Description

About the job

 

Looking for a strong business analyst with technical skills, who has been a Provider Configuration lead on QNXT

• QNXT Claims System experience, specifically with Provider Data Model, Provider Configuration, and Medicare Advantage.

• QNXT System implementation experience

• Expertise in QNXT Provider Configuration Design and QNXT Provider Conversion

◦ Understanding QNXT Provider Data Model

◦ Translating current Provider data into the QNXT Provider Data Model based on what is required to correctly process claims

• Understand Provider Data from a business perspective, Medicare Advantage provider requirements, and all the sources and uses of the data.

• Need to have Provider Configuration Lead for at least 3 successful QNXT implementations.

• Specific experience with coming in post-implementation and fixing a “botched” implementation would be helpful to understand the pitfalls to avoid.


 

Education

Any Graduate