100% Remote-QNXT Benefit Configuration Manager

Note: This is a 100 % remote, contract-to-hire position. Eligibility for conversion to direct hire at the end of the contract is limited to individuals residing in the following states: 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, West Virginia, Wisconsin, and Wyoming.

QNXT Benefit Configuration Manager

Required Qualifications

• Bachelor's degree or equivalent combination of education and relevant professional experience.
• Progressive experience configuring health plan benefits within QNXT or a comparable claims administration platform, including direct hands-on experience with QNXT.
• Experience leading benefit configuration teams, supervisors, or operational functions.
• Strong knowledge of Medicare, Medicaid, Commercial, and Exchange benefit designs and applicable regulatory requirements.
• Advanced understanding of QNXT architecture, benefit configuration logic, claims adjudication, accumulators, authorization rules, and product setup.
• Proven experience managing large-scale benefit implementations and annual benefit maintenance initiatives.
• Strong analytical, organizational, project management, and problem-solving capabilities.
• Excellent written, verbal, presentation, and stakeholder management skills.
• Demonstrated ability to lead cross-functional teams and drive complex organizational initiatives.

Preferred Qualifications

• Extensive hands-on experience with TriZetto QNXT.
• Experience with the QNXT Configuration Management Tool (CMT) and Configuration Console Suite (QCS).
• Working knowledge of SQL Server and data validation techniques.
• Experience supporting enterprise health plan implementations, migrations, or platform transformation programs.
• Lean Six Sigma, PMP, Agile, or another relevant process improvement or project management certification.

Interested candidates may submit their resume online or call at 310-906-4780 for further information regarding the position.

Beacon Hill is an equal opportunity employer and individuals with disabilities and/or protected veterans are encouraged to apply.

California residents: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

If you would like to complete our voluntary self-identification form, please click here or copy and paste the following link into an open window in your browser: https://jobs.beaconhillstaffing.com/eeoc/

Completion of this form is voluntary and will not affect your opportunity for employment, or the terms or conditions of your employment. This form will be used for reporting purposes only and will be kept separate from all other records.

Company Profile:

Beacon Hill Technologies, a premier National Information Technology Staffing Group, provides world class technology talent across all industries utilizing a complete suite of staffing services. Beacon Hill Technologies' dedicated team of recruiting and staffing experts consistently delivers quality IT professionals to solve our customers' technical and business needs.

Beacon Hill Technologies covers a broad spectrum of IT positions, including Project Management and Business Analysis, Programming/Development, Database, Infrastructure, Quality Assurance, Production/Support and ERP roles.

Learn more about Beacon Hill and our specialty divisions, Beacon Hill Associates, Beacon Hill Financial, Beacon Hill HR, Beacon Hill Legal, Beacon Hill Life Sciences and Beacon Hill Technologies by visiting www.bhsg.com.

Benefits Information:

Beacon Hill offers a robust benefit package including, but not limited to, medical, dental, vision, and federal and state leave programs as required by applicable agency regulations to those that meet eligibility. Upon successfully being hired, details will be provided related to our benefit offerings.

We look forward to working with you.

Beacon Hill. Employing the Future™