Hi Everyone, Hope you are doing great, We have an immediate opportunity for *QNXT Configuration and Sr. Developer at Richmond VA .*
*Send resumes to s...@nytpartners.com <s...@nytpartners.com>* *Job Title: QNXT Configuration Sr. Developer * *Location: Richmond VA * *Duration: Long term* The configuration developer will work on technical projects and maintenance activities in support of a Claims Management System implementation. This role combines technical developer-analyst skills with a working background and understanding of healthcare Claims Management Systems. Build automated scripts and solutions to solve gaps between business expectations and system limitations, including implementation of configuration improvements ole. Develop loads, edits and maintains TriZetto’s QNXT application system configuration items (for Benefits, Contracts, Providers) in support of end to end business operations. Develop test cases based on business requirements and maintains test data in alignment with approved test cases. Perform actual testing, validates and analyzes the output and documents results. Performs and anticipates needed analytical and technical support for defining, tracking, and resolving QNXT Application System issues, changes, and enhancements. *Responsible for:* - Develops loads, edits and maintains TriZetto’s QNXT application system configuration items (for Benefits, Contracts, Providers) in support of end to end business operations. - Provides regular, comprehensive status updates and reporting on all project and operational activities to leadership and business users as required. - Performs and anticipates needed analytical and technical support for defining, tracking, and resolving QNXT Application System issues, changes, and enhancements. - Develops and maintains detailed user and technical documentation. - Develops test cases based on business requirements and maintains test data in alignment with approved test cases. Performs actual testing, validates and analyzes the output and documents results. Also, makes recommendations required in the process to allow for continuous improvement of the overall testing and QA process for the QNXT application system accuracy, integrity, and performance. - Participates in projects for implementations of QNXT system releases, change/service packs, and upgrades. - Maintains a knowledge base with a thorough understanding of the range of applications and tools used throughout the organization and how these tools and products interact with the QNXT application system or other related systems or processes. *Required Experience - * - 5+ years of technology (development) and business analysis experience in the Health Care industry with a working knowledge of how Benefits, Rates, Fee Schedules, and Provider Contracts impact the payment and processing of claim(s). Experience should also include a working knowledge of HL7, X12, healthcare file formats (EDI record types) and a thorough understanding of XML. - 3+ years of demonstrated expertise and a detailed working knowledge of the TriZetto QNXT Claims processing system, with a specific focus on the configuration of Benefits, Claims, Rates, Resource Based Relative Value Scale (RBRVS), Fee Schedules, Service Codes, Code Sets, Provider Contracts, Provider Management, DOFR, and Open Enrollment activities. Facets experience may be considered for the right candidate. - Ability to leverage consistent, process driven problem solving and troubleshooting skills across a wide variety of configuration and technical issues that impact the integrity and operability of the QNXT application system and related operational business processes. Thanks and Regards, Sam New York Technology Partners – Rochester T1: (201) 680-0200 x 7026 s...@nytpartners.com www.nytp.com -- -- To unsubscribe from this group, send email to cbe-software-engineer-unsubscr...@googlegroups.com For more options, visit this group at http://groups.google.com/group/CBE-Software-Engineer?hl=en --- You received this message because you are subscribed to the Google Groups "CBE Software Engineer" group. To unsubscribe from this group and stop receiving emails from it, send an email to cbe-software-engineer+unsubscr...@googlegroups.com. For more options, visit https://groups.google.com/d/optout.