1 - 19 of 19 Jobs

QNXT Configuration Analyst

XTGlobal

US

Contract

QNXT Configuration Analyst Term: 12+ Months Contract #W2 Role Number of Positions: 15 Required Skills : QNXT Configuration Experience Strong QNXT knowledge Benefits experience Front end configuration and Design experience Commercial Claims experience Qualifications They should possess a high degree of operational knowledge within at least one of the following areas: Claims / Encounters, Provider/Network, Clinical, Customer Service, Digital, Enrollment, Finance, Sales & Benefits, or Data Mig

QNXT SME

Select Jarvis.com

Remote

Contract

QNXT SME Remote Support Marketplace initiatives Marketplace cost share SQL SME Technical report writing experience with SQL Server, SSIS, SSRS Extensive QNXT schema experience with an emphasis on benefit-cost share tables Heavy background and experience with Marketplace business requirements and member cost share

QNXT SME

Select Jarvis.com

Remote

Contract

Hello, This is Satheesh P from Select Jarvis reaching out regarding below position, I am sharing the job description of QNXT SME , if you interested please get back to me +1 QNXT SME Remote Support Marketplace initiatives Marketplace cost share SQL SME Technical report writing experience with SQL Server, SSIS, SSRS Extensive QNXT schema experience with an emphasis on benefit-cost share tables Heavy background and experience with Marketplace business requirements and member cost share

QNXT Tester

Hirekeyz

Remote

Contract

Role: QNXT Tester Location: Remote Duration: Contract Job Description: Need Strong Tester in Healthcare experience. Must have Skills: QNXT Medicaid/Medicare Enrollment/Claims/Provider/Billing/Finance.

Senior Business Systems Analyst QNXT- Operations (Remote)

Sentara

Remote or Richmond, Virginia, USA

Full-time

Sentara is hiring a Senior Business Systems Analyst QNXT - Operations! Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! This is a Full-Time position with day shift hours and great benefits! Work Location: 100% Remote Candidates must have a current residence in one of the follow stat

Remote QNXT Configurations Analyst/Lead

Infinite Computer Solutions (ICS)

Remote

Full-time

Job Descriptions Below: Senior QNXT Benefit Architect Engagement Lead to create the high level QNXT Configuration global design and product approach, and will supply a QNXT Configuration Architect to complete the detailed benefit design. will also provide one Medicaid SMEs to oversee the creation of Florida Medicaid benefit grids for pending Florida Medicaid benefits for MMA+, HIV Aids, Serious Mental Illness and Long-term care lines of business. High level configuration design will include (as

Senior Technical Analyst Healthcare

MST Solutions

Remote

Contract, Third Party

We are seeking a highly skilled and experienced Senior Technical Analyst with expertise in QNXT, QNXT UM, CCA, or EDIFECS. The successful candidate will be responsible for analyzing, designing, and implementing technical solutions to meet the strategic goals of our healthcare client. This role requires a deep understanding of healthcare systems, strong technical acumen, and the ability to work collaboratively with cross-functional teams. Key Responsibilities Analyses business and technical requi

Data Analyst

IT Minds LLC

Remote or Los Angeles, California, USA

Contract

Job Title: Data Analyst Location: Los Angeles, CA (Remote/Onsite) Duration: 6 Months Contract Work closely with business partners and stakeholders to understand business processes and build data models that have integrity and align with business needs.Engage with stakeholders in gathering requirements, facilitating discussions, providing insights, executing rollout plans, and clearly articulating complex issues/ risks/ concepts to meet SLA.Highlight problem statements and draw attention to areas

Senior .Net Developer/Lead with Healthcare Domain

Infinite Computer Solutions (ICS)

Remote

Full-time

Title : Senior .Net Developer/Lead with Healthcare Domain Location : Remote Term : Long Term Contract/Fulltime/Permanent Note : Healthcare domain is mandatory. Job Description: Technical lead/Developer: 1) 8 to 12 years of experience 2) QNXT experience is optional (Not Mandatory) 3) .Net and SQL experience 4) Healthcare Payor domain experience 5) Good communication skills

Sr. Tester

Impelsys

Remote

Third Party, Contract

Job Title: Sr. Tester (Functionality Focus: Enrollment) Experience: 7-10 years minimum within Health Plan testing Location: Remote anywhere in the US (Note: Offshore work is not permitted for this project) Project Duration: 6-12 months Important Skills: Proficiency in Enrollment with the ability to support several functional areas.Recent experience with newer versions of QNXT (Client is on version 6.0).Familiarity with testing tools.Experience with Medicaid (commercial experience is not required

QNXT Benefits Configuration Specialist

Econosoft

Remote

Contract, Third Party

QNXT Benefits Configuration with Medicaid experience (preferably from a Florida health plan) As a QNXT Benefits Configuration Specialist with experience in Medicaid, preferably from a Florida health plan, you will play a critical role in configuring, maintaining, and optimizing our QNXT (QNXT is a widely used health plan administration system developed by TriZetto, a Cognizant Company) benefits system to ensure accurate and efficient processing of Medicaid benefits for our members. You will col

Need - EDI/Healthcare Consultant

ASCII Group LLC

Long Beach, California, USA

Contract

Hi, The following requirement is open with our client. Title : EDI/Healthcare Consultant Location : Long Beach, CA Duration : 12+ Months Relevant Experience (in Yrs.) : 8+ Detailed Job Description: 3+ years of experience in US Healthcare domain3+ years of experience in QNXT3+ year of experience in EDI Transactions (837 - Claims \ Encounters, 834 - Enrollment)3+ year of experience writing SQL queries3+ year of experience understanding and writing requirement traceability matrix, test plans and

Sr. API Quality Analyst

Manage My Dream, LLC

Remote

Contract, Third Party

Title: Sr. API QA (With Automation skills) REMOTE Location: Remote in Approved State AL ,DE, FL, GA, ID, IN, KS, LA, ME, MD, MN, NE, NH, ND, NV, OK, OH,PA, SC, NC, SD, TN, TX, WA, VA,WA, WV, WI Important Skills Technical Salesforce, QNXT, Jira, Must Haves: Strong API QA experience Agile/Kanban familiarity Jira Salesforce of some kind Plus: QNXT (Super plus - I will rank these higher than anyone withtout) Salesforce (Health cloud/marketing cloud/sales cloud - some not all) certs within QA/API rel

QNXT Benefits Configuration Analyst Location:Remote

Apetan Consulting

Remote

Part-time, Third Party, Contract

QNXT Benefits Configuration Analyst Location: Remote Duration: 12-18 months Important Skills Technical QNXT, Commercial Line of business Must Haves: - Need to know QNXT benefits side - Need to know commercial side (Ideal is 75% commercial; 25% Medicare)

Sr. QA Tester experience within Health Plan testing

Manage My Dream, LLC

Remote

Contract, Third Party

Title: Sr. QA Tester experience within Health Plan testing Location: Remote anywhere in the US Experience: 7 to 10 years Note: Health plan testing experiene needed Important Skills : Enrollment proficiency with ability to support several functional areas. Technical recent exp. With newer versions of QNXT (Sentara is on version 6.0) Testing tools Medicaid (commercial is not required for this project) Jira Pharmacy testing experience (ESI) Soft self motivator, critical/analytical thinker Hours / S

Senior Business Analyst-Operations

Sentara

Remote or Virginia Beach, Virginia, USA

Full-time

Sentara Health Plan is hiring for a Senior Business Analyst - Operations. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! This is a Full-Time position, fully remote, with day shift hours and great benefits! Work Location: Remote opportunities available in the following states - Alab

Data Analyst

INGENworks

Remote or Los Angeles, California, USA

Third Party, Contract

Job Title: Data Analyst(Health Care) Location: Los Angeles, CA (Remote/Onsite) Duration: 6 Months Contract No H!B'sExp - 10+years Work closely with business partners and stakeholders to understand business processes and build data models that have integrity and align with business needs. Engage with stakeholders in gathering requirements, facilitating discussions, providing insights, executing rollout plans, and clearly articulating complex issues/ risks/ concepts to meet SLA. Highlight probl

NetworX Pricer SME 100% Remote

Apetan Consulting

Remote or New Jersey, USA

Full-time, Part-time, Third Party, Contract

NetworX Pricer SME Location: Remote Must Haves: - NetworX Pricer SME - Experince BUILDING rate sheets - Exp conducting training in the past for alication and/or built training material for NetworX Pricer. **More concerned with SME part PLus: QNXT Expereince More Details from VP Looking for a NetworX Pricer SME that has conducted training in the past for the application and built training material. To be clear, I'm more concerned with them being a SME, than them being a training expert, but

ETL Tester

Solugenix Corporation

Remote

Contract

ETL Tester Los Angeles, CA (Remote/Onsite) 6-Month Contract Job ID 2024-9924 Solugenix is assisting a client, a prestigious health insurance company, in their search for a ETL Tester. This is a 6-month contract opportunity based out of Los Angeles, CA (Remote/Onsite). Reporting to the Quality Assurance (QA) Manager and Information Technology (IT) Quality Management, the Software Quality Assurance Engineer II will perform test planning, manual test case authoring, scripting automated scripts,