QNXT RESOURCE

At least 4 years of experience in Information Technology. QNXT resources, specifically Claims and Provider Configuration Analysts with experience in QNXT v 5.9 or higher. Experience working with industry leading Claims, Billing or EHR systems.

Must have Agile Product Development Methodology Benefit Configuration Implementation and Support Experience (Design, configuration, front/back-end load configuration, resolution/update) Independently design, configure and build benefit plans and various benefit components in QNXT Knowledge of Claims processing lifecycle - Upstream/downstream processes that impact claims payment Independently research claims issues to determine benefit configuration gaps, update configuration as applicable.

UM Auth Templates Creation/maintenance Ability to independently create intermediate

SQL queries.:Experience in US Healthcare IT.Strong knowledge of Plan Sponsor & Product, Enrollment & Billing, Provider Data Management, Provider Network Management, Claims, Encounters, Medicare and Marketplace Risk Adjustment