QNXT Configuration Analyst

Computer Merchant, Ltd., The; Washington (District of Columbia); On-site; USD 128,943,000 - 143,270,000; Full time

Job summary

Computer Merchant, Ltd., The is seeking a Senior Configuration Analyst-MMIS who must live in the Washington, DC area. The role focuses on configuring QNXT modules, including Contracts, Benefits, Fee Schedules, Capitation and X12 data points.

You will write complex SQL queries for data analysis, work with Medicaid/MMIS systems, and support design and implementation phases. Prior ALM experience and familiarity with CARCs/RARCs are a plus.

Qualifications

• Very proficient (at least 5 years’ experience) configuring in QNXT (Contracts, Benefits, Fee Schedules/Different Payment Methodologies, Capitation, Rules, Data Points for X12 Transactions, CARCs/RARCs).
• Thorough understanding of relational database concepts and schemas.
• Competent writing complex SQL queries for data analysis.
• Experience working with Medicaid/MMIS systems.

Responsibilities

• Configure in QNXT focusing on Contracts, Benefits, Fee Schedules and Capitation; set rules and data points for X12 transactions and CARCs/RARCs.
• Demonstrate thorough understanding of relational databases and schemas.
• Write complex SQL queries for data analysis and validation.
• Support Medicaid/MMIS system activities and ALM processes.

Skills

QNXT configuration

SQL queries

Medicaid/MMIS experience

Data analysis

Tools

QNXT

Relational databases

ALM (Client Application Lifecycle Management)

X12 Transactions

Job description

JOB TITLE: Senior Configuration Analyst-MMIS

JOB LOCATION: MUST LIVE IN WASHINGTON DC

WAGE RANGE*: $45hr to $50hr w2
JOB NUMBER: 26-01526
REQUIRED EXPERIENCE:

Very proficient (at least 5 years’ experience) configuring in QNXT (Focus on the following areas: Contracts, Benefits, Fee Schedules/Different Payment Methodologies, Capitation, Rules, Successful Data Points for X12 Transactions, CARCs/RARCs).

JOB DESCRIPTION

Very proficient (at least 5 years’ experience) configuring in QNXT (Focus on the following areas: Contracts, Benefits, Fee Schedules/Different Payment Methodologies, Capitation, Rules, Successful Data Points for X12 Transactions, CARCs/RARCs).
Thorough understanding of relational database concepts and schemas.
Competent writing complex SQL queries for data analysis.
Experience working with Medicaid/MMIS systems.

Preferred experience includes
DDI (Design, Development, and Implementation) and operation & maintenance phase.
Experience processing Medicaid claims & encounters and ability to troubleshoot adjudication results.
Experience with Requirement Traceability Matrices.
Preferred experience working with Client Application Lifecycle Management (ALM).

Equal opportunity employer as to all protected groups, including protected veterans and individuals with disabilities

While an hourly range is posted for this position, an eventual hourly rate is determined by a comprehensive salary analysis which considers multiple factors including but not limited to: job-related knowledge, skills and qualifications, education and experience as compared to others in the organization doing substantially similar work, if applicable, and market and business considerations. Benefits offered include medical, dental and vision benefits; dependent care flexible spending account; 401(k) plan; voluntary life/short term disability/whole life/term life/accident and critical illness coverage; employee assistance program; sick leave in accordance with regulation. Benefits may be subject to generally applicable eligibility, waiting period, contribution, and other requirements and conditions. Benefits offered are in accordance with applicable federal, state, and local laws and subject to change at TCM’s discretion.