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Full Time Qnxt Jobs (NOW HIRING)

Medix

Health Plan Claims Examiner (ONSITE)

Tulsa, OK · On-site

$20 - $20.50/hr

Tulsa, OK (74103) Job Type: Full-Time | Contract Indefinite Pay Range: $20.00-$20.50/hour, based on ... This role will use the QNXT system to process, audit, and validate claims while testing system ...

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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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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.

EDI Technical Analyst (Claims) - Hybrid

Phoenix, AZ • On-site, Remote

HJ Staffing
See more jobs at HJ Staffingexternal

Full-time

Re-posted 9 days ago

Job description

HJ Staffing is seeking an EDI Technical Analyst (Claims) to support, analyze, test, and maintain EDI transactions, integrations, and data exchange processes for healthcare claims operations. In this role, you will partner with business and technical teams to troubleshoot production issues, develop technical documentation, create data mappings, and ensure successful data exchange between trading partners.

The ideal candidate combines strong analytical skills, EDI expertise, SQL proficiency, healthcare systems knowledge, and direct experience supporting payer platforms like QNXT to drive operational efficiency and data integrity.

Vital Requirements (Please Read Before Applying)
  • Work Location: Must currently reside in Arizona and be able to commute to the Phoenix office (85021) at least one day per week.
  • Work Authorization: Must be a US Citizen or Green Card holder. We cannot provide sponsorship now or in the future for this temp-to-hire role.
  • Platform Experience: Direct, hands-on experience with the QNXT platform is strongly preferred and must be clearly listed on your resume.
What You Will Do
  • Production Support: Support, troubleshoot, and resolve EDI production issues related to claims and trading partner transactions; participate in on-call support rotations.
  • Data Analysis & Mapping: Analyze, map, and validate healthcare data exchanges including 270/271, 834, 835, and 837 transactions.
  • SQL & Monitoring: Write and maintain SQL queries for production support, reporting, testing, and data validation. Utilize Splunk, App Insights, SOAP UI, and Postman to monitor and validate system performance.
  • Testing & Documentation: Create and execute test plans, process test files, document results, and resolve defects. Develop technical specifications, mapping documents, and process flows.
  • Integrations: Support API integrations, ETL processes, and enterprise data exchange initiatives while developing dashboards to monitor data quality.
  • Compliance: Maintain strict compliance with HIPAA requirements and healthcare EDI standards including TR3, CAQH CORE, and Blue Exchange guidelines.
What You Will Bring

    Required Experience

    • 3 years of experience in computer technology and/or information systems.
    • 2 years of experience in data analysis, data management and integration, data extraction, and reporting.
    • 2 years of healthcare EDI experience.
    • Hands-on experience with 270/271, 834, 835, and 837 EDI transactions.
    • Recent, hands-on QNXT experience within a healthcare payer environment is strongly preferred.
    • Hands-on experience with Microsoft SQL Server and writing SQL queries for production support, testing, troubleshooting, and reporting.
    • Experience with data mapping, flat-file analysis, EDI file testing, and production support.

    QNXT and Microsoft SQL Server is a must.
    Work Authorization
    Candidates must be U.S. citizens or Green Card holders. Sponsorship is unavailable because this is a 6-month temporary-to-hire position.
    Location
    This position is fully remote. However, candidates cannot reside in Alaska, California, Delaware, Hawaii, Kentucky, Maine, Massachusetts, Mississippi, New Hampshire, New Jersey, New York, Ohio, Pennsylvania, Puerto Rico, Washington, D.C., or Wyoming.

You Will Be Successful If:
  • You can quickly identify, troubleshoot, and resolve complex data and integration issues.
  • You confidently work with large datasets and translate complex business requirements into technical solutions.
  • You thrive in a fast-paced environment with competing priorities and deadlines.
  • You demonstrate strong communication skills and can easily explain technical concepts to non-technical business stakeholders.
Employment Type: FULL_TIME

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