customer service team for our Consultants that can address questions around benefits and other resources, as well as a certified Career Coach. You can access a full list of our benefits, programs, support teams and resources within our 'Welcome Packet' as well, which an Apex team member can provide.
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