QNXT Commercial Billing Subject Matter Expert (SME)
FULLY REMOTE ROLE EASTERN TIME (EST) WORKING HOURS QNXT Commercial Billing Subject Matter Expert (SME) Position Overview Seeking an experienced QNXT Commercial Billing SME with deep, hands-on expertise in implementing and configuring commercial premium billing solutions within QNXT. This individual will lead functional and technical billing activities, including configuration, integrations, payment processing, and end-to-end billing implementation. This is a hands-on QNXT commercial premium billing role, not a general QNXT claims or core administration position. NOTE: The candidate MUST have direct, hands-on QNXT commercial premium billing implementation and configuration experience. Candidates with only QNXT claims processing, benefits configuration, enrollment, or general core administration experience will not qualify without demonstrated commercial premium billing expertise. Must-Have Qualifications QNXT Commercial Premium Billing: Extensive hands-on experience implementing and configuring the QNXT premium billing module. QNXT Data Model & Configuration: Strong knowledge of QNXT billing data structures, configuration, and standard functionality. Commercial Health Plan Experience: Experience supporting individual, group, self-funded, and/or level-funded commercial products. End-to-End Premium Billing: Expertise in enrollment data, premium calculations, bill generation, invoicing, payment processing, posting, reconciliation, and reporting. QNXT Integrations: Experience defining inbound/outbound interfaces for enrollment, billing, payment files, banking systems, billing presentment, and reporting. Implementation & Fit-Gap Analysis: Proven ability to translate business requirements into QNXT configurations, identify functional gaps, and determine configuration versus customization needs. Billing Troubleshooting: Experience resolving billing discrepancies involving retroactive adjustments, enrollment changes, subsidies, payment posting, and reconciliation. Stakeholder Collaboration: Ability to work independently with business, technical, integration, and billing operations teams. Experience migrating commercial premium billing from external platforms into QNXT. Experience with multi-market or multi-product commercial health plan implementations. Knowledge of complex billing scenarios, including retroactivity, subsidies, dunning, and reconciliation. Experience integrating QNXT with external banking, payment processing, and billing-presentment solutions. Interested candidates may submit their resumes online or call at 310-906-4780 for further information regarding the position. Beacon Hill is an equal opportunity employer and individuals with disabilities and/or protected veterans are encouraged to apply. California residents: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. If you would like to complete our voluntary self-identification form, please click here or copy and paste the following link into an open window in your browser: https://jobs.beaconhillstaffing.com/eeoc/ Completion of this form is voluntary and will not affect your opportunity for employment, or the terms or conditions of your employment. This form will be used for reporting purposes only and will be kept separate from all other records. Company Profile Beacon Hill Technologies, a premier National Information Technology Staffing Group, provides world class technology talent across all industries utilizing a complete suite of staffing services. Beacon Hill Technologies' dedicated team of recruiting and staffing experts consistently delivers quality IT professionals to solve our customers' technical and business needs. Beacon Hill Technologies covers a broad spectrum of IT positions, including Project Management and Business Analysis, Programming/Development, Database, Infrastructure, Quality Assurance, Production/Support and ERP roles. Learn more about Beacon Hill and our specialty divisions, Beacon Hill Associates, Beacon Hill Financial, Beacon Hill HR, Beacon Hill Legal, Beacon Hill Life Sciences and Beacon Hill Technologies by visiting www.bhsg.com.
Benefits
Information Beacon Hill offers a robust benefit package including, but not limited to, medical, dental, vision, and federal and state leave programs as required by applicable agency regulations to those that meet eligibility. Upon successfully being hired, details will be provided related to our benefit offerings. We look forward to working with you. Beacon Hill. Employing the Future™