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Qnxt Jobs (NOW HIRING)

IDEALFORCE LLC

Developer (32121)

Phoenix, AZ

Company Description IDEALFORCE has a CONTRACT position available immediately for a QNXT Developer to join our customer in Phoenix Arizona. This is an ONSITE position. Please find below additional ...

1199SEIU Funds

Chief Clerk III

Manhattan, NY

Maintain accurate data entry of 199SEIU member information in hospital claims processing system (QNXT) Track and ensure completeness of daily inquires; ensure they are sent to appropriate payment ...

1199SEIU Funds

Chief Clerk III

Manhattan, NY

Maintain accurate data entry of 199SEIU member information in hospital claims processing system (QNXT) Track and ensure completeness of daily inquires; ensure they are sent to appropriate payment ...

1199SEIU Funds

Telephone Representative II

Manhattan, NY · On-site

$17 - $22/hr

... QNXT, V3, and Member Portal) Request required proof of wages or hours worked as necessary; forward documentation to the Eligibility Department to update member eligibility records Research status of ...

1199SEIU Funds

Hospital Claims Processor V

Manhattan, NY

$18.75 - $23.75/hr

Validate information entered in hospital claims module (QNXT); determine the process or work flow needed to resolve discrepancies * Finalize hospital claims by applying knowledge of eligibility ...

IDEALFORCE LLC

Business Analyst(34088)

Phoenix, AZ · On-site

Extremely strong QNXT experience Ability and potential to manage an IT Department Strong Business Analyst background with Development/Management skills Potential to mentor junior Business Analyst ...

1199SEIU Funds

Telephone Representative II

Manhattan, NY · On-site

$17 - $22/hr

... QNXT, V3, and Member Portal) Request required proof of wages or hours worked as necessary; forward documentation to the Eligibility Department to update member eligibility records Research status of ...

Idealforce

Business Analyst(33685)

Phoenix, AZ · On-site

Business Analyst IDEALFORCE has a contract position available immediately for a QNXT Business Analyst to join our customer in Phoenix, Arizona. This is an onsite position. Please find below ...

Idealforce

Business Analyst(32474)

Phoenix, AZ

Business Analyst IDEALFORCE has a contract position available immediately for a QNXT Business Analyst to join our customer in Phoenix, Arizona. This is an onsite position. Please find below ...

1199SEIU Funds

Hospital Claims Processor V

Manhattan, NY

$18.75 - $23.75/hr

Validate information entered in hospital claims module (QNXT); determine the process or work flow needed to resolve discrepancies * Finalize hospital claims by applying knowledge of eligibility ...

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$28.5K

$400K

How much do qnxt jobs pay per year?

As of Jun 11, 2026, the average yearly pay for qnxt in the United States is $378,863.00, according to ZipRecruiter salary data. Most workers in this role earn between $400,000.00 and $400,000.00 per year, depending on experience, location, and employer.

What is a Qnxt job?

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 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.

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.

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Qnxt jobs near you

Business Configuration Solutions Analyst Senior -Cognizant Implementations (Hybrid)

UPMC Senior Communities

Pittsburgh, PA • On-site

$32.85 - $56.83/hr

Full-time

Posted 6 days ago

Job description

Are you passionate about solving complex system challenges, leading transformational change, and serving as the go-to expert for business and technical partners? As a Senior Business Configuration Solutions Analyst, you'll play a critical role in shaping how UPMC Health Plan's core systems support its products, members, and operations-today and into the future.
In this role, you'll oversee and optimize administrative and system processes that power our transactional platforms across all UPMC Health Plan products. You'll take a leadership role in major system initiatives, including the modernization of the CoreAdministration Processing System (CAPS) and the migration from our legacy platform to Cognizant QNXT. Your work will ensure accurate configuration, business readiness, and operational stability throughout the transition.
As a trusted subject matter expert, you'll partner closely with business leaders, technical teams, vendors, and external stakeholders to identify opportunities, design solutions, and guide execution. You'll also mentor team members-helping develop talent, sharing expertise, and driving consistent, high-quality outcomes.
This is a hybrid role with a 3 day a week in office requirement.
What You'll Do
  • Lead the administration, configuration, testing, auditing, and implementation of transactional claims processes for internal clients and TPA business
  • Support CAPS modernization and migration to Cognizant QNXT, including configuration buildout, testing, conversion validation, and go-live readiness
  • Translate business requirements into system designs and enhancements, ensuring alignment with operational and customer needs
  • Drive solution selection by conducting vendor research, supporting RFPs, facilitating demos, and defining evaluation criteria
  • Collaborate across business, IT, security, compliance, legal, and contracting teams to review requirements and ensure alignment
  • Audit business requests to confirm configurations comply with plan design, schedules of benefits, and reimbursement requirements
  • Analyze data to identify risks, trends, or gaps that may impact client satisfaction, compliance, or financial outcomes-and propose actionable solutions
  • Work closely with developers and testers to ensure requirements are accurately translated into functional technical solutions
  • Manage requirements gathering, prioritization, and negotiation to ensure delivered solutions meet or exceed expectations
  • Support system integration activities related to CAPS-to-QNXT migration, including coordination, testing validation, and production readiness
  • Identify root causes of issues, assess member and financial impact, and implement effective resolution strategies
  • Ensure controls are in place and monitored to meet regulatory standards and UPMC policies
  • Maintain and annually review departmental policies and procedures, making updates as needed
  • Take an active mentorship role by coaching, developing, and supporting team members
  • Participate in enterprise-wide initiatives and perform additional duties as assigned

What You Bring
  • Hands-on experience with Core Administration Processing Systems, specifically Cognizant QNXT
  • Proven experience supporting or leading system migrations (legacy platforms to QNXT), including data mapping, configuration, testing, and validation
  • Strong understanding of claim adjudication logic, pricing methodologies, coordination of benefits (COB), and payment integrity
  • Proficiency in SQL or similar query tools for research, validation, and troubleshooting
  • Working knowledge of EDI transactions (837, 835, 834, 820, 270/271)
  • Experience using requirements and work management tools such as Jira, Azure DevOps, ServiceNow, and Confluence
  • The ability to communicate complex technical concepts clearly to both technical and non-technical audiences
  • A collaborative mindset paired with the confidence to lead, influence, and drive change

Why This Role Matters
This is more than a configuration role-it's an opportunity to shape enterprise-scale systems, influence how critical healthcare operations function, and help guide a major platform transformation. If you're energized by complex problem-solving, cross-functional leadership, and mentoring others while driving meaningful impact, this role was built for you.
Qualifications:
• Bachelor's Degree or equivalent work experience.
• Minimum of 6 years general business experience.
• Understanding of XML data structure.
• 3 or more years of experience with Core Administration Processing Systems, specifically Cognizant QNXT is highly preferred.
• Hands-on experience supporting or leading a system migration (e.g., legacy platform → QNXT), including data mapping, configuration buildout, conversion validation, and parallel testing.
• Strong understanding of claim adjudication logic, pricing methodologies, COB, and payment integrity functions highly preferred.
• Proficient in SQL or similar query tools for data validation, research, and troubleshooting.
• Familiarity with EDI transactions (837, 835, 834, 820, 270/271) highly preferred.
• Experience using requirements management tools (Jira, Azure DevOps, ServiceNow, Confluence) highly preferred. .
Licensure, Certifications, and Clearances:
  • Act 34

UPMC is an Equal Opportunity Employer/Disability/Veteran

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