Description

You will lead provider configuration design and conversion processes within QNXT claims systems to ensure accurate claims processing.

This role is remote.

Responsibilities

• Lead provider configuration design and provider conversion processes within QNXT.
• Translate existing provider data into the QNXT Provider Data Model for accurate claims processing.
• Analyze provider data from business perspectives, including Medicare Advantage requirements and various data sources.
• Identify and mitigate implementation pitfalls based on system architecture and data model constraints.

Required Skills

• 5+ years of experience in business analysis or technical configuration roles.
• Proven experience as a Provider Configuration Lead for at least three successful QNXT implementations.
• Deep expertise in QNXT Provider Configuration and QNXT System implementation.
• Technical mastery of the QNXT Provider Data Model.
• Direct experience with Medicare Advantage provider requirements and data usage.
• Ability to manage complex provider data conversions.
• Any Graduate degree.

Key Skills

Education

Any Graduate