- TEKsystems (Chesapeake, VA)
- …with a focus on benefits . Day to day involves: . Meetings . QNXT configuration . Capitation . Actively using standard benefits /pricing methodologies . ... validation of complex benefit configurations within the QNXT platform to support accurate claims adjudication...Ability to work independently Ability to meet deliverables Skills QNXT , Benefits Configuration , commercial insurance,… more
- Cognizant (Augusta, ME)
- **Job Title: Sr. QNXT Configuration Analyst** **Location:** **Remote** **Job ID:** **00067091141** **About the role** As a **Sr. QNXT Configuration ... Analyst** , you will make an impact by configuring and maintaining QNXT systems to ensure accurate claims processing and compliance with client requirements. You… more
- Molina Healthcare (FL)
- JOB DESCRIPTION Job Summary Provides lead level analyst support for configuration information management activities. Responsible for accurate and timely ... terms to configuration parameters. * Manages coding, updating and maintaining benefit plans, provider contracts, fee schedules and various system tables in the… more
- Molina Healthcare (St. Petersburg, FL)
- JOB DESCRIPTION Job Summary Provides senior level analyst support for configuration information management activities. Responsible for accurate and timely ... terms to configuration parameters. * Manages coding, updating and maintaining benefit plans, provider contracts, fee schedules and various system tables in the… more
- LA Care Health Plan (Los Angeles, CA)
- …peers within and outside of the department and the organization to support configuration management best practices, systems enhancement processes, management of ... Core Systems Configuration Analyst III Job Category: Administrative, HR, Business...County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.… more
- Fallon Health (Worcester, MA)
- …procedure (ie, Fallon Health Service Level agreements) issue resolution timeframes, PUNKS, QNXT case inventory/assignments, etc.) + Assist and support the ... critical issues and conflicts to Manager, Provider Data or Sr. Director, Benefit and Provider Configuration as appropriate. + Maintains assignments related… more
- CVS Health (Annapolis, MD)
- …+ Workclosely with Configuration ,Cotiviti and ClaimXtento resolve system issues, benefit configuration errors, and pricing or editing defects. + Partner ... performance standards. The manager partners cross-functionally with Provider Relations, Configuration , Compliance, Finance, Appeals and Grievance. and Medical Management.… more
- Cognizant (Tallahassee, FL)
- …application configurations to deliver optimal solutions. + Update existing configuration business rules with new contractual requirements and identify automation ... the United States. Regardless of your working arrangement, we are here to support a healthy work-life balance through our various wellbeing programs. The working… more
- Molina Healthcare (Racine, WI)
- …process best practices. + Where applicable, codifies the requirements for system configuration alignment and interpretation. + Provides support for requirement ... changes that impact the product. + Engages with operations leadership and Plan Support functions to review compliance-based issues for benefit planning purposes.… more
- CVS Health (Phoenix, AZ)
- …and collaborative environment with a focus on driving enterprise automation in support of top priorities across the organization. As a Staff Software Development ... engineers to do what they do best + Automate provisioning and configuration of infrastructure components to ensure consistency and reliability + Design, develop… more