- Molina Healthcare (Omaha, NE)
- …new and existing health plans. + Must have experience in Contracts configuration in QNXT or Networx + Experience in DOFR (division of financial responsibility) or CA ... and experience **Required Experience** 5-7 years in SQL, Medicare, Networx, QNXT , claims processing and hospital claims payment method. **Preferred Education**… more
- Molina Healthcare (Racine, WI)
- …+ Monitors RFC submission mailbox, submit RFCs in iServe, and notify the Analyst of completion. + Researches and reviews MRDT issues identified by the HPs ... that all HPs are up to date. + Understands QNXT , AutoQ, and MCG functionality. Requires assistance with schema...Requires assistance with schema from Tech resource or Lead Analyst . + Writes Requirements for BRDs/FRDs and Reports. +… more
- Molina Healthcare (UT)
- **JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements ... requirements and process improvements. + Proficiency in Excel + Knowledge in QNXT preferred + Strong communication and stakeholder management skills with ability to… more
- Molina Healthcare (Orem, UT)
- …implementing application changes. **Preferred Education** Master's Degree **Preferred Experience** QNXT 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 Opportunity Employer (EOE) M/F/D/V.… more
- Sharp HealthCare (San Diego, CA)
- …Do** Under the direction of the Manager of EDI Management, the Systems Analyst -EDI Mgmt will use technical and analytic skills to complete monitoring, reviewing, ... mapping inbound and outbound data files for Sharp Health Plan. The Systems Analyst -EDI Mgmt will work with general Health Plan operational data sets including, but… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr . Analyst plays a critical role in ensuring accurate, compliant, and ... issues - including underpayments, overpayments, and disputes. The Claims Sr . Analyst serves as a subject matter...+ Experience with core claims platforms such as Facets, QNXT , or Amisys. **Desired Experience (nice to have):** +… more