QNXT Developer

This is a fully remote position, open to applicants in United States.

📋 Description

• Design, develop, test, and implement enhancements for the QNXT application.

• Configure and customize various QNXT modules, including those for claims, membership, provider management, benefits, and authorization processing.

• Develop and maintain stored procedures, SQL queries, interfaces, and system integrations.

• Analyze business requirements and convert them into technical solutions.

• Troubleshoot production issues and ensure timely resolution.

• Support system upgrades, patches, and initiatives for performance optimization.

• Develop and maintain EDI transactions, such as 834, 835, 837, and other healthcare data exchanges.

• Collaborate with cross-functional teams to gather requirements and conduct impact analysis.

• Create technical documentation, design specifications, and user support materials.

• Ensure adherence to HIPAA, CMS, state regulations, and organizational standards.

• Participate in code reviews, testing, deployment, and release management activities.

• Assist with data conversion, migration, and reporting initiatives.

⛳️ Requirements

• Bachelor's degree in Computer Science, Information Systems, Healthcare Informatics, or a related field, or equivalent experience.

• 3+ years of experience with the QNXT platform.

• Strong understanding of healthcare payer operations, including claims processing, enrollment, benefits, and provider management.

• Proficiency in Microsoft SQL Server, T-SQL, stored procedures, and database development.

• Experience in developing system interfaces and healthcare EDI transactions.

• Strong analytical, troubleshooting, and problem-solving abilities.

• Familiarity with SDLC methodologies and source control processes.

• Excellent written and verbal communication skills.

• Experience with TriZetto (Cognizant) QNXT implementations and upgrades is preferred.

• Knowledge of Medicare, Medicaid, and Commercial health plans is preferred.

• Experience with SSIS, SSRS, Power BI, or other reporting tools is preferred.

• Familiarity with APIs, web services, and integration technologies is preferred.

• Agile/Scrum experience is preferred.

• Healthcare industry certifications or technical certifications are a plus.

🏝️ Benefits

• Multiple health and dental plans with nationally recognized networks.

• Vision benefits.

• Total wellness program.

• Employee assistance program for employees and their families.

• Competitive wages.

• Retirement savings plans.

• Company-paid disability and life insurance.

• Pre-tax savings opportunities (HSA and/or FSA).

• Professional development offerings.

• Opportunities for remote work.

• Generous paid-time-off program.

• Flexible scheduling to accommodate unexpected events.