QNXT Jobs

1 - 20 of 34 Jobs

Senior QNXT Configuration AnalystJob Title - Senior QNXT Configuration Analyst

GeBBS ConsultingCompany Name - GeBBS Consulting

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Remote

Contract

GeBBS Consulting, a leader in Healthcare Technology solutions, has an immediate opening for a Senior Configuration Analyst to support a major California-based Health Plan partner in a remote capacity. This is a contract-to-hire opportunity. Candidates must reside in the State of California to be considered. Position Description: The Senior Configuration Analyst will work independently with Executives, Management, Staff, or Business analysts to identify, document, and redesign complex business co

Experienced Business Analyst - SDLC / QNXTJob Title - Experienced Business Analyst - SDLC / QNXT

Gainwell Technologies LLCCompany Name - Gainwell Technologies LLC

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Columbus, Ohio, 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 Experienced Business Analyst - SDLC / QNXT at Gainwell, you can contribute your skills as we harness the power of technolo

Technical BA with QNXT and Data modelsJob Title - Technical BA with QNXT and Data models

Talent GroupCompany Name - Talent Group

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Remote

Full-time

Role: QNXT With Data models Location: Remote Job Description: Expertise in Payer ecosystem -- Enrollment , Billing and Claims, 834 files Technical understanding of Data models along Healthcare Applications Preferably QNXT SQL Technical Proficiency Good communication and problem solving skill Understand technical and functional requirements for all pending and new work coming from client. Guide developers on technical implementation after finalizing implementation solution with me. Lead the SCRU

QNXT Benefits Configuration SME -- REMOTE JOBJob Title - QNXT Benefits Configuration SME -- REMOTE JOB

KPG 99 Inc.Company Name - KPG 99 Inc.

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Remote

Third Party, Contract

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

QNXT Benefits Configuration SME- 100% RemoteJob Title - QNXT Benefits Configuration SME- 100% Remote

Andeo GroupCompany Name - Andeo Group

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Remote or US

Third Party, Contract

Title: QNXT Benefits Configuration SME Location: Remote Duration: 12 months Important Skills 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 Queries. - Need to be able to design beneits. - Need strong fro

QNXT Technical Analyst//RemoteJob Title - QNXT Technical Analyst//Remote

Key Business Solutions, Inc.Company Name - Key Business Solutions, Inc.

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Remote

Third Party, Contract

QNXT Technical Analyst//Remote Duration: Long term Required: This Position is remote and the client is Health Plan of San Juaquin. Need a strong QNXT Technical Analyst who knows the database well as well as EDI; specifically 834,835,837s. Kiran Kumar Key Business Solutions, Inc. || Office: || Fax: || Email: || Website: || Gtalk: Note: This email is not intended to be a solicitation. Please accept our apologies and reply in the subject heading with REMOVE to be removed from our Mailing list.

QNXT Configuration AnalystJob Title - QNXT Configuration Analyst

XTGlobalCompany Name - XTGlobal

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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

Sr Analyst, Config Info Mgmt- QNXT - RemoteJob Title - Sr Analyst, Config Info Mgmt- QNXT - Remote

Molina HealthcareCompany Name - Molina Healthcare

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Remote

Full-time

JOB DESCRIPTION Job Summary Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee schedule

Analyst, Config Info Mgmt- QNXT & Networx - RemoteJob Title - Analyst, Config Info Mgmt- QNXT & Networx - Remote

Molina HealthcareCompany Name - Molina Healthcare

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Remote

Full-time

JOB DESCRIPTION Job Summary Must be able to work in EST hours. Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits,

Sr Analyst, Config Info Mgmt - QNXT/NetworX Pricer - RemoteJob Title - Sr Analyst, Config Info Mgmt - QNXT/NetworX Pricer - Remote

Molina HealthcareCompany Name - Molina Healthcare

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Remote or Louisville, Kentucky, USA

Full-time

Lead Analyst, Config Info Mgmt - QNXT Config/Auditing - RemoteJob Title - Lead Analyst, Config Info Mgmt - QNXT Config/Auditing - Remote

Molina HealthcareCompany Name - Molina Healthcare

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Remote

Full-time

JOB DESCRIPTION Job Summary Responsible for accurate and timely implementation and maintenance of critical information within auditing. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee schedules, a

Data Analyst - Remote - CAJob Title - Data Analyst - Remote - CA

Molina HealthcareCompany Name - Molina Healthcare

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Remote

Full-time

The candidates must reside in CA JOB DESCRIPTIONJob Summary Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define require

Assoc Analyst, Data - Remote - CAJob Title - Assoc Analyst, Data - Remote - CA

Molina HealthcareCompany Name - Molina Healthcare

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Remote

Full-time

JOB DESCRIPTION The candidates must reside in CA Job Summary Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requ

Data Entry Sr Representative - OnsiteJob Title - Data Entry Sr Representative - Onsite

GE VernovaCompany Name - GE Vernova

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Nashville, Tennessee, USA

Full-time

The job profile for this position is Data Entry Senior Representative, which is a Band 2 Professional Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. As a Data Entry Sr Representative you would be

Analyst, Config Oversight - Claims Audit - RemoteJob Title - Analyst, Config Oversight - Claims Audit - Remote

Molina HealthcareCompany Name - Molina Healthcare

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Remote

Full-time

Job Description Job Summary Responsible for comprehensive end to end claim audits. This includes; administering audits related to accurate and timely implementation and maintenance of critical information on all claims and provider databases, validate data housed on databases and ensure adherence to business and system requirements of customers as it pertains to provider contracting, network management, credentialing, benefits, prior authorizations, fee schedules, and other business requiremen

Sr. QA for RPA Team (Remote)Job Title - Sr. QA for RPA Team (Remote)

Molina HealthcareCompany Name - Molina Healthcare

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Remote or Louisville, Kentucky, USA

Full-time

JOB DESCRIPTION Job Summary JOB QUALIFICATIONS Job Description Who you are : You have experience in QA and want to put RPA software to the test. You not only want to "kick the tires" on the software, you want to ensure we deliver rock solid quality products. You are a great communicator - both verbally and written. You can prioritize. You have experience with QNXT, claims processing , healthcare insurance and SQL You pay attention to details but want to also understand the big picture. Yo

EDI Developer/SpecialistJob Title - EDI Developer/Specialist

ZealHire.comCompany Name - ZealHire.com

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Remote

Third Party

USC need LinkedIn, VISA DL 2 references Candidates must live in the West Coast region- California, Oregon, and Washington Duration: 6 months right to hire Conversion salary: $150 - $155K Required experience: (4) years of hands-on experience with Healthcare EDI X12N transactions (834, 835, 837, 270, 271), including analytics, mapping, developing, testing, and deployment. Knowledge of HL-7 and NCPDP File Formats QNXT Healthcare Core Claims Systems, including knowledge of QNXT EDI Manager and QNXT

Auditor - Claims - RemoteJob Title - Auditor - Claims - Remote

Molina HealthcareCompany Name - Molina Healthcare

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Remote

Full-time

Job Description Job Summary Responsible for conducting various audits including, but not limited to; vendor, focal, audit the auditor. Confirm that documentation is clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains to contracting (benefit and provider), network management, credentialing, prior authorizations, fee schedules, and other business requirements critical to claim accur

Sr. Business AnalystJob Title - Sr. Business Analyst

Apex SystemsCompany Name - Apex Systems

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San Antonio, Texas, USA

Full-time

Job#: 2037334 Job Description: **If you are interested, please send your resume to Jordan at ** Title: Business Analyst Location: San Antonio, TX (Onsite) Length: TBD FUNCTIONS/BEHAVIORSLeads cross-functional teams in requirements elicitation; provides guidance to other IT analysts and business partners; ensures business requirements and documentation aligns with the organizations goals. Conducts in-depth analysis of business processes and systems to identify areas for improvement and develop

Adjudicator, Provider Claims (Must Reside in Ohio)Job Title - Adjudicator, Provider Claims (Must Reside in Ohio)

Molina HealthcareCompany Name - Molina Healthcare

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Columbus, Ohio, USA

Full-time

Job Description Job Summary The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims, coordinating, investigates and confirms the appropriate resolution of claims issues. This role will require actively researching issues to adjudicate claims Requires knowledge of operational areas and systems. Knowledge/Skills/Abilities Facilitates the resolution of claims issues, including incorrectly paid claims, by working with operational areas and provide