Lead Configuration Analyst - Marketplace Benefit Implementation QNXT

Job Summary

Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee schedules, and other business requirements.

Knowledge/Skills/Abilities

Trains staff on configuration functionality, enhancements, and updates. Works with internal and external stakeholders to understand business objectives and processes associated with the enterprise. Problem solves with Health Plans and Corporate to ensure all end-to-end business requirements have been documented. Creates management reporting tools to enhance communication on configurations updates and initiatives. Negotiates expected completion dates with Health Plans. Analyze and interpret data to determine appropriate configuration changes. Accurately interprets specific state, federal, and business requirements and converting these terms to configuration parameters. Writes easy ad-hoc SQL reports. Manage task from requirements to deployment, including work assignment, prioritization, issue triage etc. Moderate to complex task with mentoring. Simple projects without mentoring.

Job Qualifications

Required Education: Bachelor's Degree or equivalent combination of education and experience. Required Experience: 7-9 years. Preferred Education: Graduate Degree or equivalent experience. Preferred Experience: Benefits configuration in QNXT experience. SQL knowledge preferred. Advanced knowledge of Excel preferred. Coding certification preferred.