QNXT Jobs in Los Angeles, CA

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QNXT Solution Architect

Manage My Dream, LLC

Remote

Third Party, Contract

Position: Solution Architect 12 month contract Job Level: Lead Focus: Capitation Here is more info from the hiring manager on some of the Arch roles: This info is for the Claims Arch and Solution Architect Below is a little more information to help identify candidates for the Capitation and Claims positions. Day-to-day for the Capitation role includes analyzing commercial program and vendor capitation requirements to provide solutioning. solutioning will be configuration in QNXT or writing techn

QNXT Benefit Configuration Analyst

Manage My Dream, LLC

Remote

Contract, Third Party

Job position : QNXT Benefit Configuration Analyst REMOTE VISA: ead NEED STRONG HEALTH EXPERIENCE Must Haves: - STRONG 3+ yrs experience with QNXT benefit configuration **MUST SHOWCASE ON RESUME - Deep understanding of QNXT and experience with implementations - Actual exp designing benefits - Medicaid experience Plus: - FL Medicaid Expereince

QNXT Claim Solutions Architect Lead

Manage My Dream, LLC

Remote

Contract, Third Party

Job position : QNXT Claim Solutions Architect Lead REMOTE VISA: ead NEED STRONG HEALTH EXPERIENCE Job Description: understands capitation models within the healthcare industry for all lines of business; understands how QNXT processes capitation; and will be able to help solution a capitation module that may leverage QNXT pieces but also supports an "attribution" model. Key responsibilities/qualifications for all positions include: Experience with commercial health plans; Able to conduct data ana

Edifecs

TekisHub Consulting Services

Long Beach, California, USA

Contract, Third Party

EDIFECS Request ID: 103230-1 Work Location: Long Beach, CA 90802 Contract duration 6 Minimum years of experience: 8-10 years Must Have Skills Edifecs SQL .Net Nice to have skills Sitecore ASP.net Detailed Job Description Requirement gathering and understanding, ticket analysis and convert enhancement requests into functional requirements. To work on concrete technical tasks and support application in Production environment. Top 3 responsibilities you would expect the Subcon to sho

QNXT Configuration Architect

Randstad Digital

Remote or Minneapolis, Minnesota, USA

Contract

job summary: Required: strong knowledge of the QNXT Data Model Hands-on configuration experience within the product QNXT module within the last 2 years. 5+ years of QNXT configuration experience At least 3 years of experience in Core Functionalities of QNXT which includes Membership, Provider Management, Claim Processing, Billing, Plan/Product Experience building a product from scratch strong knowledge on QNXT Architecture which includes Upstream and Downstream systems Requires little super

QNXT Benefits Configuration Analyst

KPG 99 Inc.

Remote

Contract, Third Party

Position : QNXT Benefits Configuration Analyst Remote, must be in the following States. Location Details: AL ,DE, FL, GA, ID, IN, KS, LA, ME, MD, MN, NE, NH, ND, NV, OK, OH,PA, SC, NC, SD, TN, TX, WA, VA,WA, WV, WI Duration: 13-18 Months Interview Process: 1 Panel Interview For this project, looking for QNXT Benefits Configuration Analyst heavier on the Medicaid side. Must Haves: 3+ years of QNXT benefits configuration Needs to be front end but if they are super strong on QNXT Benefit Config

QNXT Benefits and QNXT Commercial Benefits

HCL Global Systems

Remote

Contract

Role: QNXT Team Coordinator Location: Remote Duration: 12+ Months Required Skills: MUST HAVES (If the below are not on the resume then the hiring manager will reject your candidate): - Commercial QNXT benefits experience- DO NOT need someone with primarily a medicare/medicaid background as this will all be on the commercial side - QNXT configuration design experience- not just configuration experience they need hands on design experience - Front end experience with QNXT- this helps with the des

QNXT Benefits Configuration Manager (only W2 candidate) Location: 100% Remote

Cerebra Consulting Inc

Remote

Contract

Cerebra Consulting Inc is a System Integrator and IT Services Solution provider with a focus on Big Data, Business Analytics, Cloud Solutions, Amazon Web Services, Salesforce, Oracle EBS, Peoplesoft, Hyperion, Oracle Configurator, Oracle CPQ, Oracle PLM and Custom Application Development. Utilizing solid business experience, industry-specific expertise, and proven methodologies, we consistently deliver measurable results for our customers. Cerebra has partnered with leading enterprise software c

100% Remote - QNXT Benefits Configuration Analyst

Beacon Hill Staffing Group

Remote

Contract

NOTE: This is a 100% remote position. Candidates will have to work on EST hours. One of our clients in Norfolk, Virginia is looking for a QNXT Benefits Configuration Analyst with the following skills and experience: MUST HAVE : FL Medicaid experience. Required Skills and Experience: QNXT Benefit Configuration background and management exp specific to QNXT Benefit Configuration-(Front End ) Experience with QNXT migration or implementations Actual exp designing benefits. May have started as an

QNXT Project Manager

GeBBS Consulting

Remote

Contract

GeBBS Consulting, a leader in Healthcare Technology solutions, has an immediate opening for a Project Manager with experience on the TriZetto QNXT platform to work with a major California-based Health Plan in their conversion from QNXT 5.9 to 6.0 in a remote capacity. Position Description: The Project Manager will be responsible for all aspects of Project Management related to the migration of a core claims processing system. What You ll Get to Do: Be responsible for creating the overall plan fo

Healthcare QNXT Developer

Infinite Computer Solutions (ICS)

Remote

Full-time

Job Description: 1) 8 to 12 years of experience 2) QNXT experience is mandatory 3) EDI transactions experience (834, 270, 837) is mandatory. Biztalk preferable 4) .Net and SQL experience 5) Healthcare Payor domain experience 6) Good communication skills Regards, Deepak Kumar Infinite | Exciting timesinfinite possibilities Tel: +1- Email: Web site:

Senior Business Systems Analyst QNXT- Operations (Remote)

Sentara Healthcare

Remote or Richmond, Virginia, USA

Full-time

Sentara is hiring a Senior Business Systems Analyst QNXT - Operations! Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! This is a Full-Time position with day shift hours and great benefits! Work Location: 100% Remote Candidates must have a current residence in one of the follow stat

QNXT Benefits Configuration Analyst Location:Remote

Apetan Consulting

Remote

Part-time, Contract, Third Party

QNXT Benefits Configuration Analyst Location: Remote Duration: 12-18 months Important Skills Technical QNXT, Commercial Line of business Must Haves: - Need to know QNXT benefits side - Need to know commercial side (Ideal is 75% commercial; 25% Medicare)

Senior Business Analyst - Operations (Remote)

Sentara Healthcare

Remote or Norfolk, Virginia, USA

Full-time

Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! Sentara Health Plan is hiring for a Senior Business Analyst This is a Full-Time position, fully remote, with day shift hours and great benefits! Work Location: Remote opportunities available in the following states - Alabama, Delaware

Remote Healthcare Technical Manager

Infinite Computer Solutions (ICS)

Remote

Full-time

Job Descriptions: Bachelor's degree or Master degree in Computer Science, Engineering, or a related field.9+years of experience with a focus on Management , Program Manager/Project Manager RoleResource should Development Background.Net, SQL, EDI, QNXTProject Leadership:built, led, and co-coordinated a team of up to team members on a multi-shore model.oversaw and managed efforts for small and large enterprise scale projects with high visibility. o I proactively led and managed teams of both inte