QNXT Configuration Specialist

Overview :

We are seeking experienced QNXT Configuration Specialists to support a large-scale implementation project involving the addition of 20 new plans and over 1,000 provider contracts to the QNXT platform. These roles will also support the buildout of 95 Medicare Plan Benefit Packages (PBPs) for 2026. Candidates with strong commercial or marketplace experience, and deep Medicare configuration expertise, are highly encouraged to apply.

Key Responsibilities :

Commercial / Marketplace Workstream :

• Interpret complex paper contracts for provider reimbursement terms and conditions.
• Review and analyze benefit forms, cost-share structures, and EOC (Explanation of Coverage) documents.
• Collaborate with the Benefit Interpretation Team to convert documentation into structured system requirements.
• Configure benefits and reimbursement logic in QNXT and NetworX modules.
• Apply cautionary reduction functionality where appropriate to ensure accurate reimbursement.
• Support the setup of over 1,000 provider contracts and 20+ new health plans.

Medicare Workstream :

Required Skills & Experience :

Preferred Qualifications :

To Apply :

Please submit your resume highlighting your QNXT configuration experience in both Commercial and / or Medicare domains. Immediate interviews available for qualified candidates.