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Job Description

Insight Global is looking for a Remote QNXT Technical Analyst sitting in a Sentara approved state. This candidate will be working on a team built from the ground up dealing with the auditing process for encounters procedures, data files, and systematic validations for QNXT claims processing that is being audited by DMASS. This role will be involved in analysis, planning, building of the program, validating, and upon formal kick off, participate in the running of the auditing program. Work will be done with complex technologies, vendor partners, highly motivated stakeholders - all in a high stakes environment.

The Sentara approved states include:

Alabama, Delaware, Florida, Georgia, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (State), West Virginia, Wisconsin, Wyoming. This position is looking to pay around $57 per hour

We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form (https://airtable.com/app21VjYyxLDIX0ez/shrOg4IQS1J6dRiMo) . The EEOC "Know Your Rights" Poster is available here (https://www.eeoc.gov/sites/default/files/2023-06/22-088\_EEOC\_KnowYourRights6.12ScreenRdr.pdf) .

To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .

Skills and Requirements

Cognizant EDM

Cognizant QNXT

Experience in Medicaid

3 Years 837 EDI Experience (i, p, d)

2 Years Experience with NCPDP Files 2 Years Experience with NCPDP Files

Visionary - able to convert uncertainty and chaos into order (a well-built auditing program).

Handles ambiguity with ease - will not be handed a solution and told to execute. This position will be handed a problem and asked to solve rapidly.

Interface Management Experience

Ability to read, understand, deeply interpret state technical manuals with ease - converting to actions, particularly when it come to Audit opportunities.

Able to articulate encounters errors with ease, and can clearly walk through examples of errors that have occurred, upstream root causes, and systemic paths to resolution.

Able to independently operate as an investigator to problems with Encounters. 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 candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to [email protected].