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Qnxt Jobs in Florida (NOW HIRING)

Qnxt information

See Florida salary details

$23.1K

$324.7K

How much do qnxt jobs pay per year?

As of Aug 19, 2026, the average yearly pay for qnxt in Florida is $307,525.00, according to ZipRecruiter salary data. Most workers in this role earn between $324,700.00 and $324,700.00 per year, depending on experience, location, and employer.

What is a Qnxt?

A Qnxt job typically involves working with the QNXT platform, a healthcare claims and benefits management system used by payers to process claims, manage memberships, and ensure regulatory compliance. Roles can vary, including analysts, developers, testers, or support specialists who configure, maintain, or troubleshoot the system. Professionals in these roles often work with databases, reports, and system integrations to optimize healthcare operations.

What are the typical responsibilities of a Qnxt analyst or administrator?

A QNXT Analyst or Administrator is primarily responsible for configuring and maintaining the QNXT platform, ensuring accurate processing of healthcare claims and member data. Daily tasks may include troubleshooting system issues, performing data validation, generating ad hoc reports, and providing support to end-users such as claims examiners or customer service teams. The role often requires regular collaboration with IT, operations, and compliance departments to implement system upgrades and support organizational goals. By playing a key part in optimizing claims processing workflows, QNXT professionals help ensure efficient and compliant healthcare administration.

What are the key skills and qualifications needed to thrive in the Qnxt position, and why are they important?

To thrive as a QNXT Analyst or Administrator, you need solid experience in healthcare claims processing, data analysis, and system configuration, typically supported by a background in health information technology or business administration. Familiarity with QNXT software (a Trizetto claims management platform), SQL, and industry certifications like Certified Professional Coder (CPC) are often required. Strong problem-solving skills, attention to detail, and effective communication help professionals excel when supporting internal users and collaborating across teams. These skills are vital for ensuring accurate claims adjudication, maintaining regulatory compliance, and optimizing healthcare operations.

What are the most commonly searched types of Qnxt jobs in Florida?

The most popular types of Qnxt jobs in Florida are:

Infographic showing various Qnxt job openings in Florida as of August 2026, with employment types broken down into 95% Full Time, and 5% Contract. Highlights an 76% In-person, and 24% Remote job distribution, with an average salary of $307,525 per year, or $147.8 per hour.

Benefit Configuration Manager - Remote

Sentara Healthcare

Doral, FL • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago


Sentara Health rating

6.7

Company rating: 6.7 out of 10

Based on 412 frontline employees who took The Breakroom Quiz

531st of 888 rated healthcare providers


Job description

City/State
Doral, FL
Work Shift
First (Days)
Overview:
Sentara is hiring a Benefit Configuration Manager!
This position is fully remote.
Overview
The Benefit Configuration Manager is responsible for the strategic leadership, oversight, and execution of benefit configuration operations within the QNXT platform. This role manages the end-to-end benefit configuration lifecycle, ensuring accurate implementation and maintenance of Medicare, Medicaid, Commercial, and Exchange products in support of claims adjudication, regulatory compliance, and organizational objectives. The manager leads configuration supervisors and analysts, establishes operational standards, drives continuous improvement initiatives, and partners with cross-functional business and technology teams to implement new products, regulatory changes, and system enhancements. The Benefit Configuration Manager serves as a key leader and subject matter expert for benefit configuration strategy, governance, quality, and operational excellence.
Key Responsibilities
  • Oversee the analysis, design, configuration, implementation, and maintenance of benefit plans within QNXT.
  • Ensure accurate configuration of products, plans, service codes, accumulators, limitations, authorization requirements, and cost-share structures in compliance with plan contractual requirements, CMS, Medicaid, ACA regulations.
  • Direct annual benefit change activities, new product implementations, regulatory updates, and market expansion efforts.
  • Establish and maintain governance processes for configuration requests, prioritization, approvals, and production deployments.
  • Monitor configuration quality, accuracy, and timeliness through established KPIs, SLAs, and quality assurance programs.
  • Serve as an escalation point for complex regulatory interpretation and benefit implementation decisions.
  • Act as the business owner and primary configuration representative for enterprise projects and strategic initiatives.
  • Oversee User Acceptance Testing (UAT), configuration validation, defect management, and production readiness activities.
  • Drive continuous process improvement initiatives that improve quality, efficiency, scalability, and operational effectiveness.
  • Collaborate with IT to identify automation opportunities and enhance configuration management capabilities.
  • Analyze trends, identify root causes of configuration defects, and implement corrective action plans.
  • Provide executive-level reporting on configuration activities, risks, resource capacity, and strategic initiatives.
  • Provide leadership, coaching, and performance management for QNXT Benefit Configuration Supervisors and configuration staff.
  • Establish team goals, performance metrics, and productivity standards aligned with organizational objectives.

Required Qualifications
  • Bachelor's degree in Healthcare Administration, Information Systems, Business Administration, or related field; In lieu of degree, direct experience will be considered.
  • 8+ years of progressive experience in health plan benefit configuration using QNXT or a comparable claims administration platform.
  • 5+ years of experience leading configuration teams, supervisors, or operational functions.
  • Demonstrated expertise in Commercial, Exchange, Medicare, and Medicaid benefit designs and regulatory requirements.
  • Extensive knowledge of benefit configuration logic, claims adjudication, accumulators, authorization rules
  • Experience managing large-scale benefit implementations or annual benefit maintenance activities.
  • Strong analytical, organizational, project management, and problem-solving skills.
  • Excellent written, verbal, presentation, and stakeholder management skills.
  • Proven ability to lead cross-functional teams and drive organizational initiatives.
  • Proven ability to create SQL queries for validation of benefit configuration and claims analysis

Preferred Qualifications
  • Working knowledge of QNXT architecture and Benefit configuration QNXT Configuration Management Tool (CMT) and QNXT Configuration Console Suite (QCS)
  • Experience using QNXT Configuration Management Tool (CMT) and QNXT Configuration Console Suite (QCS).
  • Working knowledge of SQL Server and data validation techniques for QNXT.
  • Lean Six Sigma, PMP, Agile, or other process improvement/project management certifications.

Education:
  • No specific degree is required.

Experience:
  • 3 years of related experience in one of the following areas, operations, IT, or reporting. (Required)

We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for full-time employment is: 106,080.00 - 176,820.80. Additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Talroo-IT, health plan, QNXT, benefit configuration, configuration management tool, CMT, QNXT configuration Console Suite, QCS, PMP, Agile, health plan, UAT, healthcare, benefit configuration, Medicaid, commercial, Medicare, governance, quality assurance
Benefits: Caring For Your Family and Your Career
Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to 10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - 5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - 10,000
• Pet Insurance
• Legal Resources Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission "to improve health every day," this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates 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.

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