- Cognizant (Plano, TX)
- ** Sr . QNXT Config Analyst .** **About the role:** As a Sr . QNXT Config Analyst , you will make an impact by conducting requirements using QNXT ... add PBPs. + Troubleshoot and remediate/workaround for claim pending issues. + QNXT Configuration for different State implementation. + Ability to do back-end queries… more
- Cognizant (Plano, TX)
- **About the role:** As a Sr . QNXT Config Analyst , you will make an impact by conducting requirements using QNXT configuration. You will be a valued ... add PBPs. . Troubleshoot and remediate/workaround for claim pending issues. . QNXT Configuration for different State implementation. . Ability to do back-end queries… more
- Cognizant (Honolulu, HI)
- **About the role** As a QNXT Config Analyst , you will make an impact by conducting requirements using QNXT configuration. You will be a valued member of the ... to add PBPs. + Troubleshoot and remediate/workaround for claim pend issues. + QNXT Configuration for different State implementation + Ability to do back-end queries… more
- Molina Healthcare (Milwaukee, WI)
- …**Job Summary** Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on ... claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it… more
- Molina Healthcare (Long Beach, CA)
- …current and emerging technologies. **KNOWLEDGE/SKILLS/ABILITIES** + With limited supervision, the Sr . Analyst , Data is responsible for data compilation, data ... to research and analyze data using SQL is required. + Experience with QNXT is preferred. + Medicare/ medicaid membership exp required Required soft skill include… more
- CVS Health (Richmond, VA)
- …And we do it all with heart, each and every day. **Position Summary** The Senior Network Relations Analyst is responsible for the accurate and timely validation ... manner. Staff may be responsible for reviewing claims data and information. The Senior Network Relations Analyst is responsible for monthly Access and… more
- Molina Healthcare (Grand Island, NE)
- …teams + Medicaid primary and Medicare preferable payer claims experience + QNXT experience + Coding experience + SQL experience + Salesforce experience **Preferred ... License, Certification, Association** Certified Business Analysis Professional (CBAP) Certified Professional Coder (CPC) certification **State Specific Requirements:** Experience navigating Nebraska state and Medicare regulations related to claims… more
- Commonwealth Care Alliance (Boston, MA)
- …at this time._** Position Summary: Working under the direction of the SVP Claims, the Senior Data Analyst - Payment Integrity & Claims will provide routine and ... have): * Experience with core claims platforms - Facets, QNXT , or Amisys * MS, HTML, other software and...data in a way that can be presented to senior leadership for decision making * Ability to understand… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr . Analyst plays a critical role in ensuring accurate, compliant, and ... issues - including underpayments, overpayments, and disputes. The Claims Sr . Analyst serves as a subject matter...+ Experience with core claims platforms such as Facets, QNXT , or Amisys. **Desired Experience (nice to have):** +… more