qnxt benefit configuration sme Jobs

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SME - QNXT Benefit Configuration

Photon

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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
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Posted 10 days ago

QNXT Benefit Configuration

Econosoft

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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
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Posted 18 days ago | Updated 15 days ago

Sr. Consultant - QNXT - Benefit configuration - Remote

Photon

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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
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Posted 12 days ago | Updated 4 days ago

QXNT Benefit Configuration SME

Gov Services Hub

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Remote

Contract

This is a remote position. Title: QXNT Benefit Configuration SME Duration: 12+ months Location : Remote Must Haves: 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
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Posted 12 days ago | Updated 2 days ago

QNXT SME Role

Photon

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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
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Posted 17 days ago

Pharmacy Sr Business Analyst - Claims & Configuration SME

Gainwell Technologies LLC

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Kansas City, Missouri, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary As a Pharmacy Sr Business Analyst - Claims & Configuration SME at Gainwell, you can contribute your skills as we harness the po
Posted 17 days ago | Updated 1 day ago

QNXT Benefits - Sr Consultants

Photon

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Remote

Full-time, Third Party

Description for Internal Candidates 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
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Posted 1 day ago | Updated 1 day ago

Data Analyst - QNXT - Remote CA

Molina Healthcare

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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 20 days ago | Updated 8 hours ago

Senior Analyst, Network Relations

CVS Health

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Virginia, USA

Full-time

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all w
Posted 16 days ago | Updated 8 hours ago

Advisor Data Analyst

Gainwell Technologies LLC

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San Francisco, California, USA

Full-time

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have
Posted 31 days ago | Updated 1 day ago

Advisor Data Analyst

Gainwell Technologies LLC

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San Diego, California, USA

Full-time

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have
Posted 31 days ago | Updated 1 day ago

Advisor Data Analyst

Gainwell Technologies LLC

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Los Angeles, California, USA

Full-time

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have
Posted 31 days ago | Updated 1 day ago

Senior Data Analyst - Healthcare - CA

Molina Healthcare

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Remote or Long Beach, California, USA

Full-time

Job Description JOB DESCRIPTION Job Summary 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 to define requirements and unde
Posted 20 days ago | Updated 8 hours ago

Senior Specialist, Provider Network Administration

Molina Healthcare

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Long Beach, California, USA

Full-time

Job Description JOB DESCRIPTION Job Summary Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. KNOWLEDGE/SKILLS/ABILITIES Generates and prepares provider-related data and reports in support of Network Mana
Posted 8 hours ago

Entry level/Junior Healthcare EDI Business Analyst-Hybrid

Elite Technical

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Elkridge, Maryland, USA

Full-time

Absolutely no third parties please ! If you have at least 1 year of business analysis experience and a little healthcare industry experience. Our direct client, a non-profit organization, is seeking a Junior Healthcare EDI Business Analyst First 4-6 months is training, must be in the office 5x per week. After training is completed, hybrid situation with more flexibility to work remote. You will support our client with day to day EDI claim file loading and error review. We are seeking a passi
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Posted 18 days ago

Advisor Business Analyst - Medicaid

Gainwell Technologies LLC

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Austin, Texas, USA

Full-time

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have
Posted 16 days ago | Updated 1 day ago

Advisor Business Analyst - Medicaid

Gainwell Technologies LLC

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Dallas, Texas, USA

Full-time

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have
Posted 16 days ago | Updated 1 day ago

IT QA Automation

Kforce Technology Staffing

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San Antonio, Texas, USA

Contract

RESPONSIBILITIES: Kforce has a client in San Antonio, TX that is seeking an experienced IT QA Automation professional to lead the quality and testing efforts for key programs and systems. The QA will evaluate product functionality and performance, identify deficiencies, and recommend improvements. This position is responsible for developing and executing comprehensive testing frameworks, including functional, system, integration, regression, and end-to-end testing. Key Responsibilities include:
Posted 8 days ago | Updated 14 hours ago

Advisor Business Analyst - Medicaid

Gainwell Technologies LLC

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Houston, Texas, USA

Full-time

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have
Posted 51 days ago | Updated 1 day ago

Lead Analyst, IT Systems

Molina Healthcare

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Long Beach, California, USA

Full-time

Job Description KNOWLEDGE/SKILLS/ABILITIES Mentors and leads 2-10 software engineers on multiple projects for project deliverables, assess deliverables' quality, plan, and implement corrective and preventive actions to improve application quality. Evaluates alternative systems solutions and recommends solution that best meets the need of the business. Develops the BRDs along with business stakeholders, Conceptual Designs for multiple projects concurrently. SOX compliant Project deliveries and
Posted 6 days ago | Updated 8 hours ago