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Qnxt Jobs in Virginia (NOW HIRING)

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 ...

Day to day involves: · Meetings · QNXT configuration · Capitation · Actively using standard benefits/pricing methodologies · Solutioning detail level business requirements · Unit testing/proof ...

Day to day involves: · Meetings · QNXT configuration · Capitation · Actively using standard benefits/pricing methodologies · Solutioning detail level business requirements · Unit testing/proof ...

Strong working knowledge with Core systems (Adjudication - Facets, QNxt), Population Health (Jiva), Sales and Marketing (Salesforce), Provider Data (Availity) * Experience working as a Product ...

Strong working knowledge with Core systems (Adjudication - Facets, QNxt), Population Health (Jiva), Sales and Marketing (Salesforce), Provider Data (Availity) * Experience working as a Product ...

Strong working knowledge with Core systems (Adjudication - Facets, QNxt), Population Health (Jiva), Sales and Marketing (Salesforce), Provider Data (Availity) * Experience working as a Product ...

Strong working knowledge with Core systems (Adjudication - Facets, QNxt), Population Health (Jiva), Sales and Marketing (Salesforce), Provider Data (Availity) * Experience working as a Product ...

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Qnxt information

See Virginia salary details

$27.7K

$389.3K

How much do qnxt jobs pay per year?

As of Aug 15, 2026, the average yearly pay for qnxt in Virginia is $368,756.00, according to ZipRecruiter salary data. Most workers in this role earn between $389,300.00 and $389,300.00 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 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 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 most commonly searched types of Qnxt jobs in Virginia?

The most popular types of Qnxt jobs in Virginia are:

Infographic showing various Qnxt job openings in Virginia as of August 2026, with employment types broken down into 86% Full Time, and 14% Contract. Highlights an 86% In-person, and 14% Remote job distribution, with an average salary of $368,756 per year, or $177.3 per hour.

QNXT Benefit Configuration SME - VA

Photon

Norfolk, VA • On-site

Full-time

Re-posted 5 days ago


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.