| Hybrid (TX) II QNXT Claims Analyst II No h1B/CPT at Remote, Remote, USA |
| Email: [email protected] |
| Immediate opening for a QNXT Claims Analyst to support a major health plan partner in a remote capacity with potential for on-site meetings in San Antonio, TX. Position Description: The QNXT Consultant will provide specific guidance on areas surrounding the QNXT platform with a focus on claims and the Star Plus Line of Business. What Youll Get to Do: Provide advisory knowledge of configuration structure and provide leadership in implementing or optimizing configuration solutions to increase auto-adjudication rate and/or implement new lines of business. Provide concrete project plan tasks to bring the current QNXT configuration architecture to an optimize future state, including best practice configuration, assessment of sub-modules not currently leveraged, and provide measurable metrics on configuration approaches. Interface with project teams, stakeholders, and others as necessary to provide status updates or illustrate challenges/roadblocks to realizing desired solutions. Youll Bring these Qualifications: Minimum 5 years experience in QNXT. Prior experience analyzing and troubleshooting claims. Proficiency in NetworX Pricer configuration desired. Excellent communications skills. Experience with QNXT 5.9 or higher desired. SQL skills preferred. Knowledge/Experience with Texas Medicaid programs (STAR, STAR PLUS, CHIP). Familiarity with Agile methodology. This email is generated using CONREP software. A54505 Keywords: Texas Hybrid (TX) II QNXT Claims Analyst II No h1B/CPT [email protected] |
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| Thu Jul 18 00:39:00 UTC 2024 |