Job Summary
A company is looking for a Senior QNXT Configuration Subject Matter Expert (SME) - Healthcare.
Key Responsibilities:
- Lead and manage the implementation and configuration of QNXT to support health plan operations
- Serve as a subject matter expert, providing guidance on best practices, troubleshooting, and issue resolution
- Collaborate with cross-functional teams to implement and enhance system configurations
Qualifications:
- 10+ years of experience with QNXT configuration in a healthcare or health plan environment
- Strong understanding of health plan claims processing, provider contracts, and benefits configuration
- Knowledge of health plan operations for Medicare, Medi-Cal, and DSNP is highly preferred
- Proficiency in troubleshooting system and configuration issues
- Bachelor's degree in Healthcare Administration, Information Systems, Business, or related field (or equivalent experience)
Comments