QNXT Configuration Analyst Job at Robert Half (Pasadena)

Senior QNXT Benefit Configuration Analyst

Location

United States , Norfolk

Salary:

50.00 USD / Hour

Beacon Hill

Expiration Date

Until further notice

Requirements

7+ years of hands-on QNXT benefit configuration experience
Strong expertise across QNXT core modules: Benefit Configuration, Claims, Enrollment, Authorization
Proficiency in Microsoft SQL Server (T-SQL) for data validation, troubleshooting, and configuration analysis
Solid understanding of Commercial and Government plan designs (HMO, PPO, POS, ASO, Medicare, Medicaid, ACA)
Experience configuring and testing benefits during new implementations and annual renewal cycles
Ability to design and configure benefits including copays, deductibles, service codes, and accumulators (flexible on depth of multi-tier complexity)
Hands-on experience with data migration, mapping, conversions, and mass benefit updates
Proven ability to perform gap analysis between business requirements and QNXT capabilities, including recommending workarounds or custom solutions
Strong troubleshooting skills for benefit configuration issues, claims validation, and unit/integration testing
Proficiency with QCS and CMT tools for configuration management and migrations

Job Responsibility

Designing, configuring, validating, and maintaining complex benefit setups within the QNXT platform to ensure accurate claims adjudication and regulatory compliance
Partnering closely with Product, Compliance, IT, Network, and Claims teams to support new implementations, annual renewals, and ongoing benefit maintenance

Senior QNXT Benefit Configuration Analyst

This is a 100 % remote, contract-to-hire position. Eligibility for conversion to...

Location

United States , Norfolk

Salary:

50.00 USD / Hour

Beacon Hill

Expiration Date

Until further notice

Requirements

7+ years of hands-on QNXT benefit configuration experience
Strong expertise across QNXT core modules: Benefit Configuration, Claims, Enrollment, Authorization
Proficiency in Microsoft SQL Server (T-SQL) for data validation, troubleshooting, and configuration analysis
Solid understanding of Commercial and Government plan designs (HMO, PPO, POS, ASO, Medicare, Medicaid, ACA)
Experience configuring and testing benefits during new implementations and annual renewal cycles
Ability to design and configure benefits including copays, deductibles, service codes, and accumulators (flexible on depth of multi-tier complexity)
Hands-on experience with data migration, mapping, conversions, and mass benefit updates
Proven ability to perform gap analysis between business requirements and QNXT capabilities, including recommending workarounds or custom solutions
Strong troubleshooting skills for benefit configuration issues, claims validation, and unit/integration testing
Proficiency with QCS and CMT tools for configuration management and migrations

Job Responsibility

Designing, configuring, validating, and maintaining complex benefit setups within the QNXT platform to ensure accurate claims adjudication and regulatory compliance
Partnering closely with Product, Compliance, IT, Network, and Claims teams to support new implementations, annual renewals, and ongoing benefit maintenance

Fulltime

Senior NetworX Pricer Configuration Analyst

Seeking a Senior Configuration Analyst with strong experience in healthcare clai...

Location

United States , Norfolk

Salary:

50.00 USD / Hour

Beacon Hill

Expiration Date

Until further notice

Requirements

5+ years of NetworX configuration experience
Hands-on experience with QNXT (preferred) or Facets
Strong background in Commercial health plans
Solid experience in claims testing (unit and regression)
Proven ability to interpret contract language (PDFs) and translate into technical pricing configurations
Experience building NetworX rate sheets from scratch
Strong analytical and problem-solving skills
Bachelor’s degree in a related field preferred

Job Responsibility

Configure and maintain pricing rules within NetworX Pricer
Translate contract terms into system configuration and pricing logic
Perform claims testing (unit and regression) to validate configurations
Support implementation of new pricing models and updates
Collaborate with business and technical teams to ensure accurate configuration
Conduct detailed analysis to support system enhancements and operational improvements

Lead Systems Configuration Technical Analyst

The Lead Systems Configuration Technical Analyst is responsible for managing com...

Location

United States , Los Angeles

Salary:

105267.00 - 173689.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

Bachelor's Degree (or equivalent education/experience)
At least 5 years of experience in benefit, contract configuration and product interpretations in a healthcare/health plan environment
5 years of claims experience
3 years in medical coding initiatives and guidelines
Minimum of 3 years of lead experience (process, program, or staff)
Expert level of knowledge of QNXT
Excellent analytical, organization and communication skills
In-depth knowledge of system analysis and configuration
Ability to breakdown raw information and undefined problems into specific, workable components
Ability to understand a customer's business needs and translate needs into specific requirements

Job Responsibility

Managing complex system configurations, health plan implementations and conversions
Accurately interpreting specific state/federal and/or business requirements and their impact on various system modules to convert them into configuration parameters
Supporting integration and business process activities that utilize configuration as part of the end-to-end solution
Identifying opportunities for improvement and suggesting ways to bridge the gap between inter-dependent departments
Triaging possible issues identified and implementing applicable remediation to address confirmed configuration issues
Redesigning complex business concepts resulting to correct processing conflicts
Working with and mentoring people of various professional, vocational, and educational backgrounds
Being responsible for the daily workflow and leading the work of assigned staff
Mentoring, coaching, acting as a resource and providing feedback on performance of assigned staff
Implementing complex system configuration changes

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

New

Pharmacy Technician

We’re building a world of health around every individual — shaping a more connec...

Location

United States , Drexel Hill

Salary:

Not provided

CVS Health

Expiration Date

June 22, 2026

Requirements

Must comply with any state board of pharmacy requirements or laws governing the practice of pharmacy, which includes but is not limited to, age, education, and licensure/certification
If the state board of pharmacy does not address or mandate a minimum age requirement, must be at least 16 years of age
If the state board of pharmacy does not address or mandate a minimum educational requirement, must have a high school diploma or equivalent, or be actively enrolled in high school or high school equivalency program
State-level licensure and national certification requirements vary by state, click here to learn more
Regular and predictable attendance, including nights and weekends
Ability to complete required training within designated timeframe
Attention and Focus
Customer Service and Team Orientation
Communication Skills
Mathematical Reasoning

Job Responsibility

Living our purpose by following all company SOPs at each workstation to help our Pharmacists manage and improve patient health
Following pharmacy workflow procedures at each pharmacy workstation (i.e., production, pick-up, drive-thru, and drop-off) for safe and accurate prescription fulfillment
Contributing to positive patient experiences by showing empathy and genuine care
Completing basic inventory activities, as permitted by law, and as directed by the pharmacy leadership team
Contributing to a high-performing team, embracing a growth mindset, and being receptive to feedback
Remaining flexible for both scheduling and business needs, while contributing to a safe, inclusive, and engaging team dynamic
Understanding and complying with all relevant federal, state, and local laws, regulations, professional standards, and ethical principles
Delivering additional patient health care services (e.g., immunizations, point-of-care testing, and voluntarily staffing offsite clinics), where allowable by law and supported by required training and certification
Where permissible, the Pharmacy Technician may also support immunizations, which includes the following responsibilities: Completing additional licensure and training requirements, in compliance with state Board of Pharmacy regulations, to obtain Technician Immunizer status to support preparing and administering vaccines
Educating patients about the importance of vaccines and referring patients to the Pharmacist-on-duty for vaccination questions

What we offer

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
and other resources, based on eligibility

Fulltime

New

Mri Technologist

MedPro Healthcare Staffing, a Joint Commission-certified staffing agency, is see...

Location

United States , Springfield

Salary:

Not provided

MedPro Healthcare Staffing

Expiration Date

Until further notice

Requirements

Completion of a two year approved School of Radiologic Technology
Valid state radiology registration as required by state law
Registry by the American Registry of Radiologic Technology.

Job Responsibility

MRI technologists utilize their knowledge of anatomy, physiology and the principles of MRI to safely and efficiently operate MRI scanners, assisting in the diagnosis of disease and injury.
Ensure the safety of patients, staff and visitors who come in contact with the powerful magnetic field of a MRI scanner.
Position patients and coils on a table that slides inside the MRI scanner.
Inject contrast media as required.
Set appropriate technical parameters, operate MRI scanners and related equipment, and observe image data on computer monitors during scans.
Be familiar with the differences from a normal image and an abnormal image.
Recognize and respond to life threatening situations.
Assure compliance with federal, state, and local technical and professional regulations and accepted practiced guidelines.
Delivers quality, cost effective patient care in a professional manner.
Works effectively to maintain an environment of excellence, which is patient focused, providing timely, compassionate, quality patient care.

What we offer

Weekly pay and direct deposit
Full coverage of all credentialing fees
Private housing or housing allowance
Group Health insurance for you and your family
Company-paid life and disability insurance
Travel reimbursement
401(k) matching
Unlimited Referral Bonuses up to $1,000

Fulltime

New

Pharmacy Technician

We're building a world of health around every individual — shaping a more connec...

Location

United States , Oakville

Salary:

18.94 - 28.94 USD / Hour

CVS Health

Expiration Date

June 23, 2026

Requirements

Must be at least 16 years of age
Licensure requirements vary by state
Attention and Focus
Customer Service Orientation
Communication Skills
Mathematical Reasoning
Problem Resolution
Physical Demands
Visual Acuity
High School diploma or equivalent preferred but not required.

Job Responsibility

manage all assigned pharmacy workstations and tasks to support the team's ability to promptly, safely and accurately fill patient prescriptions
provide caring service that exceeds customer expectations

What we offer

dental
vision
wellness resources
employee discounts
access to certain voluntary benefits

Parttime

New

Cath Lab Registered Nurse

MedPro Healthcare Staffing, a Joint Commission-certified staffing agency, is see...

Location

United States , Denville

Salary:

Not provided

MedPro Healthcare Staffing

Expiration Date

Until further notice

Requirements

Active RN License
Degree from accredited nursing program
BLS & ACLS Certifications
Eighteen months of recent experience in an Acute Care Cath Lab setting

Job Responsibility

The Cardiac Cath Lab RN performs angioplasties, implants pacemakers and diagnoses cardiac conditions with an invasive catheterization procedure
Administer care for heart disease and heart attack patients by obtaining visual diagnostics of the arteries of the heart
Identify blockages, assisting the physician during procedures, and monitoring the patient’s status at other times
Administer interventional procedures like cardiac catheterizations, angioplasties, pacemaker and/or defibrillator implantation, and related interventional or diagnostic procedures

What we offer

Weekly pay and direct deposit
Full coverage of all credentialing fees
Private housing or housing allowance
Group Health insurance for you and your family
Company-paid life and disability insurance
Travel reimbursement
401(k) matching
Unlimited Referral Bonuses up to $1,000

QNXT Configuration Analyst

Robert Half

Location:
United States , Pasadena

Category:
IT - Software Development

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
March 21, 2026

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