QNXT jobs in Austin, TX

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

Remote

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Today

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

Blue Card Support Lead (W2)

Remote

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6d ago

Title: Blue Card Support Lead Location: Remote Duration: 6 Months Visa: No H1b W2 Role We''re hiring a Blue Card Configuration & Production Support Lead to own Blue Card configuration within HealthRules Payor (HRP), supporting a major go-live and post-go-live stabilization. What you''ll do: Own Blue Card configuration activities, serve as the primary escalation point for production issues, diagnose and resolve configuration defects impacting claims processing, and support knowledge transfer as

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Full-time

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

Business Analyst with Medicaid/MMIS (Claims/Finance/Members) experience- Remote

Remote

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3d ago

12+ years of Business Analysis experience with strong Medicaid MMIS/MES domain expertise.Hands-on experience with Health Enterprise, QNXT, Facets, or similar Medicaid claims platforms.Strong experience in at least 2 of 3 areas: Claims, Member/Eligibility, Finance.Experience with Medicaid claims processing, adjudication, adjustments/voids, encounters, Medicare crossover, remittance, and payment processing.Strong knowledge of Medicaid eligibility, enrollment, aid categories, benefit packages, MCO/

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Contract, Third Party

$50

Bluecard Configuration Analyst

Remote

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Today

Role 1: Blue Card Configuration & Production Support Lead Blue Card Configuration & Production Support Lead Urgent, Remote (CST) Go-live October 1st | Engagement through at least February 2027 We''re hiring a Blue Card Configuration & Production Support Lead to own Blue Card configuration within HealthRules Payor (HRP), supporting a major go-live and post-go-live stabilization. What you''ll do: Own Blue Card configuration activities, serve as the primary escalation point for production issue

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Contract

65+

Sr SQL/.NET Developer

Remote

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Today

Key Responsibilities & Skills .NET Application Development C# Programming SQL Server Development Stored Procedures & Functions ETL Development (SSIS) Healthcare Data Solutions ACA / CMS Reporting Risk Adjustment Programs Medicaid & Medicare Reporting Payer Platform Integration (Facets / QNXT / HealthRules) NCPDP Pharmacy Transaction Knowledge CI/CD Pipeline Implementation Version Control (Git / GitHub / GitLab) Agile & Waterfall Methodologies Unit / Integration / Performance Testing Mentoring &

Contract

Depends on Experience

Heathcare Enrollment Specialist

Remote

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11d 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

Business Analyst — CMdS Claims, Member & Finance Implementation (MES)

Remote

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Yesterday

Business Analyst CMdS Claims, Member & Finance Implementation (MES) Location: Engagement: Experience:12+ years Domain:Medicaid Enterprise Systems (MES) | MMIS modernization | Claims / Member / Finance 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 developme

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Third Party, Contract

Depends on Experience

QNXT jobs in Austin, TX, USA