- Cognizant (Augusta, ME)
- **Job Title: Sr . QNXT Configuration Analyst ** **Location:** **Remote** **Job ID:** **00067091141** **About the role** As a ** Sr . QNXT Configuration ... Analyst ** , you will make an impact by configuring and maintaining QNXT systems to ensure accurate claims processing and compliance with client requirements. You… more
- Molina Healthcare (San Antonio, TX)
- …new and existing health plans. + Must have experience in Contracts configuration in QNXT or Networx + Experience in DOFR (division of financial responsibility) or CA ... and experience **Required Experience** 5-7 years in SQL, Medicare, Networx, QNXT , claims processing and hospital claims payment method. **Preferred Education**… more
- Molina Healthcare (St. Petersburg, FL)
- JOB DESCRIPTION Job Summary Provides senior level analyst support for configuration information management activities. Responsible for accurate and timely ... 3 years of configuration information management experience maintaining databases, and/or analyst experience within a health care operations setting in a managed… more
- Insight Global (Virginia Beach, VA)
- Job Description Insight Global is looking for a Sr . Business Analyst working remotely for a company in Virginia Beach, VA. This candidate will be working with ... Skills and Requirements - 3-5 years as a Business Analyst - Experience with QNXT - Experience with SQL - Experience with Power BI… more
- CVS Health (OK)
- …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 (Racine, WI)
- **JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements ... requirements and process improvements. + Proficiency in Excel + Knowledge in QNXT preferred + Strong communication and stakeholder management skills with ability to… more
- CVS Health (CO)
- …experience + Experience with system testing and post go-live validation + QNXT Experience + Familiarity with clinical and code editing concepts and products ... (Example: ClaimsXten, Cotiviti PPM & CV) + Extensive knowledge of CPT, HCPCS, ICD-10 coding **Preferred Qualifications** + Prior Relevant Work Experience 3-5 years + Working knowledge of problem solving and decision making skills + Certified Information… more
- Molina Healthcare (Lincoln, NE)
- …implementing application changes. **Preferred Education** Master's Degree **Preferred Experience** QNXT knowledge. SharePoint, MS Project experience. To all current ... Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.… more
- Sharp HealthCare (San Diego, CA)
- …Do** Under the direction of the Manager of EDI Management, the Systems Analyst -EDI Mgmt will use technical and analytic skills to complete monitoring, reviewing, ... mapping inbound and outbound data files for Sharp Health Plan. The Systems Analyst -EDI Mgmt will work with general Health Plan operational data sets including, but… more
- Insight Global (Norfolk, VA)
- Job Description -Working as a NetworX Pricer Configuration Analyst supporting an acquisition of a health plan heavy on commercial benefits -Building rate sheets in ... a new system Pay rate between $40-70 for a senior We are a company committed to creating diverse...-Strong experience supporting NetworX Pricer -Experience with configuration for QNXT , FACETS, or a similar claims platform -Experience building… more