21 Qnxt Jobs

You will be responsible for developing and maintaining software applications for the US Healthcare industry, specifically focusing on EDI and QNXT modules. Your key responsibilities will include: - Demonstrating strong proficiency in .Net, SQL, and in-depth knowledge of the Enrolment module, particularly EDI 837 and EDI 835 within the QNXT platform. - Utilizing your expertise in developing Claims applications using EDI 837 and EDI 835 resources, along with your skills in DotNet and SQL. - Engaging in excellent client communication as you will be required to interact with US clients effectively. To excel in this role, you should possess the following qualifications: - A minimum of 8 years of ...

Role Summary: Leads testing efforts for complex software systems, ensuring high quality and reliability. Roles & Responsibilities: Design comprehensive test strategies and plans. Mentor junior test engineers. Perform advanced testing (performance, security). Collaborate with cross-functional teams. Qualifications: Bachelors or Master’s in Computer Science. 5+ years of experience in software testing. Key Skills: Test automation frameworks Performance testing tools Agile and DevOps practices CI/CD integration Defect management

10-15 years experience in any one or more sub-sectors of Healthcare such as Payers i.e. Health Insurance preferably in the US market as Healthcare Consultant. • More than 5 years hands-on experience on TriZetto’s platforms (either Facets or QNXT) – in a PM/BA/TA/Config capacity • Navigate complexities and ambiguities with client ask or industry trend to clearly document & present CitiusTech solution & expertise • Ability to understand the client Problem statement and strong analytical skills for identifying the possible solution • Ability to build professional relationships, a spirit of co-operation, and a flexible approach to work are required • Self-motivated and strong team player • Abili...

Responsibilities: - Demonstrate deep understanding in Payor workflows such as Claims, Enrolment and Provider workflows Experience with Medicare and Medicaid claims preferred. Experience in healthcare plan operations (e.g., claim adjudication life cycle/workflows, network contracting, provider relations, medical management, audit, compliance) Work independently under guidance from the client and possess good communication skills Should be able perform due diligence in understanding client current system Strong experience in business analysis, requirements gathering, client communication Hands on experience with design, build, implementation, and support of healthcare payer IT systems Experien...

Job Description: You will be responsible for leading Facets/QNXT architecture design, configuration, and implementation for enterprise healthcare clients. Your role will involve driving product roadmap, backlog management, and release planning in alignment with business goals. Additionally, you will define and implement Facets/QNXT data models, data governance, and data management strategies. It will be your responsibility to oversee integration with upstream and downstream systems ensuring compliance with healthcare standards. Collaboration with stakeholders to capture business requirements and translate them into functional/technical specifications is a key aspect of your role. You will al...

You will be responsible for leading Facets/QNXT architecture design, configuration, and implementation for enterprise healthcare clients. Your role will involve driving product roadmap, backlog management, and release planning to align with business goals. Additionally, you will define and implement Facets/QNXT data models, data governance, and data management strategies. You will oversee integration with upstream and downstream systems to ensure compliance with healthcare standards. Collaborating with stakeholders to capture business requirements and translating them into functional/technical specifications will be a key part of your role. Providing hands-on leadership in Facets/QNXT implem...

As a Senior Performance Tester, you will collaborate with the Development, Functional Test Team, business analysts, and Technical Leads to implement releases. Your responsibilities will include understanding nonfunctional requirements, creating the performance test strategy, analyzing and reviewing nonfunctional requirements, creating performance test scripts and test data, and prioritizing based on business needs. You will be involved in planning, monitoring, and controlling nonfunctional test activities, reporting application capabilities, making recommendations to the technical team and business, and preparing risk mitigation plans if delays are foreseen. Knowledge of the healthcare domai...

1.Functional testing in US Healthcare Payer domain 2.QNXT product expertise in Enrollment & Claims module testing 3.Strong experience in EDI transactions preferably 834, 837 4.Strong SQL skills

As a Test Lead in our team, you will be responsible for leading testing activities within the Healthcare Industry. With 8-10 years of experience in Manual and Automation Testing, your role will involve working extensively on Agile Methodology. Your expertise in SQL, functions, views, and procedures will be crucial, along with a deep understanding of FACETS or QNXT modules such as Claims and Enrollments. You will play a key role in Healthcare, focusing on EDI files processing, managing a small team, and resolving issues efficiently. Exceptional problem-solving and troubleshooting skills are essential for this position. Your responsibilities will include managing Testing Scope, SLAs, communica...

Title/Designation : Product Consultant/ Payer Integration Lead/Architect Role : Payer Core Solutioning Location : Navi Mumbai/ Pune/ Bangalore/ Chennai/ Gurgaon/ Hyderabad Work Mode: Hybrid Exp: 12 to 15 years Role & responsibilities: Candidate will be part of our Payer consulting team, responsible for working with clients on implementing key solutions, work closely with client account leads in identifying new transformational opportunities with accounts and develop proactive proposals thereby contributing to overall account growth and client success Actively participate in client presentations, proposal walkthroughs, demos to convey CitiusTech solution & value proposition Work with customer...

Title/Designation : Product Consultant/Architect Role : Customer Success - Payer Core Solutioning Location : Navi Mumbai/ Pune/ Bangalore/ Chennai/ Gurgaon/ Hyderabad Work Mode: Hybrid Exp: 12 to 15 years Role & responsibilities: Candidate will be part of our Payer consulting team, responsible for working with clients on implementing key solutions, work closely with client account leads in identifying new transformational opportunities with accounts and develop proactive proposals thereby contributing to overall account growth and client success Actively participate in client presentations, proposal walkthroughs, demos to convey CitiusTech solution & value proposition Work with customer deli...

Title/Designation : Sr. Payer Integration Lead / Architect Role : Customer Success - Payer Core Solutioning Location : Navi Mumbai/ Pune/ Bangalore/ Chennai/ Gurgaon/ Hyderabad Work Mode: Hybrid Exp: 12 to 15 years Role & responsibilities: Candidate will be part of our Payer consulting team, responsible for working with clients on implementing key solutions, work closely with client account leads in identifying new transformational opportunities with accounts and develop proactive proposals thereby contributing to overall account growth and client success Actively participate in client presentations, proposal walkthroughs, demos to convey CitiusTech solution & value proposition Work with cus...

Title/Designation : Sr. Payer Integration Lead / Architect Role : Customer Success - Payer Core Solutioning Location : Navi Mumbai/ Pune/ Bangalore/ Chennai/ Gurgaon/ Hyderabad Work Mode: Hybrid Exp: 12 to 15 years Role & responsibilities: Candidate will be part of our Payer consulting team, responsible for working with clients on implementing key solutions, work closely with client account leads in identifying new transformational opportunities with accounts and develop proactive proposals thereby contributing to overall account growth and client success Actively participate in client presentations, proposal walkthroughs, demos to convey CitiusTech solution & value proposition Work with cus...

Role: QNXT Configuration and SI Mandatory Skill: QNXT, Config, SQL Responsibilities To analyze and understand requirements, design, develop, unit test and document test results for Facets/FACETS interfaces development tasks. Exposure to QNXT / QNXT data model, QNXT core batches & SQL & .Net skills required. Hands on experience in QNXT claims & Enrolment QNXT system implementation role to analyze and understand requirements, design, develop, unit test and document test results for QNXT interfaces and reports development tasks Exposure and basic understanding of core QNXT functions such as claims, membership, and provider would be desired along with working knowledge on underlying data models....

Role & responsibilities Preferred candidate profile 1-6 years experience in Benefits configuration Mandate skills: Qnxt,Facets,SQL,Benefits configuration Mode: WFH Any Graduates Flexible to work night shifts

Role & responsibilities Preferred candidate profile 1-5 years experience in claims with facets US Healthcare Flexible to work US shifts Work location: Chennai/ Hyd/Coimbatore Work Mode: WFH (Temporary)

Dear Applicants Hiring for Benefit Configuration - WFH Location: Pan India Position: TL & SDM Shift: US shift, WFH Notice: Up to 1month Qualification: Graduate with Science, Arts or commerce background Ctc - TL: 10lpa, SDM: 18.5lpa Skills : 5 to 11 years US Healthcare skills in claims and Benefit configuration with SQL / QNXT tool expr required. Good Communication skills (Oral & Written). Addressing and resolving escalated issues in the appropriate manner within the appropriate timeframe and escalates as appropriate. Energy and Drive. Ability to build and expand relationships. Diligence & Persistence Willingness to travel. RESPONSIBILITIES : Performing Member enrollment, design, coding on Cu...

Cognizant is hiring Encounter Submission Specialist (US Healthcare) for Hyderabad location. Job Title: Team Manager Experience - 8 - 11 Years Job Location: Hyderabad (relocation benefits available for other location candidates) Mode of Work - Work from Office Shifts - Mid Shift - (1 PM IST to 11 PM IST) Candidates with 8 - 11 years of experience particularly from Encounter submission background US Healthcare Knowledge. E.g. Encounter, EDI, HIPAA, 837 Layout, insights into Medicare and Medicaid , Markets etc. Facets/QNXT or any other healthcare adjudication system knowledge will be an added advantage. SQL Server - SSIS or SSRS plus any Microsoft cloud technologies will be an added advantage. ...

Cognizant is hiring Encounter Submission Specialist (US Healthcare) for Hyderabad location. Job Title: Team Leader Experience - 5 - 8 Years Job Location: Hyderabad (relocation benefits available for other location candidates) Mode of Work - Work from Office Shifts - Mid Shift - (1 PM IST to 11 PM IST) Candidates with 5 - 8 years of experience particularly from Encounter submission background US Healthcare Knowledge. E.g. Encounter, EDI, HIPAA, 837 Layout, insights into Medicare and Medicaid , Markets etc. Facets/QNXT or any other healthcare adjudication system knowledge will be an added advantage. SQL Server - SSIS or SSRS plus any Microsoft cloud technologies will be an added advantage. Ana...

BA SQL Medicaid US Healthcare, Medicaid, Claims, SQL, QNXT, Facets Gather and analyze business requirements from stakeholders Document BRDs, FRDs, and user stories for development teams Facilitate communication between business and technical teams Conduct gap analysis and suggest improvements Support UAT, training, and deployment activities Create process flowcharts, data models, and presentations Track project progress and provide status updates to leadership

SUMMARY Job Title: Healthcare Claims Associate German Language Location: Powai, Mumbai Experience Level: 1 6 years Employment Type: Full-time Shift: UK shift Job Summary: We are looking for a detail-oriented and multilingual professional to join our healthcare operations team as a Healthcare Claims Associate with fluency in German . The ideal candidate will be responsible for processing, reviewing, and validating healthcare claims in accordance with company policies and healthcare regulations. Fluency in German is essential as the role involves interpreting and processing claims originating from German-speaking regions. Key Responsibilities: Review, verify, and process healthcare claims usin...