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Qnxt Configuration Jobs (NOW HIRING)

Techvilla Solutions

  • Medical

Position Overview We are seeking an experienced QNXT Benefit Configuration Analyst to support the implementation, enhancement, and maintenance of benefit plans within the TriZetto QNXT platform. The ...

Techvilla Solutions

  • Medical

Position Overview We are seeking an experienced QNXT Benefit Configuration Analyst to support the implementation, enhancement, and maintenance of benefit plans within the TriZetto QNXT platform. The ...

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$37.5K

$95.9K

$144.5K

How much do qnxt configuration jobs pay per year?

As of Aug 16, 2026, the average yearly pay for qnxt configuration in the United States is $95,935.00, according to ZipRecruiter salary data. Most workers in this role earn between $76,000.00 and $112,000.00 per year, depending on experience, location, and employer.

What are the typical daily responsibilities for a Qnxt configuration specialist?

As a Qnxt Configuration specialist, your daily responsibilities often involve analyzing client or organizational requirements, configuring health plan benefits and provider networks within the QNXT system, and troubleshooting configuration issues. You will work closely with business analysts, quality assurance teams, and other IT professionals to implement system changes and support ongoing operations. Additionally, staying updated with regulatory changes and client needs is important to keep configurations accurate and compliant. This role typically involves balancing independent tasks with team collaboration, making strong organization and communication skills valuable assets.

What is a Qnxt configuration?

A Qnxt Configuration job involves setting up and maintaining the QNXT healthcare platform to support health plan operations. This includes configuring benefits, provider networks, claims processing rules, and system workflows to ensure compliance with business and regulatory requirements. Professionals in this role collaborate with business analysts, developers, and stakeholders to optimize system performance and troubleshoot configuration issues. Strong analytical skills and knowledge of managed care processes are essential for success in this position.

What are the key skills and qualifications needed to thrive in the Qnxt configuration position?

To thrive as a Qnxt Configuration professional, you need a solid understanding of healthcare insurance processes, experience in configuring QNXT (a TriZetto healthcare management platform), and proficiency with claims, provider, and benefits modules. Technical skills with relational databases, SQL, and familiarity with regulatory requirements such as HIPAA, along with certifications like CBIP or relevant system training, are highly valued. Strong problem-solving abilities, attention to detail, and effective communication are important soft skills for collaborating across IT and business teams. These combined skills ensure accurate system configuration, regulatory compliance, and efficient support of healthcare operations.

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Qnxt Configuration jobs near you
Infographic showing various Qnxt Configuration job openings in the United States as of August 2026, with employment types broken down into 50% Full Time, and 50% Contract. Highlights an 100% In-person job distribution, with an average salary of $95,935 per year, or $46.1 per hour.

QNXT Benefit Configuration Analyst

Techvilla Solutions

Oakland Gardens, NY • Remote

Full-time

Medical

This job post has expired today. Applications are no longer accepted.

Job description

Position Overview

We are seeking an experienced  QNXT Benefit Configuration Analyst  to support the implementation, enhancement, and maintenance of benefit plans within the  TriZetto QNXT  platform. The ideal candidate will have extensive experience configuring commercial and/or government healthcare products, translating business requirements into system configurations, and collaborating with cross-functional teams to deliver high-quality healthcare solutions.  

The candidate should possess strong knowledge of healthcare payer operations, benefit plan design, claims processing, SQL, and end-to-end testing.

Roles and Responsibilities
  • Configure and maintain benefit plans within the QNXT platform based on business and regulatory requirements. 
  • Configure Service Groups, Restriction Groups, Copay Groups, Coinsurance, Deductibles, Out-of-Pocket Maximums (MOOP), Accumulators, Visit Limits, Authorization Rules, and Benefit Limits. 
  • Configure benefits for Commercial, Medicare Advantage, Medicaid, Exchange, PPO, HMO, POS, EPO, and ASO products. 
  • Analyze business requirements and translate them into detailed configuration specifications. 
  • Collaborate with Business Analysts, Product Owners, Configuration Analysts, Developers, QA, and Business Stakeholders. 
  • Perform impact analysis for new benefit changes, regulatory updates, and annual benefit plan implementations. 
  • Support annual benefit rollovers and Open Enrollment implementations. 
  • Validate benefit configurations using the QNXT Claims module to ensure claims adjudicate correctly. 
  • Develop configuration documentation, design documents, mapping documents, and implementation guides. 
  • Troubleshoot benefit configuration issues and identify root causes. 
  • Support production incidents and resolve benefit configuration defects. 
  • Participate in requirements gathering sessions, JAD sessions, backlog grooming, sprint planning, and release planning. 
  • Work closely with QA teams during SIT, UAT, and regression testing. 
  • Perform SQL queries to validate configuration data, troubleshoot issues, and analyze claim outcomes. 
  • Participate in release deployments and post-production validation activities. 
  • Collaborate with downstream teams supporting Claims, Enrollment, Provider, Finance, EDI, and Customer Service. 
  • Maintain configuration version control using QCS, CMT, or other migration tools. 
  • Ensure compliance with CMS, State Medicaid, and Commercial regulatory requirements. 
Required Qualifications
  • 5+ years of Healthcare Payer experience. 
  • 5+ years of hands-on TriZetto QNXT Benefit Configuration experience. 
  • Strong understanding of healthcare benefit design and claims adjudication. 
  • Experience configuring: 
    • Service Groups 
    • Restriction Groups 
    • Copay Groups 
    • Coinsurance 
    • Deductibles 
    • Accumulators 
    • MOOP 
    • Visit Limits 
    • Prior Authorization Rules 
    • In-Network / Out-of-Network Benefits 
  • Experience with Commercial, Medicare, and Medicaid benefit plans. 
  • Strong SQL skills including: 
  • Experience troubleshooting claims adjudication issues. 
  • Experience validating benefit configurations using test claims. 
  • Ability to read and interpret business requirements and technical documentation. 
  • Strong analytical and problem-solving skills. 
  • Excellent communication and stakeholder management skills. 
Preferred Qualifications
  • Experience with QCS (QNXT Configuration Studio). 
  • Experience with CMT (Configuration Migration Tool). 
  • Experience supporting annual benefit implementations. 
  • Experience with Medicare Advantage and Medicaid Managed Care plans. 
  • Experience with CMS regulations. 
  • Experience working in Agile/Scrum environments. 
  • Experience using Jira, Azure DevOps, or Rally. 
  • Experience supporting large healthcare payer organizations. 

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