Scope of the Need : * The resources will support Benefit Configuration, data formatting, validation, unit testing, and error remediation. * The Benefit Configuration Analyst SME would be ...
Scope of the Need : * The resources will support Benefit Configuration, data formatting, validation, unit testing, and error remediation. * The Benefit Configuration Analyst SME would be ...
Auditing and testing all configuration elements to ensure accuracy and meets the client's intent ... year benefit configuration experience within a Healthplan. * Excellent attention to detail.
Auditing and testing all configuration elements to ensure accuracy and meets the client's intent ... year benefit configuration experience within a Healthplan. * Excellent attention to detail.
Analyst, Benefit Configuration
$20.19 - $23.11/hr
Conducts system enhancement and regression testing of a low to moderate level of complexity for benefit configuration processes to ensure compliance with state, federal and client regulations ...
Analyst, Benefit Configuration
$20.19 - $23.11/hr
Conducts system enhancement and regression testing of a low to moderate level of complexity for benefit configuration processes to ensure compliance with state, federal and client regulations ...
Scope of the Need : * The resources will support Benefit Configuration, data formatting, validation, unit testing, and error remediation. * The Benefit Configuration Analyst SME would be ...
Scope of the Need : * The resources will support Benefit Configuration, data formatting, validation, unit testing, and error remediation. * The Benefit Configuration Analyst SME would be ...
The Director of Configuration, Benefit Administration is responsible for design, implementation ... Maintain effective and consistent configuration testing protocols and quality controls * Manage and ...
The Director of Configuration, Benefit Administration is responsible for design, implementation ... Maintain effective and consistent configuration testing protocols and quality controls * Manage and ...
Position Overview The Benefit Configuration Analyst will be responsible for constructing the Claims ... Maintain and track open issues and coordinate releasing testing * Document policies and procedures
Position Overview The Benefit Configuration Analyst will be responsible for constructing the Claims ... Maintain and track open issues and coordinate releasing testing * Document policies and procedures
The Director of Configuration, Benefit Administration is responsible for design, implementation ... Maintain effective and consistent configuration testing protocols and quality controls * Manage and ...
The Director of Configuration, Benefit Administration is responsible for design, implementation ... Maintain effective and consistent configuration testing protocols and quality controls * Manage and ...
Benefit Configuration Analyst
New York, NY · Hybrid
$85K - $95K/yr
Position Overview The Benefit Configuration Analyst will be responsible for constructing the Claims ... Maintain and track open issues and coordinate releasing testing * Document policies and procedures
Benefit Configuration Analyst
New York, NY · Hybrid
$85K - $95K/yr
Position Overview The Benefit Configuration Analyst will be responsible for constructing the Claims ... Maintain and track open issues and coordinate releasing testing * Document policies and procedures
... 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 ...
... 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 ...
Healthcare Configuration Consultant / Analyst (Facets & SQL)
Mason, OH · Hybrid
$50 - $60/hr
... enabling member benefit configuration strategies by designing, implementing, and executing ... Execute testing , claims validation , and troubleshooting for configuration enhancements. * Perform ...
Quick apply
Healthcare Configuration Consultant / Analyst (Facets & SQL)
Mason, OH · Hybrid
$50 - $60/hr
... enabling member benefit configuration strategies by designing, implementing, and executing ... Execute testing , claims validation , and troubleshooting for configuration enhancements. * Perform ...
Oracle SQL for data validation and Facets for claims testing. Top 3-5 desirable attributes/qualifications? • 5+ years' experience w/: o Facets platform o Medical Plan Benefit Configuration o ...
Quick apply
Oracle SQL for data validation and Facets for claims testing. Top 3-5 desirable attributes/qualifications? • 5+ years' experience w/: o Facets platform o Medical Plan Benefit Configuration o ...
Manager of Plan Build and Benefits Configuration
Minneapolis, MN · On-site +1
$95K - $125K/yr
This role will spend time performing hands-on plan build and benefit configuration work which includes system setup, benefit mapping, testing, and validation, while dedicating time to leadership ...
Manager of Plan Build and Benefits Configuration
Minneapolis, MN · On-site +1
$95K - $125K/yr
This role will spend time performing hands-on plan build and benefit configuration work which includes system setup, benefit mapping, testing, and validation, while dedicating time to leadership ...
Benefit Operations Specialist
Denver, NY · On-site
You will lead benefit configuration, claims testing, and quality assurance processes, ensuring accuracy and efficiency across all implementations. This position offers the opportunity to influence ...
Benefit Operations Specialist
Denver, NY · On-site
You will lead benefit configuration, claims testing, and quality assurance processes, ensuring accuracy and efficiency across all implementations. This position offers the opportunity to influence ...
Sr. Configuration Analyst
Mason, OH · On-site
$40 - $45/hr
Key Responsibilities: * Lead configuration projects and support the design, testing, and ... Medical Plan Benefit Configuration * Provider Network & Agreement Configuration * Medicare/Medicaid ...
Quick apply
Sr. Configuration Analyst
Mason, OH · On-site
$40 - $45/hr
Key Responsibilities: * Lead configuration projects and support the design, testing, and ... Medical Plan Benefit Configuration * Provider Network & Agreement Configuration * Medicare/Medicaid ...
Manage team members in the delivery of benefit configuration, testing, and documentation aspects of the plan build and maintenance responsibilities to drive the highest level of performance and meet ...
Quick apply
Manage team members in the delivery of benefit configuration, testing, and documentation aspects of the plan build and maintenance responsibilities to drive the highest level of performance and meet ...
Scope of the Need : * The resources will support Benefit Configuration, data formatting, validation, unit testing, and error remediation. * The Benefit Configuration Analyst SME would be ...
Scope of the Need : * The resources will support Benefit Configuration, data formatting, validation, unit testing, and error remediation. * The Benefit Configuration Analyst SME would be ...
Scope of the Need : * The resources will support Benefit Configuration, data formatting, validation, unit testing, and error remediation. * The Benefit Configuration Analyst SME would be ...
Scope of the Need : * The resources will support Benefit Configuration, data formatting, validation, unit testing, and error remediation. * The Benefit Configuration Analyst SME would be ...
Sr. Manager, Quality Assurance Benefit Config
$108K - $135K/yr
The Sr. Manager oversees a team of Quality Assurance Analysts, driving the execution of benefit configuration testing, validation, and audit activities to ensure the accuracy and integrity of claims ...
Sr. Manager, Quality Assurance Benefit Config
$108K - $135K/yr
The Sr. Manager oversees a team of Quality Assurance Analysts, driving the execution of benefit configuration testing, validation, and audit activities to ensure the accuracy and integrity of claims ...
Come join our Peak Health team at WVU Medicine as a Benefit Configuration Analyst contributing to ... Perform testing of coding and policy changes via reports, claim adjudication and other testing ...
Come join our Peak Health team at WVU Medicine as a Benefit Configuration Analyst contributing to ... Perform testing of coding and policy changes via reports, claim adjudication and other testing ...
Come join our Peak Health team at WVU Medicine as a Benefit Configuration Analyst contributing to ... Perform testing of coding and policy changes via reports, claim adjudication and other testing ...
Come join our Peak Health team at WVU Medicine as a Benefit Configuration Analyst contributing to ... Perform testing of coding and policy changes via reports, claim adjudication and other testing ...
Benefit Configuration Tester information
See salary details
$18.51 - $26.49
21% of jobs
$26.49 - $34.46
0% of jobs
$34.46 - $42.44
0% of jobs
$43.67 is the 25th percentile. Wages below this are outliers.
$42.44 - $50.42
27% of jobs
The median wage is $53.07 / hr.
$50.42 - $58.39
6% of jobs
$58.39 - $66.37
5% of jobs
$66.37 - $74.34
6% of jobs
$78.12 is the 75th percentile. Wages above this are outliers.
$74.34 - $82.32
20% of jobs
$82.32 - $90.30
7% of jobs
$90.30 - $98.27
2% of jobs
$98.27 - $106.25
5% of jobs
$18
$59
$106
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Full-time
This job post has expired today. Applications are no longer accepted.
Job description
QNXT Benefit Configuration SMEs with emphasis on commercial plans and Member, Claims, Provider, Sponsor, Benefit modules and related reference Tables.
Scope of the Need:
- The resources will support Benefit Configuration, data formatting, validation, unit testing, and error remediation.
- The Benefit Configuration Analyst SME would be collaborating with stakeholders to gather, assess, interpret, and design/document Benefit configuration needs and coverage requirements.
- Analysts must lead communications and facilitation efforts to present the documented findings and results from an analytical engagement.
- The analysts must have the ability to independently analyze or mine data, draw sound conclusions, and is able to interpret detail plan benefit summaries
- Analysts must diligently follow written instructions, oral instructions, and policy.
Experience Necessary:
- 3-5 Years of QNXT Benefit Configuration Implementation and Support Experience (Design, configuration, front/back-end load configuration, resolution/update)
- Independently design, configure and build benefit plans and various benefit components in QNXT
- Expertise in setting up and maintaining benefit plan hierarchies, including base plans, riders, and their attributes. This includes understanding the financial impact of benefit configurations on plan costs and premiums.
- Deep knowledge of Claims Processing Lifecycle - Including the upstream/downstream processes that impact claims payment
- Independently research claims issues to determine benefit configuration gaps, update configuration as applicable.
- Exposure and demonstrated ability to create / maintain UM Authorization Templates
- 3-5 Years experience of a demonstrated ability to independently create intermediate SQL queries - above and beyond basic.
- Ability to rapidly interpret and understand current data schemas that are new an unfamiliar
- Proven ability to operate in complex projects related to benefit configuration, including the ability to lead cross-functional teams and manage timelines, resources, and deliverables effectively.
- Demonstrated experience in identifying, diagnosing, and resolving complex issues related to benefit configuration in QNXT, including performance tuning and system optimization.
About Photon
Sourced by ZipRecruiter
Company size
1 - 10 Employees
Headquarters location
Cambridge, MA, US
Year founded
1984