QNXT jobs in Austin, TX

Remote or Washington, District of Columbia

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Today

JOB TITLE: Senior Configuration Analyst-MMIS JOB LOCATION: Remote WAGE RANGE*: $45hr to $50hr w2 JOB NUMBER: 26-01526 REQUIRED EXPERIENCE: Very proficient (at least 5 years' experience) configuring in QNXT (Focus on the following areas: Contracts, Benefits, Fee Schedules/Different Payment Methodologies, Capitation, Rules, Successful Data Points for X12 Transactions, CARCs/RARCs). JOB DESCRIPTION Very proficient (at least 5 years' experience) configuring in QNXT (Focus on the following areas: C

Full-time

USD 45.00 per hour

QNXT Consultant

Remote or East Hartford, Connecticut

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8d ago

QNXT Location: Hartford or Phoenix however remote may also be ok Duration: 9-12 Month JD Candidate with 6-8 years of experience in Strong testing experienceProficient with QNXT platformExtensive hands on experience with Provider contract and Provider affiliation configuration in QNXTStrong communication skillsMedicaid experience is a plusCommitted and ability to come up with automation ideasTest automation skill is a plus

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Contract

Depends on Experience

Business Analyst

Remote

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4d ago

Role summary Serve as Business Analyst forCMdS product development and implementationon a Medicaid modernization program. Translate legacy MMIS claims, member, and finance behavior and state Medicaid policy into CMdS functional design, requirements, and acceptance criteria. Partner with development, QA, architecture, and business stakeholders to deliver MES-aligned solutions that replace or integrate with legacy adjudication, eligibility/enrollment, and financial accounting processes. Key respon

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Full-time

90,000 - 1,00,000

Capitation Sr Developer

Remote

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8d ago

Role: Capitation Sr Developer Location: Remote MST or PST Contract Role Job description: Must Have's: Experience: Minimum of 10 years of related work experience with Microsoft technologies. Knowledge around Capitation Module HealthCare Products QNXT and AWS, Programming Skills: Excellent knowledge in .Net technologies Micro Services, Net, C#, SSIS, SSRS, SQL server, API Good knowledge of Microsoft Word, Excel, Outlook, Vision and ppt Exposure to cloud technologies Azur

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Contract, Third Party

$58 - $60

Analyst, Data & Analytics - CMS/SQL/Power Bi/Excel/Reporting for AHCA- Remote in Florida

Remote or Tampa, Florida

•

Today

Job Description JOB DESCRIPTION Job Summary Provides analyst support for data analysis and reporting activities. Responsible for organizing data from multiple sources to produce reports, dashboards, and analyses related to utilization, cost-containment, and business performance. Generates data-related insights that support decision-making and cost-containment. Designs and delivers reporting, analytics, and data solutions across business and healthcare domains, including claims, utilization, fi

Full-time

USD 54,922.00 - 107,099.00 per year

Senior Analyst, Provider and Claim Data & Analytics (Remote)

Remote

•

Today

Job Description Molina Healthcare of Nebraska is hiring for a Senior Analyst, Provider and Claim Data & Analytics. This role is remote for those within the United States. Highly Qualified Candidates Will Have the Following Experience- Medicaid and managed care Claims and coding experience. A coder certification is a plus but not required Ability to support network adequacy and provider data integrity by digging into provider claims and lead provider data clean-up efforts. Root cause analysis S

Full-time

USD 63,133.00 - 129,589.00 per year

FACETS Claims Configuration Analyst

Remote

•

Today

FACETS Claims Configuration Analyst, Remote 12 months Module / focus area: Claims Role summary Configure, test, and support the FACETS Claims Processing module so healthcare payer clients get accurate adjudication, pricing, and claims workflows. Key responsibilities Configure claims processing rules, pricing methodologies, and adjudication logic within FACETSAnalyze and resolve claims errors, pends, and exceptionsCollaborate with business analysts to translate requirements into FACETS configura

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Contract, Third Party

65 - 70

Healthcare Interoperability Business Analyst (FHIR)

Remote

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12d ago

Hi Professionals, Healthcare Interoperability Business Analyst (FHIR) Location: Remote Duration: Contract NOTE: Please mention linkedin url in the resume while applying for the role. Job Summary We are seeking an experienced Healthcare Business Analyst with strong expertise in Healthcare Interoperability and FHIR standards. The ideal candidate will have hands-on experience working with multiple healthcare vendors, payer/provider systems, healthcare data exchange, and interoperabilit

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Contract, Third Party

Depends on Experience

QNXT jobs in Austin, TX, USA