13 results (2 new)
Remote
•
2d ago
The job description says 10-15+ years with QNXT, not sure how realistic that will be but would say the more experienced the better.Experience preferred would be for Commercial Lines of BusinessClaims ConfigurationBenefits ConfigurationNetworX ExperienceProvider PaymentSQLOptum PSI (specifically Rate Manager)Clinical Editing
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Full-time
$50+
Remote
•
Today
Qualifications: Proven experience with QNXT benefits configuration (specific to benefits, not just claims). Solid understanding of commercial and government benefit claims processes. Proficiency in SQL with experience in writing and optimizing queries. Strong experience in designing benefits configurations, with an emphasis on accuracy and compliance. Excellent communication and collaboration skills, with the ability to work effectively in a team environment. Detail-oriented and analytical minds
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Contract, Third Party
Depends on Experience
Remote or Long Beach, California
•
Today
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
Full-time
Remote or Long Beach, California
•
Today
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
Full-time
Remote
•
Yesterday
The job description says 10-15+ years with QNXT, not sure how realistic that will be but would say the more experienced the better.Experience preferred would be for Commercial Lines of BusinessClaims ConfigurationBenefits ConfigurationNetworX ExperienceProvider PaymentSQL Pluses Optum PSI (specifically Rate Manager)Clinical Editing
Easy Apply
Contract
Depends on Experience
Remote or Long Beach, California
•
Today
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
Full-time
Remote or Long Beach, California
•
Today
Job Description JOB DESCRIPTION Job Summary The Azure ETL Developer is tasked with designing and developing Azure Data Factory solutions, covering projects of moderate to high complexity. This position also necessitates proficiency in Microsoft SSIS ETL solutions to support the architecture, development, and migration of legacy solutions to Azure Data Factory. Candidates should possess three to five years of experience with the Microsoft ETL stack, including experience in SSIS, SSRS, T-SQL, a
Full-time
Remote
•
Today
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 analysis between client needs and QNXT ca
Contract, Third Party
Depends on Experience
Remote
•
Today
Job Title: Senior IKA Configuration Analyst Location: Remote (Occasional travel to Long Beach, CA) Employment Type: Contract to Hire (3-6 months) Required Skills and Qualifications: Bachelor's degree in Healthcare Administration, Information Systems, Business, or a related field (or equivalent experience).5+ years of experience in healthcare IT, claims administration, or health plan operations, with at least 3 years configuring ikaSystems' software (ikaEnterprise, ikaClaims, or similar).Deep exp
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Contract
Up to $60
Remote or Santa Clara, California
•
Today
Our ADAS Platform team is responsible for building a scalable and modular software stack that powers advanced driver-assistance systems across a diverse range of product lines and OEMs. We are looking for a highly motivated Senior Software Systems Engineer with a strong foundation in software architecture. This role is ideal for someone who thrives on working across multiple layers of the software stack to drive modularization, improve abstraction, and enable extensibility and reuse. You will pl
Full-time
USD 184,000.00 per year
Remote or California
•
Today
Shape the Future of Autonomous Driving with NVIDIA! Join NVIDIA's DRIVE Road Structure, Online Mapping, and Context Fusion team as we build the next generation of autonomous vehicle technology. We are seeking a highly skilled Senior Software Engineer to architect, develop, and optimize the software stack powering our advanced 3D world modeling, map-perception fusion, and context-aware navigation systems. In this role, you'll collaborate with leading experts across perception, planning, and mappi
Full-time
USD 184,000.00 per year
Remote or Santa Clara, California
•
Today
At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity. Learn m
Full-time
USD 121,000.00 - 194,350.00 per year
Remote or Cincinnati, Ohio
•
Today
At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity. Learn m
Full-time
USD 105,000.00 - 169,050.00 per year
