- Insight Global (Norfolk, VA)
- Job Description Insight Global is looking for QNXT Benefits Configuration Analyst SMEs to join a team of one of our large healthcare clients. This position will be a ... analysis to make decisions to resolve issues -Previous configuration experience within QNXT -Desire a Bachelor's degree -Ability to be coachable -Team player… more
- Molina Healthcare (Fort Worth, TX)
- …**Job Summary** The Delivery Manager will be responsible in delivering various technical projects that involves in (Compute, Storage, Network, Data Management) ... migration to Azure. The incumbent in this role will be closely working with PMO, Project technical team in delivering our key initiatives. The Delivery Manager will drive the deliverables with technical knowledge in the below areas. * Manage delivery of… more
- 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
- Fallon Health (Worcester, MA)
- …of the TruCare documentation system as well as Fallon Health's core system QNXT + In coordination with the Administrative Assistant, manages the supplies inventory ... in Outlook and communicates such to interdepartmental teams via QNXT Call Tracking + Receives requests for ACO member...approved materials and communicates such to interdepartmental teams via QNXT Call Tracking + Utilizes Smart Data for processing… more
- TEKsystems (Honolulu, HI)
- …will have experience working with claims systems such as Cotiviti and QNXT , managing offshore vendor relationships, and collaborating across departments to ensure ... Commercial lines of business. + Integrate and optimize claims systems (Cotiviti, QNXT ) into daily workflows. + Manage offshore vendor relationships to ensure… more
- 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
- Robert Half Management Resources (Burbank, CA)
- …and regulatory compliance. + Assess current use and configuration of the QNXT system, focusing on eligibility and enrollment modules. + Collaborate with business ... Medicaid regulations and CMS requirements. + Proven hands-on experience with the QNXT system, particularly in the eligibility and enrollment components. + Excellent… more
- Molina Healthcare (NY)
- …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
- 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
- Molina Healthcare (FL)
- …of Claims or Adjustment experience in Medicare and/or Medicaid + Familiarity with QNXT , iServe, Project Management 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 Range: $21.82 - $51.06 /… more