QNXT jobs in Boston, MA

Remote

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2d ago

Technical Lead - QNXT Custom Solutions & Boomi API Development Location: Remote (United States) Role: Technical Lead Domain: Healthcare Payer / QNXT Primary Technologies: QNXT, Boomi, .NET, APIs, DevOps Description: We are seeking an experienced Technical Lead with deep expertise in QNXT, Boomi API development, and .NET technologies to lead the design, development, and integration of custom healthcare solutions. The ideal candidate will have a strong understanding of the QNXT database model, ha

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Contract

Depends on Experience

Data Analyst with Healthcare / QNXT experience

Remote

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2d ago

We are seeking to hire a Conversion Data Analyst with expertise in Medicare / Healthcare Claims systems, to join our teams working on a new multi-year awards we have within several State Govt clients, modernizing their Medicare/Medicaid systems. These roles are 100% remote. Being a US Cit is required for working on this program. This position pays a strong salary package with full benefits (including choice of healthcare plans, dental, vision, life insurance, 3 weeks PTO, 11 Paid Federal Holida

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Full-time

Depends on Experience

Sr Claims Architect

Remote

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24d ago

Job Description: Senior Claims Domain Consultant with deep expertise in Healthcare Payer Claims Operations and working knowledge of Generative AI tools such as Claude, Copilot, ChatGPT, or similar LLM-based platforms. The consultant will work closely with business, operations, technology, product, and client stakeholders to assess current claims processes, identify improvement opportunities, and define AI-enabled solutions that enhance claims accuracy, reduce manual effort, improve first-pass ad

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Contract

Depends on Experience

Facets Product Consultant-W2- Remote

Remote

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4d ago

Job Summary: * Create solutions based on the customer needs and review solutions with client business and IT teams; * Perform analysis, design, coding, testing and implementation of quality custom solutions within the software development life cycle in Healthcare domain. * Design and develop moderate to complex software applications to meet the customers business needs. * Validation and gaining approval of technical and business requirements to ensure both feasibility and completeness of solutio

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Contract

Depends on Experience

Revenue Cylcle Enrollment Mangement

Remote

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26d ago

Job Title: Revenue Cycle & Enrollment ManagerLocation: Remote (Fully Remote)Job Type: Long-Term ContractStart Date: ASAPJob SummaryWe are seeking a highly efficient, detail-oriented Revenue Cycle & Enrollment Manager to oversee our revenue cycle department and health plan enrollment operations. In this dual-focus leadership role, you will manage department staff, optimize financial workflows, and ensure the accurate processing of member enrollments, claims, billing, and appeals. You will be resp

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Contract

Depends on Experience

Senior Business Analyst Medicaid Enterprise Systems

Remote

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3d ago

Position: Senior Business Analyst Medicaid Enterprise Systems 100% Remote Hiring: W2 Contract / Fulltime Domain: Medicaid Enterprise Systems (MES) | MMIS modernization | Claims / Member / Finance Key responsibilities Own requirements and functional design for assigned CMdS modules (Claims, Member, Finance, and related interfaces).Define epics, user stories, and definition of done; prioritize against Medicaid policy, MES certification goals, and release plans.Facilitate working sessions; clarify

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Full-time

Depends on Experience

Lead AI Data Engineer - Healthcare Payer Systems, Claims & Payment Integrity

Remote

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23d ago

< class="t-24 ">Lead AI Data Engineer - Healthcare Payer Systems, Claims & Payment Integrity Remote (US) Contract OpportunityMust-Have: A minimum of 5 years of experince with Healthcare Payer Systems, Claims & Payment Integrity Primary Skills: ETL Fundamentals, SQL, SQL (Basic + Advanced), Alation, Talend, Matillion, Python, Data Warehousing, IICS, Modern Data Platform Fundamentals, Data Modelling Fundamentals, PLSQL, T-SQL, Stored ProceduresSpecialization ETL Specialization: Lead Data Engineer

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Contract

Depends on Experience

Healthcare Medicaid Business Analyst(Medicaid/MMIS Domain)

Remote

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5d ago

Job Description: Job Title: Healthcare Business Analyst Location: Remote Type: Full Time/W2 with Infinite Computer Solutions Job Description: Domain: Medicaid Enterprise Systems (MES) | MMIS modernization | Claims / Member / Finance Role summary: Serve as Business Analyst for CMdS product development and implementation on a Medicaid modernization program. Translate legacy MMIS claims, member, and finance behavior and state Medicaid policy into CMdS functional design, requirements, and acceptance

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Full-time

$70,000 - $95,000

Business Analyst with experience in Medicaid Enterprise Systems (MES) and Claims

Remote

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Today

Business Analyst - CMdS Claims, Member & Finance Implementation (MES) Location: Maryland (100% Remote) Domain: Medicaid Enterprise Systems (MES) | MMIS modernization | Claims / Member / Finance Role summary Serve as Business Analyst for CMdS product development and implementation on 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,

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Contract, Third Party

QNXT jobs in Boston, MA, USA