1 - 20 of 83 Jobs

PBA Advisor Configuration Business Analyst - Pharmacy/QNXT

Gainwell Technologies LLC

Kansas City, Missouri, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary As an PBA Advisor Configuration Business Analyst - Pharmacy/QNXT at Gainwell, you can contribute your skills as we harness the

PBA Senior Configuration Business Analyst - Pharmacy/QNXT

Gainwell Technologies LLC

Kansas City, Missouri, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary As a PBA Senior Configuration Business Analyst - Pharmacy/QNXT at Gainwell, you can contribute your skills as we harness the po

Experienced QNXT Developer

Gainwell Technologies LLC

Austin, Texas, USA

Full-time

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have

Sr. QNXT Configuration Analyst

Prime Solutions, Inc.

Remote

Third Party, Contract

The Senior QNXT Configuration Analyst is responsible for planning, designing, testing, and implementing configuration, business applications, including the Cognizant QNXT product suite. This role ensures system configurations align with business needs and regulatory requirements by collaborating with various departments and external vendor partners. Knowledge/Skills/Abilities: Strong understanding of healthcare IT systems, electronic health records (EHR), and health information exchanges (HIE).

Experienced QNXT Developer

Gainwell Technologies LLC

Houston, Texas, USA

Full-time

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have

Experienced QNXT Developer

Gainwell Technologies LLC

Dallas, Texas, USA

Full-time

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have

PBA Configuration Business Analyst - Pharmacy/QNXT

Gainwell Technologies LLC

Kansas City, Missouri, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary As a PBA Configuration Business Analyst - Pharmacy/QNXT at Gainwell, you can contribute your skills as we harness the power of

Senior QNXT Developer :: Remote

Strategic Systems Inc

Remote

Contract

Job Title: Senior QNXT Developer Location: Remote Duration : 6-12 Months Experience Level: Senior (8+ years) Job Overview We are seeking highly skilled and experienced Senior QNXT Developers to join our growing team. The ideal candidates will have a strong background in the QNXT Framework and a comprehensive understanding of Healthcare IT systems, particularly in Medicaid and payer systems. This is an exciting opportunity to support mission-critical healthcare technology initiatives, including c

QNXT Benefits Configuration SME -- REMOTE JOB

KPG 99 Inc.

US

Contract, Third Party

Position : QNXT Commercial Benefits Configuration SME Location : Remote Job Duration: 6-12 Months Strong QNXT Benefit Configuration SME's on the Commercial side Technical QNXT Benefit Configuration, Commercial LOB Must Haves: Need to know QNXT benefits configuration (NOT JUST QNXT CLAIM NEEDS TO BE SPECIFC TO QNXT BENEFITS and know the ins and outs. will dive deep there in interviews.) Need to know commercial side (Ideal is 75% commercial; 25% Medicare) Knowledge of SQL. **writing SQL Querie

Lead Engineer, Applications - QNXT SME

Molina Healthcare

Remote or Long Beach, California, USA

Full-time

Job Description JOB DESCRIPTION Designs and builds company specific enterprise application systems and technology expertise across multiple disciplines. Applies and promotes key principles (e.g., stability, scalability, performance, security, compatibility, re-use), helping ensure a balance between tactical and strategic technology solutions. Considers business problems "end-to-end": including people, process, and technology, both within and outside the enterprise, as part of any design solut

Sr Claims Systems Data Analyst - QNXT

Molina Healthcare

Remote or Long Beach, California, USA

Full-time

Job Description JOB DESCRIPTION Job Summary Responsible for accurate and timely review of production support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains understanding of solution functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received on claims to identify billing issues that will impact claims processing and payment. Monitor ne

Specialist, Provider Network Administration

Molina Healthcare

Remote or Long Beach, California, USA

Full-time

Job Description JOB DESCRIPTION Job Summary Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. KNOWLEDGE/SKILLS/ABILITIES Oversees receipt of and coordinates data from the provider network for entry into t

Sr Specialist, Provider Network Admin

Molina Healthcare

Remote or Long Beach, California, USA

Full-time

Job Description Candidates must be able to work in the PST or MST time zones JOB DESCRIPTION Job Summary Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. KNOWLEDGE/SKILLS/ABILITIES Generates and prepar

Claims Systems Program Manager

Kern Health Systems

Bakersfield, California, USA

Full-time

KHS reasonably expects to pay starting compensation for the position of Claims System Process Improvement Program Manager in the range of $83,625 -106,622 Annual On-site Position About us Kern Health Systems is dedicated to improving the health status of our members through an integrated managed health care delivery system. About the role Under management direction, responsible for supervising the testing, configuration and auto adjudication activities in the Claims Department to ensure accuracy

Senior Specialist, Provider Network Administration

Molina Healthcare

Remote or Long Beach, California, USA

Full-time

Job Description JOB DESCRIPTION Job Summary Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. This multifaceted role supports both operational efficiency and strategic project delivery for process improvement initiatives as it pertains to other provider network management areas. KNOWLEDGE/SKILLS/ABILITIES Bridge communication and collaboration between IT, PMO, provider n

Manager, SIU Data Analysis (SQL/Python)

CVS Health

Connecticut, USA

Full-time

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all w

Azure ETL Developer

Molina Healthcare

Remote or Long Beach, California, USA

Full-time

Job Description JOB DESCRIPTION Job Summary The Azure ETL Developer is tasked with designing and developing Azure Data Factory solutions, covering projects of moderate to high complexity. This position also necessitates proficiency in Microsoft SSIS ETL solutions to support the architecture, development, and migration of legacy solutions to Azure Data Factory. Candidates should possess three to five years of experience with the Microsoft ETL stack, including experience in SSIS, SSRS, T-SQL, a

IS Application Systems Administrator II

CareOregon, Inc.

Milwaukee, Wisconsin, USA

Full-time

Pay & Benefits Estimated hiring range $90,225 - $110,275 / year, 5% bonus target, full benefits. ;br> Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title IS Application Systems Administrator II Exemption Status Exempt Management Level n/a Direct Reports n/a Manager Title IS Application Support Manager Department Business Intelligence Requisition 25000 Pay & Benefits Estimated hiring range

IS Application Systems Administrator II

CareOregon, Inc.

Austin, Texas, USA

Full-time

Pay & Benefits Estimated hiring range $90,225 - $110,275 / year, 5% bonus target, full benefits. ;br> Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title IS Application Systems Administrator II Exemption Status Exempt Management Level n/a Direct Reports n/a Manager Title IS Application Support Manager Department Business Intelligence Requisition 25000 Pay & Benefits Estimated hiring range

IS Application Systems Administrator II

CareOregon, Inc.

Bozeman, Montana, USA

Full-time

Pay & Benefits Estimated hiring range $90,225 - $110,275 / year, 5% bonus target, full benefits. ;br> Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title IS Application Systems Administrator II Exemption Status Exempt Management Level n/a Direct Reports n/a Manager Title IS Application Support Manager Department Business Intelligence Requisition 25000 Pay & Benefits Estimated hiring range