QNXT jobs in Los Angeles, CA

Senior Analyst, Provider Data Management (SQL/ QNXT)

Remote or Long Beach, California

•

Today

Job Description JOB DESCRIPTION The Sr. Analyst, Provider Data Management is responsible for analyzing and understanding business processes, identifying areas for improvement, and developing solutions to optimize performance. The Sr. Analyst often acts as a liaison between the business units and IT, ensuring that technical solutions align with business goals. Knowledge/Skills/Abilities Collaborate with stakeholders to understand business objectives, gather requirements, and translate them int

Full-time

USD 54,373.27 - 117,808.76 per year

QNXT

Remote

•

9d ago

Over 8 Years of IT Experience.Exposure to QNXT / QNXT data model.Good experience in QNXT claims & EnrolmentQNXT system implementation role to analyze and understand requirements, design, develop, unit test and document test results for QNXT interfaces and reports development tasksExposure and basic understanding of core QNXT functions such as claims, membership, and provider would be desired along with working knowledge on underlying data models.3+ years in developing QNXT applications.Should ha

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Contract

Depends on Experience

QNXT Benefits Configuration Analyst

Remote

•

4d ago

Job Title: QNXT Benefits Configuration Analyst Location: Remote, Worcester, MA. EST candidates only Duration: 6+ months Type: C2C Interview Mode: Video Job Description: Visa: No H1B/TN Need 2 managerial references and candidate should not be submitted prior to Beacon hill company Looking for a QNXT Benefits Configuration Analyst Making changes to the Benefits side, not systems side. The benefit plans for the year have all been configured, this is more to make changes to plans to keep up with

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Third Party, Contract

50 - 55

Senior Data Analyst

Remote or Long Beach, California

•

Today

Job Description JOB DESCRIPTION This role will be a member of the Payment Integrity Analytics team who is responsible for creating and maintaining a post pay review of claims, members, and providers to ensure accurate billing. Our team creates Post Pay Concepts (Analytics) that identify inaccurately billed claims with potential overpayments for correction and perhaps reduction of payment. At times we will also build reports and identify insights for tracking operations of running and monitorin

Full-time

USD 54,373.27 - 117,808.76 per year

Healthrules Payer Configuration Lead

Remote

•

Today

As a Configuration Lead with a strong HealthRules Payer expertise you'll drive payer system configuration, benefit design, and delivery leadership. Location: Remote CTH: After 6 months, Required: Healthcare Payer business functions and IT systems Strong experience in HealthRules Payer platform Hands-on experience with Products & Benefits, Claims Workflow Strong understanding of US Healthcare Payer streams: Claims, Network & Pricing, Provider Management, Medical Management, Premium Billing & P

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Third Party, Contract

Director of IT Infrastructure- Health Plans- Santa Clara, CA

Remote or Hybrid in Santa Clara, California

•

3d ago

Director of IT Infrastructure Remote! Position Summary The Director of IT Infrastructure is responsible for leading the design, implementation, operation, and optimization of enterprise IT infrastructure for a managed Medicaid health plan. This role ensures secure, scalable, and compliant infrastructure services supporting core health plan operations, including claims processing, care management, member services, and regulatory reporting. The Director will drive cloud strategy, infrastructure m

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Contract, Third Party

Depends on Experience

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QNXT jobs in Los Angeles, CA, USA