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From Home Qnxt Configuration Jobs in Virginia (NOW HIRING)

Home * About Us * Capabilities * PROGRAM MANAGEMENT AND PROJECT CONTROLS SUPPORT * SDLC LEADERSHIP ... Hybrid from Alexandria, VA Years' Experience: 7 years' Professional Experience Education: Bachelor ...

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From Home Qnxt Configuration information

What is the difference between From Home Qnxt Configuration vs Qnxt Support Specialist?

AspectFrom Home Qnxt ConfigurationQnxt Support Specialist
CredentialsTypically requires knowledge of healthcare billing systems, certifications in healthcare IT or related fieldsRequires similar certifications, often with additional technical support or troubleshooting training
Work EnvironmentRemote, focused on configuring and setting up Qnxt software for clients or internal teamsRemote or on-site, providing technical support, troubleshooting, and issue resolution for Qnxt users
Industry UsageUsed by healthcare payers, insurance companies, and healthcare IT firms for claims processing and billingEmployed within healthcare organizations or vendors to support Qnxt software users and resolve technical issues

In summary, From Home Qnxt Configuration specialists focus on setting up and configuring the Qnxt system remotely, while Qnxt Support Specialists handle troubleshooting and technical support for users. Both roles require healthcare IT knowledge and often share similar certifications, but their primary responsibilities differ in scope and focus.

What are the most commonly searched types of Qnxt Configuration jobs in Virginia?

The most popular types of Qnxt Configuration jobs in Virginia are:

What job categories do people searching From Home Qnxt Configuration jobs in Virginia look for?

The top searched job categories for From Home Qnxt Configuration jobs in Virginia are:

What cities in Virginia are hiring for From Home Qnxt Configuration jobs?

Cities in Virginia with the most From Home Qnxt Configuration job openings:

QNXT Benefit Configuration SME - VA

Photon

Norfolk, VA • On-site

Full-time

Re-posted 27 days ago


Job description

QNXT Benefit Configuration SMEs with emphasis on commercial plans and Member, Claims, Provider, Sponsor, Benefit modules and related reference Tables.

 

Scope of the Need:

  • The resources will support Benefit Configuration, data formatting, validation, unit testing, and error remediation.
  • The Benefit Configuration Analyst SME would be collaborating with stakeholders to gather, assess, interpret, and design/document Benefit configuration needs and coverage requirements.  
  • Analysts must lead communications and facilitation efforts to present the documented findings and results from an analytical engagement.
  • The analysts must have the ability to independently analyze or mine data, draw sound conclusions, and is able to interpret detail plan benefit summaries
  • Analysts must diligently follow written instructions, oral instructions, and policy.

Experience Necessary

  • 3-5 Years of QNXT Benefit Configuration Implementation and Support Experience (Design, configuration, front/back-end load configuration, resolution/update)
    • Independently design, configure and build benefit plans and various benefit components in QNXT
    • Expertise in setting up and maintaining benefit plan hierarchies, including base plans, riders, and their attributes. This includes understanding the financial impact of benefit configurations on plan costs and premiums.
  • Deep knowledge of Claims Processing Lifecycle - Including the upstream/downstream processes that impact claims payment
  • Independently research claims issues to determine benefit configuration gaps, update configuration as applicable.
  • Exposure and demonstrated ability to create / maintain UM Authorization Templates 
  • 3-5 Years experience of a demonstrated ability to independently create intermediate SQL queries - above and beyond basic.
  • Ability to rapidly interpret and understand current data schemas that are new an unfamiliar
  • Proven ability to operate in complex projects related to benefit configuration, including the ability to lead cross-functional teams and manage timelines, resources, and deliverables effectively.
  • Demonstrated experience in identifying, diagnosing, and resolving complex issues related to benefit configuration in QNXT, including performance tuning and system optimization.