• Remote QNXT Developer

    Insight Global (Norfolk, VA)
    Job Description Insight Global is looking for a Remote QNXT Developer working for a large healthcare company. The ideal candidate will be assisting with the ... implementation of QNXT from the legacy app that the company obtains....team of other developers and guide them through the QNXT knowledge and help of the implementation. No US… more
    Insight Global (08/11/25)
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  • QNXT QA Tester

    NTT DATA North America (San Francisco, CA)
    …executed as part of an overall sourcing strategy. NTT DATA currently seeks a ** QNXT QA Tester** to join our team for a remote position. **Role Responsibilities** ... -Perform end-to-end testing and validation of QNXT configuration, including benefits, provider contracts, pricing, accumulators, authorization rules, and claims… more
    NTT DATA North America (08/13/25)
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  • Lead Analyst, Technical Configuration Information…

    Molina Healthcare (Dallas, TX)
    …+ Mentors junior analysts + Participates in or leads project meetings + Understands QNXT , AutoQ, and MCG functionality and schema + Determines if a project is AutoQ, ... to deployment, including work assignment, prioritization, issue triage etc. + Understands QNXT , AutoQ, and MCG functionality and schema + Determines if a project… more
    Molina Healthcare (08/27/25)
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  • Provider Info Data Entry Specialist - Hybrid

    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
    Fallon Health (08/20/25)
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  • Lead Analyst, Configuration Oversight - Payment…

    Molina Healthcare (Provo, UT)
    …guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in Medicaid managed ... identify trends or discrepancies related to over- or underpayment. + Utilize QNXT to research claims history, provider contract setup, and benefits configuration. +… more
    Molina Healthcare (07/24/25)
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  • Provider Data Auditor

    Fallon Health (Worcester, MA)
    …management. * Provides support in auditing provider linking to contract logic in QNXT ; completing 10 records monthly to maintain provider linking knowledge. * May ... Knowledge of provider data/enrollment. Experience in the symplr Payer (eVIPs) and QNXT systems is preferred but not required. **Fallon Health provides equal… more
    Fallon Health (08/21/25)
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  • Specialist, Configuration Oversight (Healthcare…

    Molina Healthcare (Boise, ID)
    …as applied to the appropriate modules within the core processing system ( QNXT ). * Conducts focal audits on samples of processed transactions impacted by ... claims processing system . + Experience using claims processing system ( QNXT ). **PREFERRED EDUCATION:** Bachelor's Degree or equivalent combination of education and… more
    Molina Healthcare (08/16/25)
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  • Manager, Enrollment - REMOTE

    Molina Healthcare (Omaha, NE)
    …automated process and manual input + Ensure quality control of data entered into QNXT and sent to external vendors + Oversees and participates in state, federal, and ... State, Federal, and business regulatory requirements and strong system knowledge of QNXT and other state specific applications concerning Managed Care Enrollment. +… more
    Molina Healthcare (08/01/25)
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  • Health Plan Territory Representative II

    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
    LA Care Health Plan (07/06/25)
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  • Representative, Customer Experience

    Molina Healthcare (Vancouver, WA)
    …years + Preferred Systems Training: + Microsoft Office + Genesys + Salesforce + Pega + QNXT + CRM + Verint + Kronos + Microsoft Teams + Video Conferencing + CVS ... Caremark + Availity 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 (08/30/25)
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