Technical Consultant – Activation
Phocas Software
MS SQL ServerSQL
Senior Benefit Configuration Analyst, QNXT
Sentara Health
full-time
Posted on:
Location Type: Remote
Location: Remote • Alabama, Florida, Idaho, Kansas, Louisiana, Maine, Maryland, Minnesota, Nevada, New Hampshire, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, Wyoming • 🇺🇸 United States
Visit company websiteSalary
💰 $69,867 - $116,438 per year
Job Level
Senior
Tech Stack
MS SQL ServerSQL
About the role
- Analyze, design, build, and validate complex benefit configurations within the QNXT platform to support accurate claims adjudication and compliance
- Work closely with Product, Compliance, IT, Network and Claims teams to ensure benefit plans are implemented accurately, timely, and in accordance with regulatory and contractual requirements
- Serve as a business and technical expert in QNXT benefit build
- Support new plan implementations, annual updates, and ongoing configuration maintenance
- Perform data validation and troubleshooting using T-SQL and support version management, configuration migrations, and build monitoring with CMT and QCS tools
Requirements
- Bachelor’s Degree (Required)
- 7+ years of hands-on QNXT benefit configuration experience
- Strong working knowledge of QNXT system architecture, including configuration tables, benefit logic, and claims integration
- 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
- Strong understanding of regulatory requirements across Medicare, Medicaid, ACA, and Commercial plans
- Excellent analytical, organizational, and problem-solving skills
- Strong written and verbal communication including technical documentation
- Excellent interpersonal skills and team oriented
- Preferred: Familiarity with implementation methodologies for new products or market launches
- Preferred: Knowledge of healthcare claims lifecycle, pricing, and accumulators
- Preferred: Lean Six Sigma or process improvement background is a plus
Benefits
- Medical, Dental, Vision plans
- Adoption, Fertility and Surrogacy Reimbursement up to $10,000
- Paid Time Off and Sick Leave
- Paid Parental & Family Caregiver Leave
- Emergency Backup Care
- Long-Term, Short-Term Disability, and Critical Illness plans
- Life Insurance
- 401k/403B with Employer Match
- Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
- Student Debt Pay Down – $10,000
- Reimbursement for certifications and free access to complete CEUs and professional development
- Pet Insurance
- Legal Resources Plan
- Opportunity to earn an annual discretionary bonus if eligibility criteria is met
- Additional compensation may be available (shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities)
ATS Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
QNXT benefit configurationT-SQLMicrosoft SQL ServerCMTQCSdata validationtroubleshootingconfiguration migrationsbuild monitoringbenefit logic
Soft skills
analytical skillsorganizational skillsproblem-solving skillswritten communicationverbal communicationtechnical documentationinterpersonal skillsteam oriented
Certifications
Bachelor’s DegreeLean Six Sigma
