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Qnxt Jobs in California (NOW HIRING)

HJ Staffing

QNXT Program Manager

Long Beach, CA · On-site +1

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.

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$414.9K

How much do qnxt jobs pay per year?

As of Aug 23, 2026, the average yearly pay for qnxt in California is $393,009.00, according to ZipRecruiter salary data. Most workers in this role earn between $414,900.00 and $414,900.00 per year, depending on experience, location, and employer.

What is a Qnxt?

A Qnxt job typically involves working with the QNXT platform, a healthcare claims and benefits management system used by payers to process claims, manage memberships, and ensure regulatory compliance. Roles can vary, including analysts, developers, testers, or support specialists who configure, maintain, or troubleshoot the system. Professionals in these roles often work with databases, reports, and system integrations to optimize healthcare operations.

What are the typical responsibilities of a Qnxt analyst or administrator?

A QNXT Analyst or Administrator is primarily responsible for configuring and maintaining the QNXT platform, ensuring accurate processing of healthcare claims and member data. Daily tasks may include troubleshooting system issues, performing data validation, generating ad hoc reports, and providing support to end-users such as claims examiners or customer service teams. The role often requires regular collaboration with IT, operations, and compliance departments to implement system upgrades and support organizational goals. By playing a key part in optimizing claims processing workflows, QNXT professionals help ensure efficient and compliant healthcare administration.

What are the key skills and qualifications needed to thrive in the Qnxt position, and why are they important?

To thrive as a QNXT Analyst or Administrator, you need solid experience in healthcare claims processing, data analysis, and system configuration, typically supported by a background in health information technology or business administration. Familiarity with QNXT software (a Trizetto claims management platform), SQL, and industry certifications like Certified Professional Coder (CPC) are often required. Strong problem-solving skills, attention to detail, and effective communication help professionals excel when supporting internal users and collaborating across teams. These skills are vital for ensuring accurate claims adjudication, maintaining regulatory compliance, and optimizing healthcare operations.

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For Qnxt jobs in California, the most frequently searched job titles are:

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Infographic showing various Qnxt job openings in California as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $393,009 per year, or $188.9 per hour.

QNXT Program Manager

HJ Staffing

Long Beach, CA • On-site, Remote

Full-time

Re-posted yesterday

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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