Experience Necessary :
- 3-5 Years of 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 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.
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