Overview
Remote
Depends on Experience
Accepts corp to corp applications
Contract - W2
Contract - Independent
Contract - 12 Month(s)
No Travel Required
Unable to Provide Sponsorship
Skills
QNXT
SQL
T-SQL
Job Details
One of our clients is urgently looking for a QNXT Developer.
Hourly: Open - Depends on the experience
Location: Remote
Scope:
A QNXT Developer is responsible for designing, developing, configuring, and supporting QNXT—the enterprise core administration platform. This role focuses on implementing business rules, customizing modules, integrating systems, and ensuring accurate processing of claims, enrollment, benefits, authorizations, billing, and provider data.
Key Responsibilities
Application Development & Configuration
- Develop and customize QNXT components including Benefits, Provider, Claims, Authorization, Billing, Enrollment, and Pricing modules.
- Implement business rules using Workflow Director (WFD), T-SQL, and QNXT configuration tools.
System Integration
- Develop integrations using APIs, web services, SSIS, ETL pipelines, and batch processes.
- Support real-time and batch transaction processing and ensure proper data mapping and transformations.
- Work with upstream/downstream systems like CRM, provider portals, finance systems, and document management tools.
Data & Database Work
- Design and optimize SQL Server queries, stored procedures, triggers, and functions within the QNXT schema.
- Analyze and troubleshoot data discrepancies across claims, benefits, provider, and member tables.
- Create and manage data extracts for reporting, analytics, and compliance needs.
Production Support
- Troubleshoot QNXT system issues related to claims adjudication, provider matching, accumulators, enrollment loads, EDI transactions, and job failures.
- Monitor system performance, batch cycles, and error logs.
Required Skills
- Strong hands-on experience with TriZetto QNXT platform.
- Advanced SQL Server (T-SQL) skills.
- Knowledge of EDI transactions.
Education & Experience
- Bachelor’s degree in Computer Science, Information Systems, or related field (or equivalent experience).
- 3–5+ years of experience working with QNXT development or configuration.
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.