QNXT Developer

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🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🖥 Software Engineer

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Tegria

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2020

💼 Consulting

🏥 Healthcare

⚕️ Healthcare Insurance

Consulting • Healthcare • Healthcare Insurance

Tegria is a global healthcare consulting and services company that partners with provider and payer organizations to advance care, improve performance, and tackle the biggest challenges in healthcare. They offer a range of services including patient access optimization, data analytics, cloud solutions, and revenue cycle transformation to create value and enhance healthcare delivery. Tegria focuses on streamlining operations, fostering innovation, and leveraging technology to maximize performance and improve patient experiences.

📋 Description

• Design, develop, test, and implement enhancements within the QNXT application • Configure and customize QNXT modules, including claims, membership, provider, benefits, and authorization processing • Develop and maintain stored procedures, SQL queries, interfaces, and system integrations • Analyze business requirements and translate them into technical solutions • Troubleshoot production issues and provide timely resolution • Support system upgrades, patches, and performance optimization initiatives • Develop and maintain EDI transactions, including 834, 835, 837, and other healthcare data exchanges • Collaborate with cross-functional teams to gather requirements and perform impact analysis • Create technical documentation, design specifications, and user support materials • Ensure compliance with HIPAA, CMS, state regulations, and organizational standards • Participate in code reviews, testing, deployment, and release management activities • Support data conversion, migration, and reporting initiatives

🎯 Requirements

• Bachelor's degree in Computer Science, Information Systems, Healthcare Informatics, or related field, or equivalent experience • 3+ years of experience working with the QNXT platform • Strong knowledge of healthcare payer operations, including claims processing, enrollment, benefits, and provider management • Experience with Microsoft SQL Server, T-SQL, stored procedures, and database development • Experience developing system interfaces and healthcare EDI transactions • Strong analytical, troubleshooting, and problem-solving skills • Knowledge of SDLC methodologies and source control processes • Excellent written and verbal communication skills • Experience with TriZetto (Cognizant) QNXT implementations and upgrades preferred • Knowledge of Medicare, Medicaid, and Commercial health plans preferred • Experience with SSIS, SSRS, Power BI, or other reporting tools preferred • Familiarity with APIs, web services, and integration technologies preferred • Agile/Scrum experience 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 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