QNXT Configuration Analyst

Job#: 1351795

Job Description:

( 100% Remote )            -- QNXT & NetworkX Pricer Configuration Specialist --       ** $55.00 - $60.00 / Hourly Rate **

Apex Systems has an urgent need for a ( 100% Remote ) QNXT & Networkx Pricer Configuration Specialist !! This will be an Estimated 7+ Month " Contract with POSSIBLE Extension" opportunity, supporting one of our Largest Health Insurance Clients in on the East Coast! Please See Below For All Details.

** HOW TO APPLY **  Send a Resume to [email protected]

Job Title: QNXT & Networkx Pricer Configuration Specialist

Location: 100% Remote

Schedule: (Day Shift) Monday - Friday

Contract Layout: Estimated 7+ Month " Contract with POSSIBLE Extension"

On-Contract Pay & Details:

• $55.00 - $60.00 / Hourly Rate
• Estimated 7+ Month " Contract with POSSIBLE Extension"
• A la Carte Style Benefits
• Paid Weekly
• "Unpaid Leave" ONLY

REQUIREMENTS

1. 4+ Years of Experience with QNXT and Networkx Pricer (Need configuration/technical resources- IV will dive into the level of config experience they have with QNXT and Networkx Pricer specifically within Provider Payment/Claims and how to configure rates in Networx Pricer)

2. Knowledge of Networx Pricer provider payment methodologies (pricing claims, manually configuring rates in Nextworx Pricer)

3. Understand gov’t program- Medicare and Medicaid (Medicaid portion of the project go live is Jan 2024)

Brief Job Description / Duties

Ability to participate actively in team meetings and discussions with other units/departments, including but not limited to BA, Design, QEA, PM, and Deployment teams

• Operational experience in one of the QNXT domains, Membership, Benefits, Provider, and Contracts, is required
• Good knowledge of QNXT data structures
• Must be able to liaison effectively with business and technical groups and transfer QNXT application knowledge to Client's staff
• Hands-on experience with SQL (Oracle / Sybase / MS SQL Server)
• Excellent communication skills
• Good English verbal communication skills
• Provider Payment Methodologies: Claims Pricing/Configuring rates/Processing knowledge
• Knowledge of Networx Pricer and how to manually config

Qualifications

• 5 to 7 years of operational experience in one of the QNXT domains, Membership, Benefits, Provider, and Contracts, is required
• Good knowledge of QNXT data structures
• Must be able to liaison effectively with business and technical groups and transfer QNXT application knowledge to Client's staff
• Hands-on experience with SQL (Oracle / Sybase / MS SQL Server)
• Excellent communication skills
• Good English verbal communication skills
• Provider Payment Methodologies: Claims Pricing/Configuring rates/Processing knowledge
• Knowledge of Networx Pricer and how to manually config

Responsibilities

Ability to participate actively in team meetings and discussions with other units/departments, including but not limited to BA, Design, QEA, PM, and Deployment teams

EEO Employer

Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law. If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation in using our website for a search or application, please contact our Employee Services Department at [email protected] or 844-463-6178.