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Full Time Qnxt information

What is a full time QNXT?

A Full Time QNXT job typically refers to a position where an employee works with the QNXT software system, which is a healthcare payer core administration platform developed by TriZetto. Professionals in these roles may be responsible for configuring, maintaining, or supporting QNXT for health insurance companies, focusing on claims processing, member management, and provider data. Full-time QNXT jobs can include roles like QNXT Analysts, Developers, Business Analysts, and Support Specialists. These positions generally require knowledge of healthcare processes, experience with QNXT, and problem-solving skills. Working full-time means a standard workweek, often with benefits and long-term employment.

What are some common challenges faced by full time QNXT professionals when managing complex healthcare claims?

Full Time QNXT professionals often encounter challenges such as navigating intricate claims data, adapting to frequent regulatory updates, and ensuring data accuracy while processing high volumes of transactions. Collaboration with IT, clinical, and business teams is essential to resolve system issues and streamline workflows. To succeed, professionals must stay current with QNXT system enhancements and industry best practices, which helps ensure compliance and operational efficiency.

What are the key skills and qualifications needed to thrive as a full time QNXT analyst, and why are they important?

To thrive as a Full Time QNXT Analyst, you need a solid understanding of healthcare claims processing, benefit configuration, and experience with the QNXT platform, often supported by a degree in healthcare administration or a related field. Proficiency with QNXT software, SQL, and knowledge of related systems like EDI and HIPAA compliance is typically required. Strong problem-solving abilities, attention to detail, and effective communication are important soft skills in this role. These competencies ensure accurate claims processing, regulatory compliance, and collaboration across teams for efficient healthcare operations.

What is the difference between Full Time Qnxt vs Health Insurance Claims Processor?

AspectFull Time QnxtHealth Insurance Claims Processor
CredentialsTypically requires knowledge of Qnxt software, healthcare billing, and coding certificationsRequires understanding of insurance policies, billing, and coding, often with similar certifications
Work EnvironmentOffice-based, healthcare or insurance company settings, involving software use and data managementOffice or remote, handling claims data, customer interactions, and billing processing
Industry UsagePrimarily in healthcare administration, insurance companies, and third-party administratorsIn healthcare insurance companies, hospitals, and billing services

Full Time Qnxt roles focus on managing healthcare data using the Qnxt platform, requiring specific software knowledge and certifications. Health Insurance Claims Processors handle claims and billing, often with overlapping skills. Both roles are essential in healthcare administration but differ mainly in software specialization and daily tasks.

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What are the most commonly searched types of Qnxt jobs?

The most popular types of Qnxt jobs are:

What job categories do people searching Full Time Qnxt jobs look for?

The top searched job categories for Full Time Qnxt jobs are:

Full Time Qnxt jobs near you
Infographic showing various Full Time Qnxt job openings in the United States as of September 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution.

QNXT Program Manager

Long Beach, CA • On-site, Remote

HJ Staffing
See more jobs at HJ Staffingexternal

Full-time

Re-posted 17 days ago

Job description

We are seeking an QNXT Program Manager to take full accountability for the Claims Workstream within a large-scale QNXT core platform transformation, including migrating from the current IKA platform.

Location: Long Beach, CA (100% Remote)

Schedule: Monday - Friday, 8:00 AM - 5:00 PM (PST)

Start Date: 08/10/2026

End Date: 02/10/2027

In this role, you will lead the end-to-end planning, execution, governance, and delivery of all claims-related implementation activities. You will collaborate closely with product managers and leaders supporting Provider Data, Configuration (provider contracts, benefits, utilization management, business rules), and Capitation to ensure a seamless migration, precise claims adjudication, and operational readiness for go-live.

Key Responsibilities
  • Program Leadership & Migration: Accountable for end-to-end implementation and issue resolution for the QNXT Claims workstream, driving the complete migration off the IKA platform.
  • Integrated Planning & Governance: Manage the claims implementation plan across operations, configuration, testing, data conversion, training, cutover, and post-go-live stabilization. Maintain RAID logs, decision logs, and status reporting.
  • Cross-Functional Workstream Alignment: Coordinate alignment across Claims, Provider Data, Benefits, Utilization Management, and Capitation to ensure accurate future-state claims adjudication, pricing, and payment.
  • Vendor & Consultant Management: Direct day-to-day collaboration with external implementation consultants and software vendors to ensure scope, timelines, deliverables, and architecture decisions stay on track.
  • Testing, Cutover & Stabilization: Lead preparations for system testing, defect triage, mock conversions, go-live cutover, and post-implementation stabilization while validating contingency and readiness plans.
  • Risk & Change Management: Proactively identify execution risks, workflow gaps, and dependency issues to safeguard project timelines, claims accuracy, and stakeholder confidence.
Required Qualifications
  • Education: Bachelor's degree in Business, Health Administration, Information Systems, or a related field (or equivalent combination of education and experience).
  • Experience: Minimum 6 years of related experience within a health plan, managed care, or healthcare organization.
  • Core Platform Expertise: Hands-on experience with QNXT (or a directly comparable core administrative platform) is required.
  • Domain Knowledge: Deep expertise in healthcare payer claims operations and the end-to-end claims lifecycle (adjudication, pricing, payment, and provider/benefit configuration interactions).
  • Transformation Leadership: Proven experience leading large, cross-functional system implementations or platform migrations involving data conversion, system testing, defect triage, mock conversions, cutover planning, and go-live stabilization.
  • Technical Proficiency: Advanced skills with Microsoft Office Suite (Word, Excel, PowerPoint, Teams), Visio, Access, and SQL.
  • Work Schedule: Ability to work standard PST business hours (Monday - Friday, 8:00 AM - 5:00 PM PST).
Preferred Qualifications
  • Master's degree (MBA, MPH, MHA, or MS in Information Systems).
  • Direct experience leading IKA-to-QNXT platform migrations.
  • Experience driving AI-driven operational improvements within healthcare claims environments.
What Will Make You Successful
  • Ability to take end-to-end ownership of a high-stakes, enterprise claims implementation with minimal supervision.
  • Strong consensus-building and coaching skills to align senior leadership, technical teams, consultants, and vendors around common priorities.
  • Comfort navigating fast-paced, complex, and ambiguous transformation environments.
  • Sharp analytical, risk-management, and decision-making skills to resolve blockers before they impact critical path timelines.
  • Exceptional executive-level communication and change-leadership abilities.
Employment Type: FULL_TIME

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