Manager QNXT Networx Configuration

Job Summary

A company is looking for a Manager, QNXT & Networx - Pricer Configuration.

Key Responsibilities

• Manage the configuration team to ensure performance targets are met and maintain compliance with health plan requirements
• Act as the primary liaison with various stakeholders to understand workflows and manage audit submissions
• Develop policies and procedures for audits and provide guidance on state and federal benefits and contracts

Required Qualifications

• At least 7 years of experience in configuration oversight, claims, auditing, or health care operations in a managed care organization
• A minimum of 1 year of management or leadership experience
• Experience in QNXT and Networx - Pricer configuration
• Advanced understanding of claims processes and ability to troubleshoot discrepancies
• Proficiency in Microsoft Office, particularly Excel (VLOOKUP/Pivot Tables)