QNXT jobs in Los Angeles, CA

Data Analyst with Healthcare / QNXT experience

Remote

•

9d 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

QNXT Developer

Remote

•

Yesterday

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

Sr Claims Architect

Remote

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30+d 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

Healthcare Business Analyst

Remote

•

4d ago

10+ years of Healthcare Payer experience with 5+ years in Behavioral Health (Mental Health & Substance Use Disorders). Seeking a seasoned Behavioral Health SME with strong Business Analyst and healthcare systems expertise to support payer transformation initiatives. The ideal candidate will have deep knowledge of Behavioral Health operations, end-to-end payer processes, and healthcare regulations, along with the ability to bridge business and technology teams. Key Requirements: 10+ years of Hea

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Contract, Third Party

Depends on Experience

Business Technology Strategy Lead - Claims, Finance, HR, Legal & Compliance

Los Angeles, California

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Today

Salary Range: $121,056.00 (Min.) - $160,400.00 (Mid.) - $199,742.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care's mission is to provide access to quality he

Full-time

USD 121,056.00 per year

Associate Analyst, Data & Analytics (Remote in CA)

Remote or California

•

Today

Job Description JOB DESCRIPTION Job Summary Responsible for organizing data from multiple sources to produce reports, dashboards, and analyses related to utilization, cost-containment, and business performance. Supports projects, regulatory requests, and initiatives that improve data quality, reporting workflows, and process efficiencies. Performs research and analysis of complex healthcare data, such claims, and encounters, provider rosters, provider enrollment etc. Evaluates, writes, and pre

Full-time

USD 22.81 - 44.49 per hour

Senior Business Analyst Medicaid Enterprise Systems

Remote

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10d 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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29d 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

•

12d 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

QA Analyst EDIFECS

Remote

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2d ago

QA Analyst EDIFECSHealthcare EDI & Core Admin Platform Location: Remote Experience: 810 years Tech Stack: Edifecs (SpecBuilder, XEngine, Transaction/EDI Gateway, Encounter Management), QA Tools (JIRA, ALM, Postman, SoapUI), MongoDB, PostgreSQL, Oracle, X12 EDI (270/271, 834, 835/837, 275, 276/277), AI-Assisted Testing Role OverviewWe are looking for a detail-oriented and analytically strong Lead QA Analyst with hands-on EDIFECS experience to validate, test, and quality-assure the EDI integratio

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Full-time

Depends on Experience

QNXT jobs in Los Angeles, CA, USA