1 - 20 of 23 Jobs

QNXT Configuration Analyst

Tek Ninjas

US

Contract

Qualifications They should possess a high degree of operational knowledge within at least one of the following areas: Claims / Encounters, Provider/Network, Clinical, Customer Service, Digital, Enrollment, Finance, Sales & Benefits, or Data Migration The ideal candidate must know how to take initiate, and a self-starter They should have a strong background in project implementations, requirements gathering & documentation, testing, Operations functions, QNXT, Commercial LOBs, communication, and

Qnxt and .Net

DCM Infotech Limited

Remote

Contract

Job Summary: 1. Experience in healthcare domain, QNXT implementation Projects preferred 2. Experience in one of the QNXT Modules (like Membership, Claims, Billing etc) Needed. Configuration experience in QNXT is added advantage 3. Development Experience in C# .Net, ASP .Net MVC, Multi -Tier Architecture, Micro services, Entity data model, Restful and WCF services etc 4. Proficient in C# and .NET framework. 5. Need to write well designed, testable, efficient code 6. Previous experience in an agil

QNXT Configuration Analyst

XTGlobal

US

Contract

QNXT Configuration Analyst Term: 12+ Months Contract #W2 Role Number of Positions: 15 Required Skills : QNXT Configuration Experience Strong QNXT knowledge Benefits experience Front end configuration and Design experience Commercial Claims experience Qualifications They should possess a high degree of operational knowledge within at least one of the following areas: Claims / Encounters, Provider/Network, Clinical, Customer Service, Digital, Enrollment, Finance, Sales & Benefits, or Data Mig

Qnxt and .net jd

DCM Infotech Limited

Remote

Contract

Job Summary:1. Experience in healthcare domain, QNXT implementation Projects preferred2. Experience in one of the QNXT Modules (like Membership, Claims, Billing etc) Needed. Configuration experiencein QNXT is added advantage3. Development Experience in C# .Net, ASP .Net MVC, Multi -Tier Architecture, Microservices, Entity data model,Restful and WCF services etc4. Proficient in C# and .NET framework.5. Need to write well designed, testable, efficient code6. Previous experience in an agile environ

QNXT Solution Architect

Manage My Dream, LLC

Remote

Contract, Third Party

Position: Solution Architect 12 month contract Job Level: Lead Focus: Capitation Here is more info from the hiring manager on some of the Arch roles: This info is for the Claims Arch and Solution Architect Below is a little more information to help identify candidates for the Capitation and Claims positions. Day-to-day for the Capitation role includes analyzing commercial program and vendor capitation requirements to provide solutioning. solutioning will be configuration in QNXT or writing techn

QNXT Claim Solutions Architect Lead

Manage My Dream, LLC

Remote

Third Party, Contract

Job position : QNXT Claim Solutions Architect Lead REMOTE VISA: ead NEED STRONG HEALTH EXPERIENCE Job Description: understands capitation models within the healthcare industry for all lines of business; understands how QNXT processes capitation; and will be able to help solution a capitation module that may leverage QNXT pieces but also supports an "attribution" model. Key responsibilities/qualifications for all positions include: Experience with commercial health plans; Able to conduct data ana

QNXT Benefit Configuration Analyst

Manage My Dream, LLC

Remote

Contract, Third Party

Job position : QNXT Benefit Configuration Analyst REMOTE VISA: ead NEED STRONG HEALTH EXPERIENCE Must Haves: - STRONG 3+ yrs experience with QNXT benefit configuration **MUST SHOWCASE ON RESUME - Deep understanding of QNXT and experience with implementations - Actual exp designing benefits - Medicaid experience Plus: - FL Medicaid Expereince

QNXT Configuration Analyst

HYR Global Source Inc

Remote

Contract

Job Title: QNXT Configuration Analyst Location: 100% remote, EST Hours Duration: Full Time / Long Term Contract (W2 Only) Required Skills QNXT Configuration experience (Not just QNXT experience but specifically QNXT configuration) about 4+ yrs of experience Needs front and back end knowledge of QNXT Experience with Florida Medicaid is a HUGE bonus since this is a Florida Medicaid process Job Description They should possess a high degree of operational knowledge within at least one of the followi

QNXT EDI Technical Analyst

GeBBS Consulting

Remote

Contract

100% REMOTE GeBBS Consulting is a healthcare technology professional services and consulting firm based in Towson, Maryland servicing clients throughout the US. We are celebrating our 26th year in business. We have two divisions: 1) Hospital / Provider Practice 2) Managed Care / Payer Practice we work directly with health plans (very strong in the Blue Cross Blue Shield space). GeBBS Consulting has over two decades of experience supporting healthcare clients throughout the US. We are currently

.Net/SQL EDI QNXT Developer/Lead

Infinite Computer Solutions (ICS)

Remote

Full-time

Title : .Net/SQL EDI QNXT Developer/Lead Location : Remote Term : Long Term Contract/Fulltime/Permanent Job Description: Technical lead: 1) 8 to 12 years of experience 2) QNXT experience is mandatory 3) .Net and SQL experience 4) Healthcare Payor domain experience 5) Good communication skills 6) Good communication skills

Net Full stack Developer with QNXT Experience OR Software Developer

DCM Infotech Limited

Remote

Contract

Job Title: Net Full stack Developer with QNXT Experience OR Software Developer Location: Remote Duration:12+Months Contract Note: Must Have Skills QNXT - Claims, QNXT-Membership and QNXT Provider SQL SERVER, SSIS .NET Framework, C# .NET, Web Services Job Summary: 1. Experience in healthcare domain, QNXT implementation Projects preferred 2. Experience in one of the QNXT Modules (like Membership, Claims, Billing etc) Needed. Configuration experience in QNXT is added advantage 3. Development Expe

Senior Business Systems Analyst QNXT- Operations (Remote)

Sentara

Remote or Richmond, Virginia, USA

Full-time

Sentara is hiring a Senior Business Systems Analyst QNXT - Operations! Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! This is a Full-Time position with day shift hours and great benefits! Work Location: 100% Remote Candidates must have a current residence in one of the follow stat

Data Analyst

IT Minds LLC

Remote or Los Angeles, California, USA

Contract

Job Title: Data Analyst Location: Los Angeles, CA (Remote/Onsite) Duration: 6 Months Contract Work closely with business partners and stakeholders to understand business processes and build data models that have integrity and align with business needs.Engage with stakeholders in gathering requirements, facilitating discussions, providing insights, executing rollout plans, and clearly articulating complex issues/ risks/ concepts to meet SLA.Highlight problem statements and draw attention to areas

QNXT Benefits Configuration Specialist

Econosoft

Remote

Third Party, Contract

QNXT Benefits Configuration with Medicaid experience (preferably from a Florida health plan) As a QNXT Benefits Configuration Specialist with experience in Medicaid, preferably from a Florida health plan, you will play a critical role in configuring, maintaining, and optimizing our QNXT (QNXT is a widely used health plan administration system developed by TriZetto, a Cognizant Company) benefits system to ensure accurate and efficient processing of Medicaid benefits for our members. You will col

Healthcare EDI Technical Analyst

Zyxware Technologies

Remote

Contract

Our client seeks a QNXT EDI Technical Analyst to overhaul their EDI processes. Is that you? Responsibilities: Analyze and fix EDI system issues Create reports to identify and resolve data errorsManage EDI and transaction data loadsQualifications: 4-5 years experience in high-volume healthcare EDI (payer side)Knowledge of EDI standards (834, 835, 837, 270/271, etc.) and troubleshootingExperience with QNXT (5.9+), NCPDP formats, and QNXT systems (EDI Manager & Connect)Excellent communication skill

Sr. API Quality Analyst

Manage My Dream, LLC

Remote

Contract, Third Party

Title: Sr. API QA (With Automation skills) REMOTE Location: Remote in Approved State AL ,DE, FL, GA, ID, IN, KS, LA, ME, MD, MN, NE, NH, ND, NV, OK, OH,PA, SC, NC, SD, TN, TX, WA, VA,WA, WV, WI Important Skills Technical Salesforce, QNXT, Jira, Must Haves: Strong API QA experience Agile/Kanban familiarity Jira Salesforce of some kind Plus: QNXT (Super plus - I will rank these higher than anyone withtout) Salesforce (Health cloud/marketing cloud/sales cloud - some not all) certs within QA/API rel

QNXT Benefits Configuration Analyst Location:Remote

Apetan Consulting

Remote

Part-time, Contract, Third Party

QNXT Benefits Configuration Analyst Location: Remote Duration: 12-18 months Important Skills Technical QNXT, Commercial Line of business Must Haves: - Need to know QNXT benefits side - Need to know commercial side (Ideal is 75% commercial; 25% Medicare)

Business Analyst-Operations

Sentara

Remote or Richmond, Virginia, USA

Full-time

Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! Sentara Health Plan is hiring for a Business Analyst - Operations. This is a Full-Time position, fully remote, with day shift hours and great benefits! Work Location: Remote opportunities available in the following states - Alabama, D

Senior Business Analyst-Operations

Sentara

Remote or Virginia Beach, Virginia, USA

Full-time

Sentara Health Plan is hiring for a Senior Business Analyst - Operations. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! This is a Full-Time position, fully remote, with day shift hours and great benefits! Work Location: Remote opportunities available in the following states - Alab

Solutions Delivery Manager

TEKsystems c/o Allegis Group

Honolulu, Hawaii, USA

Full-time

ALOHA!! Seeking an experienced healthcare claims application developer for a growth opportunity as a Solutions Delivery Manager!! Full-Time opportunity, Monday-Friday, 8:00 am- 5:00 pm, HST. Must live and reside or open to relocating to Oahu, Hawaii. Top Skills' Details: 1. Technical experience and interest in moving into management or management experience 2. QNXT Claims systems or core health plan experience; at least 3-5+ years. 3. Excellent communication as this person will be working w