QNXT Configuration Specialist :: 100% Remote
About The Position
The QNXT Configuration Specialist configures and optimizes QNXT modules to support real-time eligibility (270/271) transactions. The role works with API developers and business analysts to align eligibility rules with CareOregon business policies, and defines, builds, and tests eligibility service parameters, payer response logic, and member validation rules. The specialist also supports accurate mapping of provider network contracts and member enrollment data, works within QNXT’s configuration engine and eligibility extract tools, partners with data warehouse teams on retroactive eligibility validation and pre-pay auditing logic, and troubleshoots eligibility errors, null responses, and mismatched member or provider data.
Responsibilities
- Configure and optimize QNXT modules for real-time eligibility (270/271) transactions.
- Collaborate with API developers and business analysts to align eligibility rules with CareOregon business policies.
- Define, build, and test eligibility service parameters, payer response logic, and member validation rules.
- Ensure accurate mapping of provider network contracts and member enrollment data.
- Work within QNXT’s configuration engine and eligibility extract tools.
- Partner with data warehouse teams on retroactive eligibility validation and pre-pay auditing logic.
- Troubleshoot eligibility errors, null responses, and mismatched member or provider data.
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What This Job Offers
Education Level
No Education Listed
