8 Qnxt Jobs

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. This role will also require effective coordination/communication as required to get technical clarifications/questions sorted out with onsite teams for a quality deliverable and support system integration testing done by testing teams. Requirements Overall Experience: 3+ years in developing QNXT applications. Mandatory Experience- Should have a domain exp in Healthcare & QNXT with System implementation and production support. Should have a technical experience in C# (or) Dot net with SQL (or) MS SQL (or) PLSQL Should have expertise in Agile process and capability to work individually and target for quality deliverable

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 Customer specific solutions during the client product implementation stage and ongoing support and maintenance of quality custom solutions. Coding - Assign codes to diagnosis and procedures performed during implementation. Coding the procedure codes in Code Grouper and mapping them to service groups. Reinstatement of medical codes (CPT, HCPCs & Revenue codes) Addition and deletion of codes on frequent basis Sharing the OPTUM codes (Customer Exchange) updates with BRC Identifying contracts and Benefits to map the new codes based on the services. Writing SQL queries to validate the data and pulling test cases from the database Running SQL queries and converting the output into a text files to move the data from BRC Configuration environment to Client environments Creating the Change Controls to setup the Migration process through which data moves to Production region Error Root cause Analysis and Counseling Attending Onshore and client calls Coordinating with management and different teams within membership to clean the inventory and to support each other during need hours. Should contribute to Project Test Planning, as per direction(s) from Team Lead/Group Lead Providing prompt resolution to the team if any query arises. To appoint a backup for any resource on PTO. Making sure that the deliverables and Quality of work is maintained. Interested Candidates contact HR Pallavi @9167757169 / pallavi@careerguideline.com

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. Analytical and Query Writing Skills (SQL) - Joint query, structured query, creating tables, running reports in SQL etc SQL Procedure and Packages, Debugging skills. Knowledge on any reporting tools or software e.g. Tableau or Power BI etc. Should be good at communication skills Interested, kindly share your updated resume to the below email pragya.shrivastav@cognizant.com

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. Analytical and Query Writing Skills (SQL) - Joint query, structured query, creating tables, running reports in SQL etc SQL Procedure and Packages, Debugging skills. Knowledge on any reporting tools or software e.g. Tableau or Power BI etc. Should be good at communication skills Interested, kindly share your updated resume to the below email pragya.shrivastav@cognizant.com

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 using internal systems. Analyze submitted medical documents and ensure compliance with insurance policies. Translate and interpret medical and insurance documents from German to English and vice versa. Communicate with German-speaking clients, hospitals, or insurance providers as required. Identify and flag any inconsistencies or fraudulent claims. Collaborate with internal teams to resolve claim issues and escalate when needed. Maintain accurate records and documentation of all claim activities. Ensure adherence to SLAs and quality metrics. Qualifications & Skills: Bachelor's degree in Healthcare, Business Administration, or a related field. Fluency in German (B2/C1 level or higher) verbal and written. 1 6 years of experience in healthcare claims processing or insurance domain preferred. Strong understanding of medical terminology and healthcare billing systems. Familiarity with ICD, CPT codes, and healthcare regulations is a plus. Excellent communication, analytical, and problem-solving skills. Ability to work in a fast-paced and deadline-driven environment. Experience with tools like Facets, QNXT, or other claims adjudication systems is a plus. Preferred: Certification in German language (Goethe, TestDaF, or equivalent). Experience working with European or German healthcare clients.