Description
The 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 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.
This resource will help stand up the Health Plans Commercial QNXT environment with a focus on benefits.
Day to day involves:
· Meetings
· QNXT configuration
· Capitation
· Actively using standard benefits/pricing methodologies
· Solutioning detail level business requirements
· Unit testing/proof of concept testing
· Defect resolution
· Abili...