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QNXT Configuration Analyst

Roles & Responsibilities

  • Configuration experience in QNXT across Pricing, Provider, Enrollment, and Benefit modules
  • Experience configuring provider reimbursement, capitation, membership/divisions, and group/member premiums
  • Knowledge of medical management configuration and related testing/documentation processes
  • Proficiency with Word, Excel, Access, and Visio; strong documentation and data entry skills; understanding of health plan operations and IS testing

Requirements:

  • Configure and maintain QNXT modules (Pricing, Provider, Enrollment, Benefit) to support current operations and growth
  • Set up and maintain provider reimbursement configuration, primary care provider capitation, membership/divisions, and group/member premium configurations
  • Analyze, document, data entry, configure and test configurations to support operations and new market expansion
  • Maintain and update files and documentation using Word, Excel, Access, and Visio; apply knowledge of health plan operations, system configuration, and testing

Job description

Configuration experience in the Pricing, Provider, enrollment, and benefit modules of QNXT.

- Provider reimbursement configuration set-up and maintenance.

- Primary care provider capitation configuration set-up and maintenance.

- Membership/divisions configuration set-up and maintenance.

- Group/member premium configuration set-up and maintenance.

- Medical management configuration set-up and maintenance.

- Analysis, documentation, data entry, configuration and testing of the configuration set-up to support current operations and new market growth.

- Maintenance and updates of various files and documentation, utilizing software such as Word, Excel, Access and Visio.

- Knowledge of health plan operations in regard to information systems, system configuration and testing.

 

Salary Range

Now, a little about us …

At Tegria, we bring bold ideas and breakthroughs to improve care, technology, revenue, and operations in ways that move healthcare organizations from patient-centered to human-centered. We are helping healthcare put people first—both patients and those who dedicate their lives to delivering care.

And at the very core of this vital work is our incredibly talented people.

People with different backgrounds who welcome challenge and change. People who listen first, ask hard questions, and make decisions to cultivate a culture of equity and inclusion. People who chase after goals, growth, and generosity. We’re real. We’re nimble, and we believe in our mission to humanize healthcare.

Perks and benefits

Top talent deserves top rewards. We’ve carefully curated a best-in-class benefits package, meant to meet you wherever you are in your life and career.

  • Your health, holistically. We offer a choice of multiple health and dental plans with nationally recognized networks, as well as vision benefits, a total wellness program, and an employee assistance program for you and your family.
     

  • Your financial well-being. We offer competitive wages, retirement savings plans, company-paid disability and life insurance, pre-tax savings opportunities (HSA and/or FSA), and more.
     

  • And everything in between. Our lifestyle benefits are unrivaled, including professional development offerings, opportunities for remote work, and our favorite: a generous paid-time-off program, giving you the flexibility to plan a vacation, take time away for illness (or life’s important events), and shift your schedule to accommodate those unexpected curve balls thrown your way.
     

Tegria is an equal employment opportunity employer and provides equal employment opportunities (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. All qualified candidates are encouraged to apply.

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