QNXT jobs in Austin, TX

Remote

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Today

Position- HRSN Medicaid Claims Analyst Type- 100% Remote (PST Hours) Visa- No H1 What you'll do: Review and resolve HRSN claims assigned through QNXT work queues including rent, rental arrears, utility assistance, storage, and housing support claims. You'll analyze pended, denied, and audit-flagged claims, correct claim data, resolve QNXT edits, review potential duplicate submissions, and move valid claims through adjudication and payment. Much of the initial work focuses on reducing the existin

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Contract, Third Party

Depends on Experience

Senior Healthcare Pega Developer/Architect

Remote

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Today

Pega Developer/Architect 100% Remote 6 Months Contract Pega opportunities and your background could be a great fit. 1. Lead Pega Developer / Architect Senior Lead Pega architecture and solution designDesign claims-matching, business rules, routing, and exception handlingDrive integrations with claims/enterprise systemsHealthcare payer/claims experience strongly preferredCLSA/CSSA certification preferred2. Pega Developer Mid-Level Hands-on Pega development and workflow configurationBusiness ru

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Contract

45 - 50

Technical Project Manager - Healthcare (Claims, Benefits & Membership)

Remote

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7d ago

Job Title: Technical Project Manager Healthcare (Claims, Benefits & Membership) 100% Remote Role Summary We are seeking an experienced Technical Project Manager to lead enterprise healthcare modernization initiatives. The ideal candidate will have deep healthcare payer experience and a proven track record of managing large-scale system implementations involving claims, benefits, membership, and data modernization. Experience with QNXT is highly preferred. Key Responsibilities Lead end-to-end del

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Contract

Depends on Experience

Principal Architect, Information Systems - Provider Horizontal Application Portfolio/AI Implementations - Remote

Remote

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Today

Job Description Job Description Job Summary Architects company specific systems and technology expertise across multiple infrastructure and development 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

Full-time

USD 105,958.12 - 229,575.94 per year

AMISYS Data Engineer

Remote

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Today

AMISYS Data Engineer Community Care of Oklahoma 6 Month w/ possibility of extension Remote No H1B Need ID Copy and LinkedIn $50/HR C2C JOB DESCRIPTION Overview: The client is transitioning from AMISYS to QNXT and is seeking a Data Engineer with strong AMISYS experience within a healthcare payer environment. Need Strong AMISYS knowledge, legacy data structures, extracts/interfaces, SQL, production support, troubleshooting, maintaining feeds during migration Pre-Qualification Questions Do you h

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Contract

40 - 50

Delphi Engineer

Remote

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Today

Delphi Engineer Community Care of Oklahoma 6 Month w/ possibility of extension Remote No H1B Need ID Copy and LinkedIn $50/HR C2C JOB DESCRIPTION Overview: Seeking a Delphi Engineer with strong Delphi/Pascal development experience and a background supporting AMISYS or custom healthcare payer applications. Pre-Qualification Questions How many years of hands-on experience do you have developing or supporting applications using Delphi/Pascal, and have you worked with AMISYS or other custom healt

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Contract

40 - 50

Pega Developer

Remote

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Today

Job Description Pega Professionals Positions: Lead/Senior Pega Mid-Sr Pega Developer Project: Healthcare Payer Claims Automation Project Overview The project focuses on using Pega to automate the matching of prior authorizations/service authorizations to provider-submitted claims, reducing manual review. Position 1: Lead/Senior Pega Responsible for architecture and technical expertise. Position 2: Mid-Sr Pega Developer Focused on development, integrations, roboti

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Contract, Third Party

Depends on Experience

Product Owner - Healthcare

Remote

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Today

Job Title: Product Owner PDM & PLMLocation: 100% Remote (US-Based)Role Type: Full-Time / ContractKey Healthcare & Technical ResponsibilitiesHealthcare Backlog & Strategy: Own and refine the product backlog for Centenes PDM/PLM ecosystem, translating healthcare benefit designs, schedule of benefits, and plan rules into detailed user stories.Plan & Benefit Configuration: Drive end-to-end PDM/PLM configuration workflows for complex plan hierarchies, copay/deductible structures, networks, and rate

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Contract

Depends on Experience

Heathcare Enrollment Specialist

Remote

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18d ago

Healthcare Enrollment Specialist LONG TERM CONTRACT FULLY REMOTE STARTS ASAP Job Title:Healthcare Enrollment Specialist Location:Remote Job Summary We are seeking a detail-oriented and dependableEnrollment Specialistto join our team. You will be responsible for accurately processing health plan enrollment, changes, and terminations for our members. You will work within our healthcare administration software, ensure compliance with regulatory standards (CMS, ACA, state guidelines), and support sm

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Contract

Depends on Experience

QNXT jobs in Austin, TX, USA