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Trizetto Jobs (NOW HIRING)

Techvilla Solutions

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

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

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

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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How much do trizetto jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for trizetto in the United States is $27.31, according to ZipRecruiter salary data. Most workers in this role earn between $21.39 and $31.25 per hour, depending on experience, location, and employer.

What is a Trizetto?

A Trizetto job typically refers to roles related to TriZetto healthcare technology, a Cognizant company specializing in software solutions for healthcare payers and providers. Jobs in this field often involve working with TriZetto's Facets, QNXT, or other healthcare administration platforms to streamline claims processing, billing, and data management. Positions can range from software development and business analysis to consulting and technical support. Candidates usually need experience in healthcare IT, databases, and programming, depending on the role.

What are the typical responsibilities of someone working with Trizetto systems?

Professionals in Trizetto roles frequently work on projects such as configuring healthcare benefit plans, optimizing claims processing workflows, integrating third-party applications, and providing technical support for Facets or QNXT platforms. Daily responsibilities may include analyzing business requirements, customizing system modules, troubleshooting issues, and collaborating with both technical teams and business stakeholders. You may also be involved in system upgrades and testing to ensure compliance with healthcare regulations. This role often provides opportunities for cross-functional collaboration and continuous learning within healthcare IT.

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

To thrive in a Trizetto role (typically a Trizetto Systems Analyst or Trizetto Developer), you need strong analytical skills, healthcare domain knowledge, and experience with healthcare IT platforms, especially the Trizetto suite of products. Familiarity with tools such as TriZetto Facets, QNXT, Claims Processing systems, SQL, and relevant certifications is highly valued. Excellent problem-solving, teamwork, and communication skills help you effectively understand client needs and bridge technical and business requirements. These competencies ensure successful system implementation and ongoing support in the complex healthcare technology landscape.

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Trizetto jobs near you
Infographic showing various Trizetto job openings in the United States as of August 2026, with employment types broken down into 82% Full Time, 2% Part Time, and 16% Contract. Highlights an 61% Physical, 1% Hybrid, and 38% Remote job distribution, with an average salary of $56,798 per year, or $27.3 per hour.

QNXT Benefit Configuration Analyst

Techvilla Solutions

Little Neck, NY • Remote

Full-time

Medical

Posted 7 days ago

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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