Supervisor, QNXT Benefit Configuration - Remote

Overview

The Supervisor, QNXT Benefit Configuration is responsible for overseeing the daily operations of benefit configuration activities within the QNXT platform. This role ensures accurate, timely, and compliant configuration of benefit plans and products in support of claims processing and member eligibility systems. The supervisor leads a team of analysts or specialists, monitors quality and productivity, and collaborates cross-functionally with IT, compliance, product, and clinical teams.

Location

Richmond, VA

Work Shift

First (Days)

Key Responsibilities

• Supervise and lead a team of benefit configuration analysts working in QNXT.
• Oversee and ensure accurate benefit build and configuration for new and existing plans, benefit riders, and products.
• Validate system configurations for compliance with CMS, Medicaid, and state guidelines.
• Develop and maintain standard operating procedures (SOPs) and workflows.
• Manage timelines and deliverables for benefit setup during annual enrollment, new market launches, and regulatory changes.
• Collaborate with IT, Claims, Provider Relations, and Legal / Compliance to resolve configuration-related issues.
• Participate in system upgrades, testing (UAT), and implementation planning.
• Monitor quality assurance metrics to ensure high data integrity and adherence to SLAs.
• Provide training and mentoring to staff on benefit configuration best practices and QNXT functionality.
• Serve as the subject matter expert (SME) for benefit configuration policies, systems, and tools.

Education

Certification / Licensure

Experience

Required Qualifications :

Preferred Qualifications

Benefits

Equal Opportunity

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging are guiding principles to ensure the workforce reflects the communities served. This is a tobacco-free environment in support of our mission "to improve health every day."

Remote Work

Sentara Health employs associates in the following states : Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

Seniority level

Employment type

Job function

Industries

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