Overview
Accepts corp to corp applications
Contract - W2
Contract - Independent
Contract - To Hire
Skills
HMO
PPO
Point Of Sale
Authorization
Data Migration
Mapping
MASS
Gap Analysis
SQL
QNXT
Database
Integration Testing
Job Details
Must Haves:
- minimum of 5 yrs of QNXT benefit configuration
- Solid knowledge of commercial, Government benefit structures and plan designs (HMO, PPO, POS, ASO etc.)
- Expertise in QNXT core modules Benefit Config, Claims, Enrollment, authorization
- Configure and test benefits offline during initial setup or annual renewal cycles
- Proficient in benefit design to include multi-tier copay, service codes, copays, deductibles, and accumulator
- Data migration/conversion/mapping/benefit configuration mass updates
- Perform gap analysis between client needs and QNXT capabilities; recommend system workarounds or custom solutions.
- Intermediate to advance SQL queries for validation, configuration analysis and QNXT db structures for member, benefit, claims, plandata etc.
- Ability to troubleshoot benefit configuration edits, validate claims and conduct unit, integration testing
- Proficient in QCS and CMT Tool
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