QNXT Benefits Configuration Subject Matter Expert (SME)

Seeking a QNXT Benefits Configuration Subject Matter Expert (SME) to join our team, focusing on end-to-end benefits configuration within QNXT. This role will involve designing and implementing benefit plans, gathering business requirements, and collaborating with stakeholders to ensure accurate configuration and compliance. The ideal candidate will have deep expertise in QNXT benefits, experience across commercial and government healthcare programs, and the ability to work with both front-end and back-end systems.

Key Responsibilities:

• Lead the configuration of benefit plans within QNXT, ensuring compliance with state, federal, and commercial requirements.
• Work with front-end QNXT benefits configuration (with experience in both front-end and back-end systems), focusing on ensuring accuracy and alignment with business requirements.
• Collaborate with internal teams and external stakeholders to gather, analyze, and design benefits configurations based on requirements.
• Leverage SQL expertise to write queries and validate configurations within QNXT.
• Provide leadership in designing benefit configurations, ensuring seamless integration with other system components.
• Play a critical role in migration and implementation projects, guiding the configuration and testing of benefits during system transitions.
• Understand and manage the full claims lifecycle, ensuring benefits configurations align with claim adjudication requirements.