- Cognizant (Columbus, OH)
- …everyday life. See how at www.cognizant.com or @cognizant. **Job Title** **: QNXT Product Consultant** **Location** **:** **Remote** **Job ID** **: SO# 00063631421** ... Adjudication and Processing systems with great understanding of the ** QNXT Framework** and its SQL Server data model. +... Framework** and its SQL Server data model. + QNXT product development experience + Highly skilled at ASP.NET… more
- Molina Healthcare (Columbus, OH)
- …health plans. + Must have experience in Contracts and Benefits configuration in QNXT or Networx + Must have knowledge on Medicare payment methods + Experience ... and experience **Required Experience** 5-7 years in SQL, Medicare, Networx, QNXT , claims processing and hospital claims payment method. **Preferred Education**… more
- Molina Healthcare (Columbus, OH)
- …implementation and conversion of new and existing health plans. + Must have QNXT configuration experience specifically in Benefits + Must have experience with SQL. ... **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent combination of education and experience **Required Experience** 5-7 years **Preferred Education** Graduate Degree or equivalent experience **Preferred Experience** 7-9 years To all… more
- Molina Healthcare (Columbus, OH)
- …Plans. + Must have strong experience with Benefits and contracts configuration in QNXT + Must have claims processing experience + Knowledge is SQL + Experience ... is Excel is required + Experience in Networx is required **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent combination of education and experience **Required Experience** 7-9 years **Preferred Education** Graduate Degree or… more
- Molina Healthcare (Columbus, OH)
- …community. + Must have strong experience with Benefits and contracts configuration in QNXT + Must have claims processing experience + Knowledge is SQL + Experience ... is Excel is required + Experience in Networx is required **JOB QUALIFICATIONS** **Required Education** Associate degree or equivalent combination of education and experience **Required Experience** 2-5 years **Preferred Education** Bachelor's Degree or… more
- Fallon Health (Worcester, MA)
- …territory. Update provider demographic and non contractual changes in QNXT /eVips accurately and timely. **Responsibilities** **Primary Job Responsibilities:** + ... internal resources in order to analyze and resolve issues. + Monitor status of QNXT cases thru to resolution status. Maintain detailed documentation within QNXT … more
- Insight Global (Norfolk, VA)
- …Collaboration: Excellent communication and collaboration skills with teams and leadership. - Qnxt Experience: Familiarity with Qnxt software is a plus. null ... We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified… more
- LA Care Health Plan (Los Angeles, CA)
- …lead algorithm assignments. Enters Data accurately by following the Goldmine and QNXT guidelines. Responsible for maintaining the quality and integrity of the CRM ... of internal proprietary systems, including but not limited to: CISCO, QMEIS, MEIS, QNXT , PDM, MARx, Member360, and AEVS to pre-screen prospective members for all… more
- Fallon Health (Worcester, MA)
- …initiates entry of service request shells into core system (TruCare and/or QNXT ). Responsible for incoming calls for the UM department addressing and/or referring ... and triage to the UM nurse as per productdelegation * Research claims in QNXT to verify admission and discharge dates * Research member in the ADT admission… more
- Fallon Health (Worcester, MA)
- …a managed care organization is preferred. **Additional Performance Requirements:** + QNXT , Smart Data Solutions, Clarity, ClaimsXten, TruCare, Microsoft Office, Ring ... with personal computer applications, including Microsoft Office. + Knowledge of QNXT preferred. + Excellent organizational and communication skills. + Strong… more
- CareOregon (Portland, OR)
- …years' experience with one or more of the following: Biztalk, Edifecs, MuleSoft, QNXT + Experience with Agile methodology Preferred + Experience with EDI transaction ... + Knowledge of EDI systems, such as Biztalk, Edifecs, MuleSoft, or QNXT Skills and Abilities + Strong communication skills, including listening, verbal, written,… more
- Molina Healthcare (Columbus, OH)
- …preferred + Coding certification preferred + Knowledge of configuration in QNXT strongly preferred **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or ... equivalent combination of education and experience **Required Experience** 5-7 years **Preferred Education** Graduate Degree or equivalent combination of education and experience **Preferred Experience** 7-9 years To all current Molina employees: If you are… more
- Molina Healthcare (Columbus, OH)
- …technologies are being implemented. + Coding experience a plus! + Familiar with QNXT is a plus. **Job Summary** Responsible for internal business projects and ... programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May… more
- Molina Healthcare (Columbus, OH)
- …and templates and ensures that all negotiated contracts can be configured in the QNXT system. Works with Legal and Corporate as needed to modify templates to ensure ... compliance with all contractual and/or regulatory requirements. + Oversees plan-specific fee schedule management. + Develops strategies to improve EDI/MASS rates. + Provides oversight of Provider Services and coordinates activities with Provider Association(s)… more
- CVS Health (Columbus, OH)
- …with reporting platform WEBI (SAP BI Launchpad)** **Knowledge of QNXT databases and underlying data structures** **Crystal Reporting experience preferred** ... **Education** **Bachelor's degree in Information Systems, Computer Science, or equivalent related work experience** **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $46,988.00 - $122,400.00 This pay… more
- Molina Healthcare (Columbus, OH)
- …analysis and variance. Collect and collate data from WFM, ACD, Transaction systems ( QnXT preferred) * Creates data models for correlation / aggregation of data from ... multiple sources. Creates the automation of the statistical model and is able to fine tune parameters to create scenarios and predict workload and call propensity * Maintains headcount/FTE requirements for each plan and works closely with leadership to ensure… more
- Molina Healthcare (Columbus, OH)
- …Platform + Salesforce Platform + Sitecore Platform + MuleSoft and Apigee + QNXT (Cognizant/TriZetto) 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. \#PJCorp \#LI-AC1 \#HTF Pay Range: $107,028 -… more
- Molina Healthcare (Columbus, OH)
- …techniques, such as Excel, SQL, Databricks + Experience working with Python and QNXT is preferred. + Experience working in a Healthcare / Managed care environment ... specifically with Provider data is preferred. * Experience training and supporting other individual contributors* Excellent communication, presentation, and interpersonal skills, with the ability to interact effectively with stakeholders at all levels… more
- Molina Healthcare (Columbus, OH)
- …application changes. **Preferred Education** Master's Degree **Preferred Experience** + QNXT or QMACS knowledge or Centricity CPS 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… more
- Molina Healthcare (Columbus, OH)
- …BI tools (ProClarity, MEd Insight, etc.,) **Preferred License, Certification, Association** QNXT or similar healthcare payer applications 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. Pay… more
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