QNXT Benefit Configuration Supervisor

Job#: 3018943

Job Description:

Job Title: QNXT Benefit Configuration Supervisor

Department: Claims / Configuration / Operations

Reports to: Manager or Director Configuration

Location: Remote

The Supervisor, QNXT Benefit Configuration, is responsible for overseeing the daily operations of benefit configuration activities within the QNXT platform. This role ensures accurate, timely, and compliant configuration of benefit plans and products in support of claims processing and member eligibility systems. The supervisor leads a team of analysts or specialists, monitors quality and productivity, and collaborates cross-functionally with IT, compliance, product, and clinical teams.

Key Responsibilities:

• Supervise and lead a team of benefit configuration analysts working in QNXT.
• Oversee and ensure accurate benefit build and configuration for new and existing plans, benefit riders, and products.
• Validate system configurations for compliance with CMS, Medicaid, and state guidelines.
• Develop and maintain standard operating procedures (SOPs) and workflows.
• Manage timelines and deliverables for benefit setup during annual enrollment, new market launches, and regulatory changes.
• Collaborate with IT, Claims, Provider Relations, and Legal/Compliance to resolve configuration-related issues.
• Participate in system upgrades, testing (UAT), and implementation planning.
• Monitor quality assurance metrics to ensure high data integrity and adherence to SLAs.
• Provide training and mentoring to staff on benefit configuration best practices and QNXT functionality.
• Serve as the subject matter expert (SME) for benefit configuration policies, systems, and tools.
  
  

Education

• Bachelor's Degree in related major required.
  
  

OR

• Related experience is in one of the following areas required, Operations, IT or Reporting.
• Applicants who do not have their Bachelor's Degree will be required to sign a Bachelor's Degree Agreement committing to successfully obtaining their Bachelor's Degree within 5 years from the date of Hire.
  
  

Certification/Licensure

• No specific certification or licensure requirements
  
  

Experience

Required Qualifications:

• Bachelor’s degree or 7 years of experience in benefit configuration within QNXT or a similar claims adjudication system.
• 3 Supervisor or Lead experience providing guidance to lower-level staff and managing tasks
• In-depth knowledge of Medicare, Medicaid, ACA, and/or commercial plan benefit structures.
• Proficient in interpreting and implementing benefit grids, SBCs, and regulatory documents.
• Strong understanding of claims processing and eligibility systems.
• Excellent analytical and problem-solving skills.
• Strong interpersonal, organizational, and leadership abilities.
  
  

Preferred Qualifications:

• Experience with Trizetto’s QNXT core administration system.
• Knowledge of CMS model benefits and Medicaid waiver programs.
• Process improvement or Lean Six Sigma background.
  
  

Apex Systems is a world-class IT services company that serves thousands of clients across the globe. When you join Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRated's Best of Staffing® in Talent Satisfaction in the United States and Great Place to Work® in the United Kingdom and Mexico. Apex uses a virtual recruiter as part of the application process. Click here for more details.

Apex Benefits Overview: Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection. We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure. Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts. In terms of professional development, Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6 months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Apex has a dedicated customer service team for our Consultants that can address questions around benefits and other resources, as well as a certified Career Coach. You can access a full list of our benefits, programs, support teams and resources within our ‘Welcome Packet’ as well, which an Apex team member can provide.

Apex Systems is a world-class IT services company that serves thousands of clients across the globe. When you join Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRated's Best of Staffing® in Talent Satisfaction in the United States and Great Place to Work® in the United Kingdom and Mexico. Apex uses a virtual recruiter as part of the application process. Click here for more details.

Apex Benefits Overview: Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection. We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure. Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts. In terms of professional development, Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6 months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Apex has a dedicated customer service team for our Consultants that can address questions around benefits and other resources, as well as a certified Career Coach. You can access a full list of our benefits, programs, support teams and resources within our ‘Welcome Packet’ as well, which an Apex team member can provide.

Apex Systems is part of the Commercial Segment of ASGN Incorporated.

NYSE: ASGN

4400 Cox Road

Suite 200

Glen Allen, Virginia 23060

Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law. If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation in using our website for a search or application, please contact our Benefits Department at [email protected] or 804-523-8228. (Do not submit resumes or solicit consultants to this email address). UnitedHealthcare creates and publishes the Transparency in Coverage Machine-Readable Files on behalf of Apex Systems.