Senior Benefit Configuration Analyst QNXT - Remote

Location and Remote Availability City/State: Richmond, VA Work Shift: Multiple shifts available This position is fully remote. Candidates must have a current residence in one of the following states or be willing to relocate: Alabama Delaware Florida Georgia Idaho Indiana Kansas Louisiana Maine Maryland Minnesota Nebraska Nevada New Hampshire North Carolina North Dakota Ohio Oklahoma Pennsylvania South Carolina South Dakota Tennessee Texas Utah Virginia Washington State West Virginia Wisconsin Wyoming Overview No Degree required! 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. The senior analyst works 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. Key Responsibilities 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. Education Minimum 6 years of experience, which includes 2 years of directly related experience, in lieu of a bachelor’s degree. Or bachelor’s degree in healthcare administration, Information Systems, or related field with 4 years of progressive, relevant professional experience. Certification / Licensure No specific certification or licensure requirements. Experience Required Hands‑on benefit configuration experience, preferably in a managed care or health plan environment. Strong working knowledge of QNXT system architecture, including configuration tables, benefit logic, and claims integration. 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 orientated. 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. Compensation The base pay rate for full‑time employment is: $69,867.20 – $116,438.40. Additional compensation may be available for this role such as shift differentials, standby/on‑call, overtime, premiums, extra shift incentives, or bonus opportunities. 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 401(k)/403(b) 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 Equal Opportunity Employer Sentara Health is an equal opportunity employer and values diversity and inclusiveness. #J-18808-Ljbffr 125 Sentara Urgent Care