QNXT jobs in Kentucky

QNXT QA Tester (Provider Contract Configuration)

Remote

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Today

Job Title: QNXT QA Tester Provider Contract Configuration Duration: Long Term Contract Location: Remote Job Summary We are seeking an experienced QNXT QA Tester with strong functional testing experience and hands-on knowledge of Provider Contract Configuration within the TriZetto QNXT healthcare administration platform. The ideal candidate will have experience validating provider contract setups, reimbursement methodologies, fee schedules, claims pricing, and payment configurations. The candida

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Contract

Depends on Experience

Healthcare Claims QA Analyst / Tester(QNXT)

Remote or Hybrid in Richardson, Texas

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Today

Must have skills: QNXT , prioritize Provider contract/affiliation experience Position: Healthcare Claims QA Analyst / Tester Location: 2 days onsite at nearest Infosys USA office Duration: 12 Months + Job Description We are seeking an experienced Healthcare Claims QA Analyst/Tester with 79 years of experience in the Healthcare domain and strong functional knowledge of healthcare claims and claims processing. The ideal candidate should understand end-to-end claims workflows and be comfortable wo

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Contract, Third Party

Depends on Experience

QNXT Consultant

Remote or East Hartford, Connecticut

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4d 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

Sr. Manager, Provider Data Operations & Attribution Integrity

Remote or Virginia

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Today

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health , you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Summary Leads provider data integrity, attribution gover

Full-time

USD 67,900.00 per year

Business Analyst

Remote

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Today

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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4d 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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Third Party, Contract

$58 - $60

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

Remote or Tampa, Florida

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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

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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

Senior Developer SQL SSIS ETL/Lead with Healthcare domain

Remote

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24d ago

About Infinite: Infinite is a global leader in digital engineering and IT services, with over 20 years of experience driving digital transformation. We partner with leading Fortune 1000 companies to deliver innovative, scalable technology solutions that accelerate business outcomes. With deep expertise in telecommunications, healthcare, banking, and finance, Infinite helps organizations optimize and modernize their technology landscapes to achieve long-term growth and efficiency. Job Description

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Full-time

Depends on Experience

Healthcare Interoperability Business Analyst (FHIR)

Remote

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8d 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

Management Analysts

Remote

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Today

Job Title: Management Analysts Location: Falls Church, VA, Employer: 4Consulting, Inc Position Type: Full Time Worksite: Remote Position Summary 4Consulting, Inc is seeking a qualified Management Analysts to support technology consulting, application development, systems analysis, testing, data management, cybersecurity, infrastructure, or project delivery services for client projects. The selected candidate will perform duties consistent with the clients project requirements and company

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Full-time, Third Party

Depends on Experience

QNXT jobs in Kentucky, USA