Sr QNXT Analyst Jobs in Detroit, MI

Refine Results
1 - 10 of 10 Jobs

Sr QNXT Analyst

Molina Healthcare

•

Detroit, Michigan, USA

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 schedules,
Posted 1 hour ago

Sr QNXT Analyst

Molina Healthcare

•

Warren, Michigan, USA

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 schedules,
Posted 1 hour ago

Sr QNXT Analyst

Molina Healthcare

•

Sterling Heights, Michigan, USA

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 schedules,
Posted 1 hour ago

Sr QNXT Analyst

Molina Healthcare

•

Rochester, Michigan, USA

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 schedules,
Posted 1 hour ago

Sr. Consultant - QNXT

Photon

•

Remote

Full-time

Job title - Sr. Consultant - QNXTLocation - RemoteFull-time, Remote We are seeking a skilled QNXT Benefits Configuration Specialist to join our dynamic team. The ideal candidate will possess in-depth knowledge of QNXT benefits configuration, along with a strong background in both commercial and government benefit claims. This role is critical for ensuring our benefits systems are accurately designed and configured to meet our organizational needs. Key Responsibilities: Configure and manage QNX
Easy Apply
Posted 10 days ago

Sr. Consultant - QNXT - Benefit configuration - Remote

Photon

•

Remote

Full-time

QNXT SME Job Description:Must have: Solid knowledge of commercial, Government benefit structures and plan designs ( HMO, PPO, POS, ASO etc.) Expertise in QNXT core modules Benefit Config, Claims, Enrollment, authorization Configure and test benefits offline during initial setup or annual renewal cycles Proficient in benefit design to include multi-tier copay, service codes, copays, deductibles, and accumulator Data migration/conversion/mapping/benefit configuration mass updates Perform gap
Easy Apply
Posted 6 days ago | Updated 4 days ago

Data Analyst - QNXT - Remote CA

Molina Healthcare

•

Remote or Long Beach, California, USA

Full-time

Job Description JOB DESCRIPTION Job Summary Candidates must be based in CA 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. 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 departments and with customers t
Posted 13 days ago | Updated 6 hours ago

SME - QNXT Benefit Configuration

Photon

•

Remote

Contract, Third Party

About PhotonPhoton, a global leader in AI and digital solutions, helps clients accelerate AI adoption and embrace Digital Hyper-expansion to make tomorrow happen today . We work with 40% of the Fortune 100, enabling them to stay agile and future-ready in an era of converging digital and AI boundaries. Powering billions of touchpoints a day, Photon combines AI management, digital innovation, product design thinking, and engineering excellence to drive lasting transformation for F500 clients. We
Easy Apply
Posted 4 days ago

QNXT Benefit Configuration

Econosoft

•

Remote

Contract

We are actively seeking QNXT Benefit Configuration Subject Matter Experts (SMEs) with a strong background in both commercial and government benefit structures. The ideal candidate will have hands-on expertise in QNXT core modules and be proficient in benefit setup, configuration, claims validation, and data migration. This position plays a critical role in ensuring accurate benefit designs and seamless integration within QNXT environments. Key Responsibilities: Configure and manage QNXT benefits
Easy Apply
Posted 11 days ago | Updated 9 days ago

QNXT SME Role

Photon

•

Remote

Full-time, Third Party

We are Photon, one of the world s largest Digital Platform Engineering companies, blending Strategy Consulting, Creative Design, and Technology Services for a global clientele. We proudly partner with 40% of Fortune 100 companies, delivering niche products that power digital transformation. Watch more about us here: Photon Overview. Short Description: We are seeking a QNXT Subject Matter Expert (SME) with deep expertise in benefits configuration and claims processes for both commercial and gover