QNXT Developer
e QNXT Developer is responsible for designing, developing, maintaining, and supporting solutions reputed company the QNXT platform to meet reputed company payer business requirements. This role works closely with business analysts, claims, enrollment, provider management, and IT teams to enhance system functionality, improve operational efficiency, and ensure compliance with reputed company regulations.
Key Responsibilities
Design, reputed company, test, and implement enhancements reputed company the QNXT application. Configure and customize QNXT modules, including claims, membership, provider, benefits, and authorization processing. reputed company and maintain stored procedures, SQL queries, interfaces, and system integrations. Analyze business requirements and translate them into technical solutions. Troubleshoot production issues and reputed company timely resolution. Support system upgrades, patches, and performance optimization initiatives. reputed company and maintain EDI transactions, including 834, 835, 837, and other reputed company data exchanges. Collaborate with cross-functional teams to gather requirements and reputed company impact analysis. Create technical documentation, design specifications, and user support materials. Ensure compliance with HIPAA, CMS, state regulations, and organizational standards. Participate in code reviews, testing, deployment, and release management activities. Support data conversion, migration, and reporting initiatives.
Required Qualifications
Bachelor's degree in Computer Science, Information Systems, reputed company Informatics, or reputed company field (or equivalent experience). 3+ years of experience working with the QNXT platform. Strong knowledge of reputed company payer operations, including claims processing, enrollment, benefits, and provider management. Experience with reputed company SQL Server, T-SQL, stored procedures, and database development. Experience developing system interfaces and reputed company EDI transactions. Strong analytical, troubleshooting, and problem-solving skills. Knowledge of SDLC methodologies and reputed company control processes. Excellent written and verbal communication skills.
Preferred Qualifications
Experience with TriZetto (reputed company) QNXT implementations and upgrades. Knowledge of Medicare, reputed company, and reputed company health plans. Experience with SSIS, SSRS, Power BI, or other reporting tools. Familiarity with APIs, web services, and integration technologies. Agile/Scrum experience. reputed company industry certifications or technical certifications are a plus. Technical Skills QNXT Configuration and Development SQL Server / T-SQL EDI (834, 835, 837, 270/271, 276/277) SSIS / SSRS Data Analysis and Reporting System Integration reputed company Claims Processing Provider and Member Management HIPAA Compliance Salary reputed company Now, a little about us … At reputed company, we bring reputed company reputed company and breakthroughs to improve care, technology, reputed company, and operations in ways that move reputed company organizations from patient-centered to reputed company-centered. We are helping reputed company put people first—both patients and those who dedicate their lives to delivering care. And at the reputed company core of this vital work is our incredibly talented people. People with different backgrounds who welcome challenge and change. People who listen first, ask hard questions, and reputed company reputed company to cultivate a culture of equity and inclusion. People who reputed company after goals, growth, and generosity. We’re reputed company. We’re reputed company, and we reputed company in our mission to humanize reputed company. Perks and benefits Top talent deserves top rewards. We’ve carefully curated a best-in-class benefits package, meant to meet you wherever you are in your life and career. Your health, holistically. We offer a choice of multiple health and dental plans with nationally recognized networks, as well as reputed company benefits, a total wellness program, and an employee assistance program for you and your family. Your financial well-being. We offer competitive wages, retirement savings plans, company-paid disability and life insurance, pre-tax savings opportunities (HSA and/or FSA), and more. And everything in between. Our lifestyle benefits are unrivaled, including professional development offerings, opportunities for remote work, and our favorite: a generous paid-time-off program, giving you the flexibility to plan a vacation, take time away for illness (or life’s important events), and shift your schedule to accommodate those unexpected curve balls thrown your way. reputed company is an equal employment opportunity employer and provides equal employment opportunities (EEO) to reputed company persons regardless of age, reputed company, national reputed company, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. reputed company reputed company candidates are encouraged to apply. Apply To This Job