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Qnxt Configuration Jobs (NOW HIRING)

CVS Health

Configuration Management Senior Analyst

$46K - $122K/yr

Position Summary Supports configuration management activities by implementing and maintaining ... QNXT experience. Extensive knowledge of CPT, HCPCS, ICD-10 coding. Must be willing to work 1-2 ...

CVS Health

Configuration Management Senior Analyst

$46K - $122K/yr

Position Summary Supports configuration management activities by implementing and maintaining ... QNXT experience. Extensive knowledge of CPT, HCPCS, ICD-10 coding. Must be willing to work 1-2 ...

Parkland Health

The IT Solution Architect oversees the design, build, configuration, and operation of core Parkland ... Preferred Experience Experience working in Cognizant QNXT/CAE environments, specifically designing ...

3B Staffing LLC

EDI Developer

Boston, MA · Remote

QNXT Day to Day: * Will be helping with a backlog of work. They have a list of prioritization ... Responsible for any configuration changes in XEngine configuration files for any trading partner ...

3B Staffing LLC

EDI Developer

Boston, MA · Remote

QNXT Day to Day: * Will be helping with a backlog of work. They have a list of prioritization ... Responsible for any configuration changes in XEngine configuration files for any trading partner ...

TekCommands Inc

BSA - Healthcare Payer

OR · Remote

Knowledge of Benefits Configuration, Claims Adjudication, Eligibility, Enrollment, Provider ... Experience working with payer platforms such as Facets, QNXT, HealthRules, NASCO , or similar ...

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Qnxt Configuration information

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$37.5K

$95.9K

$144.5K

How much do qnxt configuration jobs pay per year?

As of Sep 5, 2026, the average yearly pay for qnxt configuration in the United States is $95,935.00, according to ZipRecruiter salary data. Most workers in this role earn between $76,000.00 and $112,000.00 per year, depending on experience, location, and employer.

What is a Qnxt configuration?

A Qnxt Configuration job involves setting up and maintaining the QNXT healthcare platform to support health plan operations. This includes configuring benefits, provider networks, claims processing rules, and system workflows to ensure compliance with business and regulatory requirements. Professionals in this role collaborate with business analysts, developers, and stakeholders to optimize system performance and troubleshoot configuration issues. Strong analytical skills and knowledge of managed care processes are essential for success in this position.

What are the typical daily responsibilities for a Qnxt configuration specialist?

As a Qnxt Configuration specialist, your daily responsibilities often involve analyzing client or organizational requirements, configuring health plan benefits and provider networks within the QNXT system, and troubleshooting configuration issues. You will work closely with business analysts, quality assurance teams, and other IT professionals to implement system changes and support ongoing operations. Additionally, staying updated with regulatory changes and client needs is important to keep configurations accurate and compliant. This role typically involves balancing independent tasks with team collaboration, making strong organization and communication skills valuable assets.

What are the key skills and qualifications needed to thrive in the Qnxt configuration position?

To thrive as a Qnxt Configuration professional, you need a solid understanding of healthcare insurance processes, experience in configuring QNXT (a TriZetto healthcare management platform), and proficiency with claims, provider, and benefits modules. Technical skills with relational databases, SQL, and familiarity with regulatory requirements such as HIPAA, along with certifications like CBIP or relevant system training, are highly valued. Strong problem-solving abilities, attention to detail, and effective communication are important soft skills for collaborating across IT and business teams. These combined skills ensure accurate system configuration, regulatory compliance, and efficient support of healthcare operations.

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Qnxt Configuration jobs near you
Infographic showing various Qnxt Configuration job openings in the United States as of August 2026, with employment types broken down into 75% Full Time, and 25% Contract. Highlights an 60% In-person, 6% Hybrid, and 34% Remote job distribution, with an average salary of $95,935 per year, or $46.1 per hour.

Program Lead, QNXT Implementation - SCAN Temp

SCAN Group

Long Beach, CA • On-site

Full-time

Medical, Vision, Retirement

Re-posted 11 days ago

Job description

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the "12 Angry Seniors." Their mission continues to guide everything we do.
Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults.
Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity.
At SCAN, we believe scale should strengthen-not dilute-our mission. We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve.
The Job
The Program Lead, QNXT Implementation - SCAN Temp is the accountable leader for successful implementation of the Claims workstream within the QNXT core platform transformation, including migration from the current IKA platform. This role directs end-to-end planning, execution, governance, and delivery across claims-related workstreams and coordinates closely with supporting product managers for Claims, Provider Data, and Configuration (including provider contracts, benefits, UM/business rules, and capitation), future state design, internal subject matter experts, and external consultants.
The role is responsible for ensuring all deliverables are completed with quality and on schedule, risks and dependencies are actively managed, teams are coached and aligned, and the organization is operationally ready for testing, cutover, and go-live.
You Will
  • Serve as the accountable program lead for the Claims implementation of QNXT, with end-to-end responsibility for planning, execution, issue resolution, and successful delivery of the claims migration from IKA.
  • Lead the integrated claims implementation plan across business, operational, configuration, data, testing, training, readiness, and cutover activities; ensure milestones, deliverables, and dependencies are clearly defined, monitored, and achieved.
  • Coordinate and drive alignment across supporting workstreams, including Claims, Provider Data, and Configuration for provider contracts, benefits, UM/business rules, and capitation, to ensure an end-to-end solution that supports accurate claim adjudication and payment.
  • Partner with the future state designer, internal SMEs, technology teams, and consultants to define future state workflows, business requirements, operating model changes, and design decisions required to implement QNXT claims capabilities.
  • Own governance for the claims implementation workstream, including status reporting, risk and issue management, decision tracking, escalation management, and communication to leadership and program stakeholders.
  • Ensure all claims-related deliverables are completed with quality and traceability, including requirements, process designs, configuration inputs, conversion needs, test scenarios, defect resolution plans, readiness criteria, and go-live support materials.
  • Coach and coordinate the broader cross-functional team, including program managers and SMEs, by establishing clear ownership, promoting disciplined execution, resolving barriers, and driving accountability for commitments and outcomes.
  • Manage day-to-day collaboration with implementation consultants and vendors to ensure scope, deliverables, timelines, and design decisions align with business objectives, operational needs, and enterprise governance standards.
  • Lead claims implementation readiness for testing, mock conversions, cutover, and go-live by confirming operational preparedness, validating defect remediation and contingency plans, and supporting a stable transition from legacy to future state operations.
  • Drive continuous improvement across the implementation by identifying execution risks, workflow gaps, and dependency failures early, and implementing corrective actions that protect timeline, quality, claims accuracy, and stakeholder confidence.
  • We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.
  • Actively support the achievement of SCAN's Vision and Goals.
  • Other duties as assigned.

Your Qualifications
  • Bachelor's degree or equivalent combination of education and experience - Business, Health Administration, Information Systems, or related fields.
  • Master's degree (preferred) - MBA, MPH, MS in Health Administration, Information Systems, or related field.
  • Minimum 6 years related experience with in the health plan, healthcare, or related industry.
  • Strong knowledge of healthcare payer claims operations, end-to-end claims lifecycle, and business processes required to support accurate adjudication, pricing, payment, and issue resolution. Experience leading large, cross-functional system implementations or business
  • transformations involving claims, operations, configuration, data, testing, and operational readiness.
  • Working knowledge of QNXT or comparable core administrative platforms, including the relationship between claims processing and upstream/downstream functions such as provider data, benefits, contracts, UM/business rules, and capitation.
  • Ability to build and manage integrated workplans, deliverables, RAID logs, decision logs, and governance routines in a complex program environment.
  • Ability to translate strategy and future state design into clear business requirements, implementation priorities, accountable owners, and executable plans.
  • Strong facilitation, communication, and influencing skills, with the ability to align senior leaders, SMEs, operational teams, and consultants around decisions, priorities, and timelines.
  • Demonstrated ability to coach teams, drive accountability, and elevate performance in fast-paced, ambiguous, and high-stakes transformation environments.
  • Strong analytical and problem-solving skills, including the ability to assess risks, surface tradeoffs, resolve blockers, and make sound decisions with incomplete information.
  • Experience supporting implementation testing, defect triage, operational readiness, cutover planning, and go-live stabilization for major platform transitions.
  • Ability to balance strategic transformation goals with day-to-day operational realities to deliver a stable, controlled, and business-ready migration from IKA to QNXT.
  • Program leadership and accountability.
  • Strategic planning and execution discipline.
  • Cross-functional collaboration and influence.
  • Executive communication and stakeholder management.
  • Coaching, team leadership, and talent development.
  • Risk management and decision making.
  • Change leadership and organizational readiness.
  • Consultant and vendor management.
  • Operational excellence and results orientation.
  • Advanced Microsoft Office (Word, Excel, PowerPoint, Outlook, Teams, Access), Visio, and SQL required.

SCAN Temp
What's in it for you?
  • This is a temporary opportunity for a limited period of time
  • Base Wage Range: $51.06 - $73.90 hourly
  • Work Mode: Partially Remote
  • Medical Benefits
  • Paid Sick Time
  • Excellent 401(k) Retirement Saving Plan
  • Robust employee recognition program
  • An opportunity to become part of a team that makes a difference to our members and our community every day!

We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!
At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.
SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.
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Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

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