CrawlJobs Logo

Qnxt Accumulator Sme

bhsg.com Logo

Beacon Hill

Location Icon

Location:
United States , Norfolk

Category Icon
Category:
IT - Software Development

Job Type Icon

Contract Type:
Not provided

Salary Icon

Salary:

55.00 - 60.00 USD / Hour
Save Job
Save Icon
Apply Position

Job Description:

Seeking a highly analytical QNXT Accumulator Subject Matter Expert (SME) to support complex accumulator configuration, maintenance, troubleshooting, and claims analysis within a healthcare payer environment. This role requires deep expertise in how accumulators interact with claims adjudication, enrollment data, and benefit structures, along with the ability to investigate and resolve end-to-end processing issues across multiple systems and data layers.

Job Responsibility:

  • Serve as the Subject Matter Expert for QNXT accumulators, including configuration, maintenance, troubleshooting, and operational support
  • Analyze accumulator-related claim issues and determine impacts across claims processing and enrollment data
  • Investigate complex production issues involving claim adjudication, accumulator balances, and member eligibility
  • Write and interpret SQL queries to analyze backend data, validate accumulator behavior, and troubleshoot discrepancies
  • Support enrollment-related accumulator updates and ensure data integrity across membership tables
  • Perform root cause analysis and coordinate resolution efforts across business and technical teams
  • Validate accumulator functionality during system updates, configuration changes, and defect remediation efforts
  • Partner with claims, enrollment, configuration, and IT teams to improve operational accuracy and processing efficiency
  • Document findings, issue resolution steps, and operational procedures to support audit readiness and knowledge sharing

Requirements:

  • 5+ years of hands-on experience as a Subject Matter Expert (SME) supporting QNXT accumulators
  • Strong expertise in accumulator configuration, maintenance, troubleshooting, and issue resolution
  • Deep working knowledge of QNXT backend functionality, including writing and interpreting SQL queries
  • Strong understanding of healthcare claims processing and adjudication workflows
  • Experience supporting enrollment data, membership tables, and accumulator-related updates within enrollment systems
  • Ability to perform end-to-end analysis across claims, accumulators, and enrollment data to identify root causes and downstream impacts
  • Strong analytical, troubleshooting, and problem-solving skills
  • Ability to work independently in complex, fast-paced production environments

Nice to have:

  • Experience with benefit configuration and eligibility processing
  • Exposure to Facets or other healthcare payer platforms
  • Experience supporting production incidents, defect analysis, and operational support teams
  • Knowledge of healthcare payer operations, deductibles, out-of-pocket maximums, and benefit accumulation logic
  • Experience working with reporting, audit validation, or data reconciliation processes

Additional Information:

Job Posted:
May 15, 2026

Employment Type:
Fulltime
Work Type:
Remote work
Icon
Beacon Hill - All Job Offers
Job Link Share:
Copy Link Icon
Facebook Icon Twitter Icon LinkedIn Icon

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Qnxt Accumulator Sme

New

Roving Personal Banker Northern Alaska

Wells Fargo is seeking a Roving Personal Banker (SAFE) for our National Branch N...
Location
Location
United States , Fairbanks
Salary
Salary:
21.00 - 30.00 USD / Hour
https://www.wellsfargo.com/ Logo
Wells Fargo
Expiration Date
May 19, 2026
Flip Icon
Requirements
Requirements
  • 6+ months of interacting with customers experience, or equivalent demonstrated through one or a combination of the following: work experience, training, military experience, education
  • Customer service focus with experience handling complex transactions across multiple systems
  • Experience proactively engaging with customers through outreach via phone or email
  • Ability to educate and connect customer to technology and share the value of mobile banking options
  • Ability to help customers succeed financially by offering introductions to additional team members as appropriate
  • Experience working with others on a team to meet customer needs
  • Experience fostering and developing strong customer relationships
  • Ability to build strong relationships with internal partners
  • Ability to follow policies, procedures, and regulations
  • Ability to identify potential fraud/risky accounts and take appropriate action to prevent loss
Job Responsibility
Job Responsibility
  • Provide support across a variety of branch locations within a specific geography where a banker or teller is out of the office or to temporarily cover vacancies
  • Be flexible and adaptable to changing priorities and new surroundings while meeting customer needs
  • Participate in delivery of exceptional customer experience by building relationships through proactive outreach as well as proposing appropriate products, services, and digital solutions to help customers succeed financially
  • Assist customers with basic requests related to opening new accounts, completing service requests, and submitting credit applications
  • Receive direction from managers and exercise judgement within defined policies and procedures
  • Develop understanding of bank products and services to connect to customers' needs
  • Interact with customers to demonstrate care and build relationships
  • Provide appropriate options for bank products and services to customer
  • Refer customers' financial needs to other bankers and partners as needed
What we offer
What we offer
  • 401(k) Plan
  • Paid Time Off
  • Parental Leave
  • Critical Caregiving Leave
  • Discounts and Savings
  • Health Benefits
  • Commuter Benefits
  • Tuition Reimbursement
  • Scholarships for dependent children
  • Adoption Reimbursement
  • Fulltime
!
Read More
Arrow Right
New

Waiter

Maison Estelle is a private members' club set in a Grade I-listed Georgian townh...
Location
Location
United Kingdom , London
Salary
Salary:
28184.00 - 37544.00 GBP / Year
maisonestelle.com Logo
Maison Estelle
Expiration Date
June 25, 2026
Flip Icon
Requirements
Requirements
  • Proven experience in a luxury / lifestyle multi-outlet food and beverage operation
  • Stays up to date with current hospitality food trends and best practices
  • Must be able to work flexibly including evenings and weekends due to the operational hours of the club
  • Excellent communication skills and comfortable talking to colleagues, senior management and being front of house building relationships with our members
  • A genuine passion for hospitality and hosting
Job Responsibility
Job Responsibility
  • Creating an exceptional dining experience for members and their guests
  • Presenting menu and provide detailed information when asked including allergens information
  • Making sure all service mise en place is ready in advance
  • including table set-up, cutlery, napkins, salt and pepper filled
  • etc
  • Meeting with restaurant colleagues to review daily specials
  • changes on the menu and service specifications for reservations
  • Supporting
  • training
  • and developing any new members of the team and making them feel welcome
What we offer
What we offer
  • Exclusive staff rates and F&B discounts across Ennismore brand
  • Birthday day off
  • Free meal during shift
  • Pension
  • Health cash plan
  • Life assurance
  • 28 days holiday inclusive of bank holidays (increasing with length of service)
  • Recommend-a-friend bonus scheme
  • WSET qualifications
  • Inclusion in the Tronc scheme
  • Fulltime
Read More
Arrow Right
New

Senior Business Relationship Manager (LO)

Wells Fargo is seeking a Senior Business Banking Relationship Manager (LO) to be...
Location
Location
United States , Spring
Salary
Salary:
Not provided
https://www.wellsfargo.com/ Logo
Wells Fargo
Expiration Date
May 21, 2026
Flip Icon
Requirements
Requirements
  • 4+ years of banking experience, or equivalent demonstrated through one or a combination of the following: work experience, training, military experience, education
  • 2+ years of experience sourcing and or managing a portfolio of clients with $2mm - 25mm in annual revenue
  • Strong knowledge of deposit and cash management products and services
  • Strong relationship-building and excellent communication skills with individuals at all levels, internally and externally
  • Ability to balances needs of clients with associated risks and interests of Wells Fargo
  • 3+ years of experience in business-to-business sales
  • Established network in the local market
  • Knowledge and understanding of financial services industry
  • Excellent verbal, written, and interpersonal communication skills
  • Intermediate Microsoft Office skills
Job Responsibility
Job Responsibility
  • Source and onboard new business clients through strategic prospecting, community outreach, and internal referrals
  • Build visibility and develop strong Centers of Influence (COIs) to support long-term relationship development
  • Deepen existing relationships by understanding client priorities and proactively identifying opportunities for engagement and expansion
  • Manage a moderately complex book of business
  • Drive portfolio growth by increasing core deposit balances and identifying deepening opportunities
  • Proactively manage risk exposure and ensure alignment with underwriting policies and risk guidelines
  • Conduct comprehensive financial and credit assessments including cash flow, collateral, and business operating cycles
  • Structure and support secured and unsecured credit solutions within delegated authority, coordinating with credit partners as needed
  • Present credit recommendations and financial strategies to clients and internal stakeholders
  • Recommend and deliver a full suite of Wells Fargo business banking products including credit, treasury management, and digital banking tools
  • Fulltime
!
Read More
Arrow Right
New

Sommelier

Estelle Manor is a rural retreat set on an 85-acre estate in Oxfordshire. The ma...
Location
Location
United Kingdom , Witney
Salary
Salary:
28560.00 - 32000.00 GBP / Year
maisonestelle.com Logo
Maison Estelle
Expiration Date
June 10, 2026
Flip Icon
Requirements
Requirements
  • Passionate about Wine service within a luxury hotel or premium brand
  • Ideally, WSET Level 3
  • Excellent communication skills and comfortable talking to colleagues, senior management and being front of house building relationships with our members and guests
  • Excellent interpersonal, time management and organisational skills
  • Passionate about delivering exceptional guest experience with keen attention to detail
  • A genuine passion for hospitality and hosting
Job Responsibility
Job Responsibility
  • Provide exceptional wine knowledge alongside attentive and personalised wine recommendations
  • Taking wine orders
  • Sharing knowledge and suggesting wines for members based on their personal tastes
  • Provide a luxury beverage service to the highest standard
What we offer
What we offer
  • Biannual company socials plus smaller social and sports groups
  • Exclusive staff rates and F&B discounts across sister properties
  • Estelleversary gifting for all employees
  • Colleague spaces stocked with food, drinks and a selection of juices, teas and coffees
  • Meals during shift
  • Pension
  • Health cash plan
  • Life assurance schemes
  • 28 days holiday inclusive of bank holidays which increases with length of service
  • Colleague Forums and Sustainability Committees
  • Fulltime
Read More
Arrow Right
New

Senior Business Relationship Manager

Wells Fargo is seeking a Senior Business Banking Relationship Manager (LO) to be...
Location
Location
United States , Pembroke Pines
Salary
Salary:
Not provided
https://www.wellsfargo.com/ Logo
Wells Fargo
Expiration Date
May 21, 2026
Flip Icon
Requirements
Requirements
  • 4+ years of banking experience, or equivalent demonstrated through one or a combination of the following: work experience, training, military experience, education
  • 2+ years of experience sourcing and or managing a portfolio of clients with $2mm - 25mm in annual revenue
  • Strong knowledge of deposit and cash management products and services
  • Strong relationship-building and excellent communication skills with individuals at all levels, internally and externally
  • Ability to balances needs of clients with associated risks and interests of Wells Fargo
  • 3+ years of experience in business-to-business sales
  • Established network in the local market
  • Knowledge and understanding of financial services industry
  • Excellent verbal, written, and interpersonal communication skills
  • Intermediate Microsoft Office skills
Job Responsibility
Job Responsibility
  • Source and onboard new business clients through strategic prospecting, community outreach, and internal referrals
  • Build visibility and develop strong Centers of Influence (COIs) to support long-term relationship development
  • Deepen existing relationships by understanding client priorities and proactively identifying opportunities for engagement and expansion
  • Manage a moderately complex book of business
  • Drive portfolio growth by increasing core deposit balances and identifying deepening opportunities
  • Proactively manage risk exposure and ensure alignment with underwriting policies and risk guidelines
  • Conduct comprehensive financial and credit assessments including cash flow, collateral, and business operating cycles
  • Structure and support secured and unsecured credit solutions within delegated authority, coordinating with credit partners as needed
  • Present credit recommendations and financial strategies to clients and internal stakeholders
  • Recommend and deliver a full suite of Wells Fargo business banking products including credit, treasury management, and digital banking tools
  • Fulltime
!
Read More
Arrow Right
New

Business Development Maritime Intern

HDF Energy is a leading global player in the hydrogen sector, with two main acti...
Location
Location
Indonesia , Jakarta
Salary
Salary:
Not provided
hdf-energy.com Logo
HDF Energy
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Engineering, preferably energy, mechanical, marine, naval architecture, chemical, or electrical engineering
  • Maritime studies, shipping, port management, or transportation
  • Environmental studies, sustainability, public policy, international relations, or business
  • Strong interest in renewable energy, hydrogen, maritime decarbonization, clean mobility, or climate-related project development
  • Proficiency in English at a professional level is a must
  • Demonstrated proactivity and autonomy
  • Excellent communication and interpersonal skills
  • Strong team spirit and adaptability
  • Proficiency in Microsoft Office applications (Outlook, Words, Excel, Power Point, Teams, Sharepoint)
  • Undergraduate final-year student, fresh graduate, or master’s student in one of the following fields
Job Responsibility
Job Responsibility
  • Supporting IMO and GIZ-related studies on hydrogen-powered ferry deployment
  • Assisting in mapping permits, regulations, and institutional requirements for hydrogen ferry projects
  • Developing a replicability framework for hydrogen-powered ferry applications in Indonesia and Asia-Pacific
  • Identifying new market opportunities and maritime use cases for hydrogen in the Asia-Pacific region
Read More
Arrow Right
New

Sommelier

We are looking for a Sommelier to join Matteo Montone (MS) and his team. The on ...
Location
Location
United Kingdom , Witney
Salary
Salary:
28560.00 - 32000.00 GBP / Year
maisonestelle.com Logo
Maison Estelle
Expiration Date
June 10, 2026
Flip Icon
Requirements
Requirements
  • Passionate about Wine service within a luxury hotel or premium brand
  • Ideally, WSET Level 3
  • Excellent communication skills and comfortable talking to colleagues, senior management and being front of house building relationships with our members and guests
  • Excellent interpersonal, time management and organisational skills
  • Passionate about delivering exceptional guest experience with keen attention to detail
  • A genuine passion for hospitality and hosting
Job Responsibility
Job Responsibility
  • Take wine orders
  • Share knowledge
  • Suggest wines for members based on their personal tastes to create a bespoke and exclusive experience
  • Provide a luxury beverage service to the highest standard
What we offer
What we offer
  • Biannual company socials
  • Exclusive staff rates and F&B discounts across sister properties
  • Estelleversary gifting
  • Colleague spaces stocked with food, drinks and a selection of juices, teas and coffees
  • Meals provided during shift
  • Pension, health cash plan and life assurance schemes
  • 28 days holiday inclusive of bank holidays which increases with length of service
  • Colleague Forums and Sustainability Committees
  • Recommend-a-friend bonus scheme
  • Uniform provided, cleaned, and pressed
  • Fulltime
Read More
Arrow Right
New

Senior Business Banking Relationship Manager (LO)

Wells Fargo is seeking a Senior Business Banking Relationship Manager (LO) to be...
Location
Location
United States , Clovis
Salary
Salary:
96000.00 - 154000.00 USD / Year
https://www.wellsfargo.com/ Logo
Wells Fargo
Expiration Date
May 21, 2026
Flip Icon
Requirements
Requirements
  • 4+ years of banking experience, or equivalent demonstrated through one or a combination of the following: work experience, training, military experience, education
  • 2+ years of experience sourcing and or managing a portfolio of clients with $2mm - 25mm in annual revenue
  • Strong knowledge of deposit and cash management products and services
  • Strong relationship-building and excellent communication skills with individuals at all levels, internally and externally
  • Ability to balances needs of clients with associated risks and interests of Wells Fargo
  • 3+ years of experience in business-to-business sales
  • Established network in the local market
  • Knowledge and understanding of financial services industry
  • Excellent verbal, written, and interpersonal communication skills
  • Intermediate Microsoft Office skills
Job Responsibility
Job Responsibility
  • Source and onboard new business clients through strategic prospecting, community outreach, and internal referrals
  • Build visibility and develop strong Centers of Influence (COIs) to support long-term relationship development
  • Deepen existing relationships by understanding client priorities and proactively identifying opportunities for engagement and expansion
  • Manage a moderately complex book of business
  • Drive portfolio growth by increasing core deposit balances and identifying deepening opportunities
  • Proactively manage risk exposure and ensure alignment with underwriting policies and risk guidelines
  • Conduct comprehensive financial and credit assessments including cash flow, collateral, and business operating cycles
  • Structure and support secured and unsecured credit solutions within delegated authority, coordinating with credit partners as needed
  • Present credit recommendations and financial strategies to clients and internal stakeholders
  • Recommend and deliver a full suite of Wells Fargo business banking products including credit, treasury management, and digital banking tools
What we offer
What we offer
  • Health benefits
  • 401(k) Plan
  • Paid time off
  • Disability benefits
  • Life insurance, critical illness insurance, and accident insurance
  • Parental leave
  • Critical caregiving leave
  • Discounts and savings
  • Commuter benefits
  • Tuition reimbursement
  • Fulltime
!
Read More
Arrow Right