Senior Benefit Configuration Analyst – QNXT

Sentara Health

Senior Benefit Configuration Analyst responsible for QNXT configurations and claims compliance. Analyze and validate benefit plans while collaborating with cross-functional teams and mentoring juniors.

Posted 6/24/2026full-timeRemote • Virginia • 🇺🇸 United StatesSenior💰 $69,867 - $116,438 per yearWebsite

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Hard Skills

benefit configurationSQLQNXT system architectureconfiguration tablesbenefit logicclaims integrationdata validationtechnical documentationLean Six Sigmaprocess improvement

Soft Skills

analytical skillsorganizational skillsproblem-solving skillswritten communicationverbal communicationinterpersonal skillsteam orientedmentorshipcollaborationdefect resolution

Tools & Technologies

QNXT Configuration Management Tool (CMT)QNXT Configuration Console Suite (QCS)Microsoft SQL Server (T-SQL)

Industry Keywords

healthcare administrationmanaged carehealth planMedicareMedicaidACACommercial planshealthcare claims lifecyclepricingaccumulators

Tech Stack

Tools & technologies

MS SQL ServerSQL

About the role

Key responsibilities & impact

Analyze benefit plan documentation (e.g., EOCs, SOBs) and translate into QNXT configuration requirements.
Build and configure new and updated benefits in QNXT, including Product, Plan, Service Codes, Copay/Coinsurance, Accumulators, Limits, and Authorization rules.
Use QNXT Configuration Management Tool (CMT) and QNXT Configuration Console Suite (QCS) to manage configuration packages and perform impact analysis.
Execute back-end data validations using SQL to ensure configuration accuracy and resolve complex issues.
Participate in end-to-end testing (UAT) of benefit builds and coordinate defect resolution with QA and claims teams.
Support annual benefit configuration activities such as Medicare, Medicaid contract updates, or Exchange plan changes.
Serve as a subject matter expert (SME) for benefit build logic, configuration architecture, and claims-related business rules.
Document configuration logic and maintain version-controlled artifacts for audit and compliance purposes.
Provide mentorship and support to junior configuration analysts and assist in training initiatives.
Collaborate with cross-functional teams during product launches, regulatory changes, or system upgrades.

Requirements

What you’ll need

Minimum 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
Required to have hands-on benefit configuration experience, preferably in a managed care or health plan environment.
Required to have a strong working knowledge of QNXT system architecture, including configuration tables, benefit logic, and claims integration.
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.
Familiarity with implementation methodologies for new products or market launches.
Knowledge of healthcare claims lifecycle, pricing, and accumulators.
Lean Six Sigma or process improvement background is a plus.

Benefits

Comp & perks

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
Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.