qnxt Jobs

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QNXT Configuration Analyst

TEKsystems c/o Allegis Group

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Chesapeake, Virginia, USA

Full-time

Description This resource will help stand up our clients Commercial QNXT environment with a focus on benefits. Day to day involves: Meetings QNXT benefit configuration Capitation Actively using standard benefits/pricing methodologies Solutioning detail level business requirements Unit testing/proof of concept testing Defect resolution Ability to work independently Ability to meet deliverables Preferred Time Zone: EST/CST Preferred States: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kan
Posted 1 day ago | Updated 1 hour ago

Sr. Consultant - QNXT

Photon

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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
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Posted 2 days ago

REMOTE - QNXT Benefits Configuration Specialist

Photon

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Remote

Full-time, Third Party

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. Designation: QNXT Benefits Configuration SpecialistLocation: Dallas, TX / Remote Job Type: Full Time/Contract Key
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Posted 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 3 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 3 days ago | Updated 1 day ago

Project Manager III (QNXT)

Kforce Technology Staffing

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Los Angeles, California, USA

Contract

RESPONSIBILITIES: Kforce has a client that is seeking a Project Manager (QNXT) in Los Angeles, CA. Summary: The Information Technology Project Manager is responsible for the overall direction, coordination, execution, controls, and completion of assigned medium to large complex Information Technology projects, which includes managing work stream tasks, ensuring consistency with company strategy, commitments, and goals. Duties: * Leads the planning and implementation of multiple projects, fac
Posted 3 days ago | Updated 10 hours ago

PBA Senior Configuration Business Analyst - Pharmacy/QNXT

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 PBA Senior Configuration Business Analyst - Pharmacy/QNXT at Gainwell, you can contribute your skills as we harness the po
Posted 60+ days ago | Updated 1 hour ago

PBA Advisor Configuration Business Analyst - Pharmacy/QNXT

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 an PBA Advisor Configuration Business Analyst - Pharmacy/QNXT at Gainwell, you can contribute your skills as we harness the
Posted 60+ days ago | Updated 1 hour ago

QNXT/Facets Developer

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 60+ days ago | Updated 1 hour ago

QNXT/Facets Developer

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 60+ days ago | Updated 1 hour ago

QNXT/Facets Developer

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 60+ days ago | Updated 1 hour ago

PBA Configuration Business Analyst - Pharmacy/QNXT

Gainwell Technologies LLC

•

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 PBA Configuration Business Analyst - Pharmacy/QNXT at Gainwell, you can contribute your skills as we harness the power of
Posted 60+ days ago | Updated 1 hour 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 6 days ago | Updated 4 hours ago

Sr Claims Systems Data Analyst - QNXT

Molina Healthcare

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Remote or Long Beach, California, USA

Full-time

Job Description JOB DESCRIPTION Job Summary Responsible for accurate and timely review of production support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains understanding of solution functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received on claims to identify billing issues that will impact claims processing and payment. Monitor ne
Posted 60+ days ago | Updated 4 hours 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 6 days ago | Updated 4 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 2 days ago | Updated 4 hours ago

QA Analyst

IT Trailblazers, LLC

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Remote

Contract

Role: QA Analyst Direct client Location: Remote Candidate must be in - Puerto Rico Prefer candidates that live in the EST/CST time zone Project Overview: Triple-S Salud is undergoing a transformation of its Core Claims Platform, migrating from QNXT to HealthRules. The QA/Testing focus will be centered around the new HealthRules Core Claims Platform and other integrated systems, including GuidingCare and HealthTrio. Role Overview: The QA Analyst will be responsible for designing, developing, and
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Posted 2 days ago

QA Analyst w/ Healthcare

IT Trailblazers, LLC

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Puerto Rico, Canary Islands, Spain

Contract

Note : This is a W2 role , we cannot accept resumes on Contract or C2c basis due to restrictions . Role: QA Analyst w/Healthcare Location: Puerto Rico/ could be remote Duration: 6-month contract-to-hire Prefer candidates that live in the EST/CST time zone Project Overview: Client is undergoing a transformation of its Core Claims Platform, migrating from QNXT to HealthRules. The QA/Testing focus will be centered around the new HealthRules Core Claims Platform and other integrated systems, incl
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Posted 2 days ago

Senior Specialist, Provider Network Administration

Molina Healthcare

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Remote or 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 2 days ago | Updated 4 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 3 days ago