Remote Senior QNXT Configuration Analyst

JOB TITLE: Remote Senior QNXT Configuration Analyst
JOB LOCATION: Remote
WAGE RANGE*: $52hr to $55hr (must be self incorporated)
JOB NUMBER: 24-01853

REQUIRED EXPERIENCE:

Very proficient (at least 5 years' experience) configuring in QNXT (Focus on the following areas: Contracts, Benefits, Fee Schedules/Different Payment Methodologies, Capitation, Rules, Successful Data Points for X12 Transactions, CARCs/RARCs).
Thorough understanding of relational database concepts and schemas.
Competent writing complex SQL queries for data analysis.

JOB DESCRIPTION

Top 3 Required Skills:

• Very proficient (at least 5 years' experience) configuring in QNXT (Focus on the following areas: Contracts, Benefits, Fee Schedules/Different Payment Methodologies, Capitation, Rules, Successful Data Points for X12 Transactions, CARCs/RARCs).
• Thorough understanding of relational database concepts and schemas.
• Competent writing complex SQL queries for data analysis.

Essential Job Duties:

• Analyzes client requests for proposals and applies advanced subject matter knowledge to solve complex business issues.
• Adheres to and supports Configuration team approach and other configuration principles, methodologies, and practices.
• Works closely with the implementation team to analyze and document client's business requirements and processes. Communicates these requirements by constructing configuration deliverables.
• Researches and defines solutions for new configuration, legislation, or client rules.
• Creates and presents solution, proof of concept, or testing results to customer for new business processes or outcome requests.
• Completes configuration within schedule timelines and configuration best practices.

Additional Required Skills:

• Experience working with Medicaid/MMIS systems. Preferred experience includes DDI (Design, Development, and Implementation) and operation & maintenance phase.
• Experience processing Medicaid claims & encounters and ability to troubleshoot adjudication results.
• Experience with Requirement Traceability Matrices.
• Preferred experience working with Client Application Lifecycle Management (ALM).

Equal Opportunity Employer Veterans/Disabled

* While an hourly range is posted for this position, an eventual hourly rate is determined by a comprehensive salary analysis which considers multiple factors including but not limited to: job-related knowledge, skills and qualifications, education and experience as compared to others in the organization doing substantially similar work, if applicable, and market and business considerations. Benefits offered include medical, dental and vision benefits; dependent care flexible spending account; 401(k) plan; voluntary life/short term disability/whole life/term life/accident and critical illness coverage; employee assistance program; sick leave in accordance with regulation. Benefits may be subject to generally applicable eligibility, waiting period, contribution, and other requirements and conditions.

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