100% Remote-QNXT Benefits Configuration SME
NOTE: This is a 100% remote role. Candidates will be working on EST hours. QNXT Benefits Configuration SME Seeking an experienced QNXT Benefits Configuration SME to support the design, configuration, and testing of complex benefits structures within QNXT. The role requires hands-on expertise with QNXT core modules, strong analytical skills, and the ability to translate business requirements into effective system configurations. Must-Have Qualifications
- Proven expertise in QNXT core modules: Benefit Configuration, Claims, Enrollment, Authorization
- Strong knowledge of commercial and government benefit structures and plan designs (HMO, PPO, POS, ASO)
- Experience in configuring multi-tier copays, service codes, deductibles, and accumulators
- Ability to manage benefit configuration design from requirements gathering through implementation
- Hands-on experience with data migration and mass configuration updates
- Proficiency in writing SQL queries for validation and analysis of QNXT database structures
- Experience troubleshooting and resolving benefit configuration edits and validating claims
- Familiarity with QCS and CMT tools for benefit configuration and testing
Responsibilities
- Design, configure, and test benefits within QNXT for new implementations and annual renewal cycles
- Collaborate with stakeholders to gather requirements and develop benefit configuration designs
- Perform data migration, conversion, mapping, and benefit configuration mass updates
- Conduct gap analyses between client needs and QNXT capabilities; recommend system workarounds or custom solutions
- Write and execute intermediate to advanced SQL queries for validation and configuration analysis
- Troubleshoot benefit configuration issues and support unit and integration testing
- Utilize tools such as QCS and CMT for benefit configuration and testing
Pluses
- Experience in service group setup and front-end QNXT configuration
- Familiarity with MOOP (Maximum Out-of-Pocket) configuration
- Prior involvement in large-scale migrations or implementations
Interested candidates may submit their resumes online or call at 310-906-4780 for further information regarding the position. Beacon Hill is an equal opportunity employer and individuals with disabilities and/or protected veterans are encouraged to apply. California residents: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. If you would like to complete our voluntary self-identification form, please click here or copy and paste the following link into an open window in your browser: https://jobs.beaconhillstaffing.com/eeoc/ Completion of this form is voluntary and will not affect your opportunity for employment, or the terms or conditions of your employment. This form will be used for reporting purposes only and will be kept separate from all other records. Company Profile: 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 www.bhsg.com.
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. We look forward to working with you. Beacon Hill. Employing the Future™ Apply Job! Apply to this Job