QNXT Jobs in Boston, MA

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QNXT Team Coordinator

Intellisoft Technologies

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Remote

Contract

Job TitlePosition TypeLocationRequired Skills-Must have COMMERCIAL QNXT CONFIGURATION EXPERIENCE- if the candidate has majority medicare/medicaid they will not be a fit! - Must have lead experience to lead a team - Must have Design experience- taking state requirements and then design the front and back end configuration for QNXT - Must have at least 7+ years of commercial benefits experienceAdditional Skills Job DescriptionRequired Skills and Experience: QNXT Benefit Configuration background an
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Posted 18 days ago

QNXT Developer

Emergere Technologies

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Remote

Full-time

Title: QNXT Developer or QNXT Engineer Location: RemoteExp:10+ yearsContract:6 monthsVisa: No OPT/CPT Required Experience 2-3 recent years of QNXT experience including QNXT Data Models / Schema; QNXT Connect; QNXT inbound/outbound EDI 2-3 years should be working with SQL, creation of DTS packages, Stored Procedures, current Windows platforms, Visual Basic, Globalscape EFT, and Microsoft Access required. Use of Microsoft Biztalk, HIPAA transaction code sets, and other EDI batch processing automat
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Posted 3 days ago

QNXT Benefits Configuration

HL Solutions LLC

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Remote

Contract

Role: QNXT Benefits Configuration Location: Riverside, VA(Remote) Need & USC Job Description: Seeking a QNXT Benefits Configuration Subject Matter Expert (SME) to join our team, focusing on end-to-end benefits configuration within QNXT. This role will involve designing and implementing benefit plans, gathering business requirements, and collaborating with stakeholders to ensure accurate configuration and compliance. The ideal candidate will have deep expertise in QNXT benefits, experience across
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Posted 9 days ago | Updated 3 days ago

Application Support Engineer (QNXT, NetworX Pricer, Enrollment, Claims)

Voto Consulting LLC

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Remote

Contract

Position :- Application Support Engineer (QNXT, NetworX Pricer, Enrollment, Claims) Location :- Fully Remote but the candidate must be in California Duration :- 6 12 months contract Visa :- USC/EAD- Interview:- 2 Videos NOTE :- Need at least 2 ideally 3 professional references with the submission (i.e., recently contacted with good/working phone numbers and emails . DETAILS :- Position Description: The Intermediate Application Support Engineer will be responsible for implementation and support
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Posted 13 days ago

QNXT with Benefit Experience __ Remote(preferred EST Location)

HL Solutions LLC

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Remote

Contract, Third Party

Job Description: Loads and maintain contract, benefit or reference table information into the claim payment system and other applicable systems. Participates in defect resolution for assigned component Assists with development of configuration standards and best practices while suggesting improvement processes to ensure systems are working more efficiently and improve quality. Assists in planning and coordination of application upgrades and releases, including development and execution of som
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Posted 10 days ago

Business Analyst with QNXT

ClinDCast LLC

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Remote or Delray Beach, Florida, USA

Full-time

Job DescriptionJob DescriptionJob Title: Business Analyst with QNXT Job Summary: We are seeking a Business Analyst with QNXT with extensive experience in healthcare payer operations, particularly in the areas of Enrollment, Claims, and Billing. The ideal candidate will possess in-depth knowledge of the QNXT data model and its applications within healthcare payer systems. The role requires strong skills in requirement elicitation, communication, and healthcare solutioning. Key Responsibilities:
Posted 2 hours ago

Remote Healthcare QNXT Configurations Analyst

Infinite Computer Solutions (ICS)

•

Remote

Full-time

Title : QNXT Configurations Analyst with SQL Queries exp. Location : 100% Remote Term : Long Term Contract /Fulltime/Permanent Job Descriptions Below: Senior QNXT Benefit Analyst Engagement Lead to create the high level QNXT Configuration global design and product approach, and will supply a QNXT Configuration Architect to complete the detailed benefit design. will also provide one Medicaid SMEs to oversee the creation of Florida Medicaid benefit grids for pending Florida Medicaid benefits for
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Posted 44 days ago | Updated 17 days ago

Mgr, Provider Configuration - QNXT - Remote

Molina Healthcare

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US

Full-time

JOB DESCRIPTION Job Summary Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network m
Posted 12 days ago | Updated 16 hours ago

Sr Analyst, Config Info Mgmt- Medicare /QNXT ? Networx Pricer - Remote

Molina Healthcare

•

US

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
Posted 33 days ago | Updated 16 hours ago

Remote Data Analyst with QNXT Experience

Computer Merchant, Ltd., The

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Remote or Augusta, Maine, USA

Full-time

JOB TITLE: Remote Data Analyst JOB LOCATION: Remote WAGE RANGE*: $44-45/hr. JOB NUMBER: 24-01730 REQUIRED EXPERIENCE: Top 5 Skills: QNXT/Schema knowledge TMSIS experience is a plus Healthcare/business knowledge in member, eligibility, TPL, claims processing, provider, pharmacy claims Good/Excellent SQL skills Good Oral/Written communication skills Data Mapping experience JOB DESCRIPTION: The candidate is expected to be able to develop program specifications and mapping documents. Perform anal
Posted 6 days ago | Updated 5 hours ago

Sr Engineer, Applications - .Net/AI/QNXT - Remote

Molina Healthcare

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Remote or Bowling Green, Kentucky, USA

Full-time

Job Description Job Summary Designs, develops, and communicates technology models and foundations used to run applications, data, and infrastructure in support of one or more business processes. 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
Posted 40 days ago | Updated 16 hours ago

QNXT Benefits Configuration SME -- REMOTE JOB

KPG 99 Inc.

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US

Contract, Third Party

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
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Posted 60+ days ago | Updated 1 day ago

Architect, Info Systems - Azure Cloud/Containers/QNXT - Remote

Molina Healthcare

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Remote or Louisville, Kentucky, USA

Full-time

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 design solution.
Posted 40 days ago | Updated 16 hours ago

QNXT Configurations Analyst

Infinite Computer Solutions (ICS)

•

Remote

Full-time

Title : QNXT Configurations Analyst Location : 100% Remote Term : Long Term Contract /Fulltime/Permanent Job Descriptions Below: Senior QNXT Benefit Architect Engagement Lead to create the high level QNXT Configuration global design and product approach, and will supply a QNXT Configuration Architect to complete the detailed benefit design. will also provide one Medicaid SMEs to oversee the creation of Florida Medicaid benefit grids for pending Florida Medicaid benefits for MMA+, HIV Aids, Seri
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Posted 60+ days ago | Updated 2 days ago

Director, Customer Experience (IT Solutions - QNXT & Salesforce) - REMOTE

Molina Healthcare

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Remote or Long Beach, California, USA

Full-time

Job Description Job Summary This role on the Customer Experience team will be responsible for technically based projects like liaising with IT to upgrade Salesforce or create visions for technical solutions that improve the overall member/provider/customer experience. The ideal candidate will have a strong understanding of technical healthcare systems (Salesforce, QNXT, etc.) and is able to translate technical knowledge into business requirements. In partnership with Plan Growth Leaders, the D
Posted 47 days ago | Updated 16 hours ago

Benefits & Coding Administrator

Mass General Brigham

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Somerville, Massachusetts, USA

Full-time

This is a remote role that can be done from most US states. Reporting to the Manager, Benefits Administration, the Benefits & Coding Administrator II works with the Benefits Administration Team to support the accurate and effective implementation of benefits across all products. ESSENTIAL FUNCTIONS Evaluate benefit configuration in collaboration with IT Configuration and Claims staff, ensuring that benefit configuration aligns with the approved business requirements and plan materials. Contribu
Posted 15 days ago | Updated 15 hours ago

Solutions Architect

Mass General Brigham

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Somerville, Massachusetts, USA

Full-time

As a direct contributor with no direct reports, the Solutions Architect works closely with customers, business analysts, and team members to understand complex business requirements that drive the analysis and design of effective technical solutions for business processes. These solutions must be aligned with business and IT strategies and comply with the organization's architectural standards and QNXT application platform. The Solutions Architect designs and ensures that all aspects of the app
Posted 24 days ago | Updated 15 hours ago

Senior Information Management Developer

Mass General Brigham

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Somerville, Massachusetts, USA

Full-time

Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are on the forefront of transformation with one of the world's leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage. Our work centers on creating an exceptional member experience - a commitment that starts with our employee
Posted 60+ days ago | Updated 15 hours ago

Core Systems Configuration Analyst II

Kforce Technology Staffing

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Remote or Los Angeles, California, USA

Contract

RESPONSIBILITIES: Kforce has a client in Los Angeles, CA that is seeking a Core Systems Configuration Analyst II. Summary: The Systems Configuration Analyst II Core Systems performs technical and analytical work related to the maintenance, update, etc. of the configuration of the L.A. Care Health Plan Core System and related applications and databases (e.g., QNXT Migration Utility, Claims Workflow, Claims Test Pro, NetworX Pricer, etc.). This position is responsible for identifying, analyzing,
Posted 9 days ago | Updated 1 day ago

Data Analyst (Healthcare Required) - CA ONLY - REMOTE

Molina Healthcare

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Remote or California, USA

Full-time

DESCRIPTION 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 within Medicaid (Medi-Cal), Medicare and Covered California lines of business . 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 depar
Posted 39 days ago | Updated 16 hours ago