Qnxt jobs in remote

Remote

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6d ago

Position- HRSN Medicaid Claims Analyst Type- 100% Remote (PST Hours) Visa- No H1 What you'll do: Review and resolve HRSN claims assigned through QNXT work queues including rent, rental arrears, utility assistance, storage, and housing support claims. You'll analyze pended, denied, and audit-flagged claims, correct claim data, resolve QNXT edits, review potential duplicate submissions, and move valid claims through adjudication and payment. Much of the initial work focuses on reducing the existin

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Third Party, Contract

Depends on Experience

QNXT Data Engineer

No location provided

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Today

QNXT Data Engineer Duration: 6-Month Contract (Potential Extension) Location: Remote Overview: The client is transitioning from AMISYS to QNXT and is seeking a Data Engineer with expertise in QNXT data structures, Azure Data Factory, ETL/ELT processes, data migration, and reconciliation. Required Skills: QNXT Data Structures Interfaces / Data Feeds EDW Azure Data Factory ETL / ELT SQL Data Migration & Reconciliation Navnish kumar Sr. IT Technical Recruiter Stellent IT Phone: Email: navnis

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Contract, Third Party

Senior Analyst, Provider Data Management (SQL/ QNXT)

No location provided

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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

Technical Project Manager - Healthcare (Claims, Benefits & Membership)

Remote

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13d ago

Job Title: Technical Project Manager Healthcare (Claims, Benefits & Membership) 100% Remote Role Summary We are seeking an experienced Technical Project Manager to lead enterprise healthcare modernization initiatives. The ideal candidate will have deep healthcare payer experience and a proven track record of managing large-scale system implementations involving claims, benefits, membership, and data modernization. Experience with QNXT is highly preferred. Key Responsibilities Lead end-to-end del

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Contract

Depends on Experience

Chief Technology Officer

Hybrid in Spring Valley, New York

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5d ago

Job Overview: This is a strategic leadership role accountable for technology vision, direction, standards, and organizational outcomes. The CTO develops and executes the enterprise technology agenda based on the companys strategic interest, guides major platform and architectural decisions, and holds technology leaders responsible for delivery and results. Essential Responsibilities: Develop, execute, and continuously refine the organizations technology strategy, ensuring alignment with the c

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Full-time

190,000 - 250,000

Conversion Data Analyst (US Cit to pass Security Clearance)

Remote

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3d ago

We are seeking to hire a Conversion Data Analyst with expertise in Medicare / Healthcare Claims systems, to join our teams working on a new multi-year awards we have within several State Govt clients, modernizing their Medicare/Medicaid systems. These roles are 100% remote. Being a US Cit is required for working on this program. This position pays a strong salary package with full benefits (including choice of healthcare plans, dental, vision, life insurance, 3 weeks PTO, 11 Paid Federal Holida

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Full-time

Depends on Experience

Sr. Software Engineer

Hybrid in Almont, Colorado

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19d ago

Our client, fromhealthcare, is looking to hire a (Sr Software Engineer) in (AZ - (hybrid or remote)). Pay Rate Range:$60 to $70/hr on w2, depending on experience Responsibilities: Duties Be part of a team that designs, develops and integrates highly complex software functions within Blue Cross Blue Shield of Arizona Software as a Senior Software Engineer, you will provide technical expertise as a program team leader in the identification and development of new products. You will lead proposals

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Contract, Third Party

Depends on Experience

MMIS (Medicaid Management Info Systems) Domain Lead

Remote

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3d ago

We are seeking to hire a MMIS (Medicaid Management Information Systems) Domain Lead with expertise in Medicaid Pharmacy, to join our teams working on a new multi-year awards we have within several State Govt clients, modernizing their Medicare/Medicaid systems. These roles are 100% remote. Being a US Cit is required for working on this program. This position pays a strong salary package with full benefits (including choice of healthcare plans, dental, vision, life insurance, 3 weeks PTO, 11 Pai

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Full-time

Depends on Experience

MMIS Data $ Analytics Reporting Lead

Remote

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3d ago

We are seeking to hire a MMIS (Medicaid) Data and Analytics Reporting Lead with expertise in Medicaid Provider and Pharmacy implementations, to join our teams working on a new multi-year awards we have within several State Govt clients, modernizing their Medicare/Medicaid systems. These roles are 100% remote. Being a US Cit is required for working on this program. This position pays a strong salary package with full benefits (including choice of healthcare plans, dental, vision, life insurance,

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Full-time

Depends on Experience

Information Technology - Application Support Lead 130-2064

Tulsa, Oklahoma

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Today

JOB SUMMARY: The Application Support Lead is responsible for strengthening Service Delivery's ability to resolve business-critical application issues by building application knowledge, documentation, and training. Serves as a trusted escalation point for business partners when system issues cross departmental lines. KEY RESPONSIBILITIES: Author and maintain documented application-support procedures and troubleshooting runbooks for support teams to use independently.Build and deliver a formal t

Full-time

Principal Architect, Information Systems - Provider Horizontal Application Portfolio/AI Implementations - Remote

Remote

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Today

Job Description Job Description Job Summary Architects company specific systems and technology expertise across multiple infrastructure and development disciplines. Applies and promotes key principles (e.g. stability, scalability, performance, security, compatibility, re-use), helping ensure a balance between tactical and strategic technology solutions. Considers business problems "end-to-end": including people, process, and technology, both within and outside the enterprise, as part of any

Full-time

USD 105,958.12 - 229,575.94 per year

FACETS Developer

Remote or Hybrid

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Today

Remote position Required Skills 5+ years of experience in FACETS development or healthcare payer application development. Strong hands-on experience with Cognizant TriZetto FACETS. Strong knowledge of healthcare insurance/payer processes. Experience with Claims, Membership, Enrollment, Benefits, Billing, and Provider modules. Strong Oracle/SQL development skills. Experience with FACETS configuration, customization, and integrations. Experience with Java/J2EE or related application development t

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Third Party

Principal Analytics & Reporting Leader

Seattle, Washington

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Today

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

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Full-time

USD 118,800.00 - 169,700.00 per year

Lead Analyst, Data & Analytics

No location provided

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Today

Job Description Job Description Job Summary Provides lead level analyst support as a technical leader responsible for designing, developing, and delivering advanced data and reporting solutions to support strategic decision-making. Analyzes complex datasets including healthcare, financial, and operational data to identify trends, forecast outcomes, and drive business performance. Partners with business and Information Technology (IT) teams to define requirements, leads analytics initiatives,

Full-time

USD 65,791.00 - 142,548.00 per year

Analyst, Data Management (National Provider Contracts)

No location provided

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Today

Job Description Job Description Job Summary Under general supervision, this position has lead responsibilities for accessing, integrating, data compilation, data management, data analysis, data quality controls and reporting from various Molina Healthcare systems (e.g., QNXT, and Med Insight) and/or related external systems (e.g. CMS and State-specific). This position will conduct exploratory and discovery studies that include assessing requirements, current state gap analysis, comparison to

Full-time

USD 54,373.27 - 117,808.76 per year

Business Analyst - CMdS Claims, Member & Finance Implementation (MES)

Richmond, Virginia

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Today

JOB TITLE: Business Analyst - CMdS Claims, Member & Finance Implementation (MES) JOB LOCATION: Remote WAGE RANGE*: $50-60/hr JOB NUMBER: 26-01186 REQUIRED EXPERIENCE: Required qualifications 12+ years business analysis experience in Medicaid MMIS / MES, with deep hands-on work in at least two of: Claims, Member/Eligibility-Enrollment, Finance/Financial Accounting. Proven experience developing and implementing claims systems / MMIS / MES platforms, such as Conduent CMdS (Conduent Medicaid Sui

Full-time

USD 50.00 - 60.00 per hour

Senior or Advisor Business Analyst - Provider+

Charlotte, North Carolina

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Today

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 Senior or Advisor Business Analyst - Provider+ at Gainwell, you can contribute your skills as we harness the power of techn

Full-time

USD 69,400.00 - 99,200.00 per year

Business Technology Strategy Lead - Claims, Finance, HR, Legal & Compliance

Los Angeles, California

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Today

Salary Range: $121,056.00 (Min.) - $160,400.00 (Mid.) - $199,742.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care's mission is to provide access to quality he

Full-time

USD 121,056.00 per year

Pega Developer

Remote

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6d ago

Job Description Pega Professionals Positions: Lead/Senior Pega Mid-Sr Pega Developer Project: Healthcare Payer Claims Automation Project Overview The project focuses on using Pega to automate the matching of prior authorizations/service authorizations to provider-submitted claims, reducing manual review. Position 1: Lead/Senior Pega Responsible for architecture and technical expertise. Position 2: Mid-Sr Pega Developer Focused on development, integrations, roboti

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Contract, Third Party

Depends on Experience

Heathcare Enrollment Specialist

Remote

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24d ago

Healthcare Enrollment Specialist LONG TERM CONTRACT FULLY REMOTE STARTS ASAP Job Title:Healthcare Enrollment Specialist Location:Remote Job Summary We are seeking a detail-oriented and dependableEnrollment Specialistto join our team. You will be responsible for accurately processing health plan enrollment, changes, and terminations for our members. You will work within our healthcare administration software, ensure compliance with regulatory standards (CMS, ACA, state guidelines), and support sm

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Contract

Depends on Experience