RichmondVARecruiter Since 2001
the smart solution for Richmond jobs

Senior IT Systems Analyst

Company: Insight Global
Location: Richmond
Posted on: November 26, 2022

Job Description:

-Implement, support, enhance, and configure the QNXT health claims system by prototyping, analyzing, implementing, and documenting the process changes.- Serve as resident QNXT Application Expert Creating custom SQL queries in SQL server databases.- Analyze application configuration to ensure it is efficient in setup and functionality.- Provide feedback into business requirement documents used to build custom solutions and interfaces.- Provide project management and oversight on ongoing QNXT related projects based on Manager's direction.- Evaluate solutions and configuration activities to ensure that the most efficient solutions are implemented.- Assist in the writing of department policy and procedure documents.- Develop and recommend operational processes improvements and ensure that technical configuration meets the organization's business needs.- Develop process maps as needed.- Develop 'helpful hints' or other job aides to assist team members.- Train new employees as needed.- Attend meetings for Manager at Manager's request or in their absence.- Provide data validation for conversion and interface data.- Partner with our testing team/business areas to develop and execute appropriate test plans and ensure the configuration or customization changes work as was intended.- Document functional specifications for system solutions and enhancements to existing business systems. Minimum Requirements- 3+ years of experience working in Information Systems or other related areas providing application support and/or configuration management.- 3+ years of working experience in health insurance industry.- 3+ years of experience writing TSQL or SQL queries.- Demonstrated experience around Trizetto/ Cognizant QNXT Systems Configuration, version 5.3 or later.- In-depth knowledge around Claims, Benefits, Service Group Design, Contracts, QNXT Rules, QNXT Edit -Structure and Fee Tables required.- Experience with developing SQL queries and working with QNXT back-end tables.- Strong analytical and critical thinking skills.- Ability to work independently in a hands-on role.- Strong facilitation skills.- In-depth understanding of System Design Methodologies.- Demonstrated ability to manage multiple timelines and priorities.- Proficient knowledge of flow charting/process mapping.- Understanding of the Insurance Marketplace, especially government programs (Medicare and Medicaid).- Functional knowledge of healthcare claims processes and payment methodologies such as (MS-DRG, APR- DRG, APC, OPEAPG, ASC Groupings, Per Diem and Capitation).- Functional understanding of health care claim data sets such as ICD-10, CPT, HCPCS, and Rev Codes.- Understanding of member benefit configuration such as Deductibles, Co-Pays, Co-Insurance, Benefit Maximums and Accumulators.- Bachelor's Degree in any field Desired Skills- Bachelor's Degree with focus in Computer Science, Information Systems, Business, or related technical field- Project Management experience

Keywords: Insight Global, Richmond , Senior IT Systems Analyst, Professions , Richmond, Virginia

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category

Log In or Create An Account

Get the latest Virginia jobs by following @recnetVA on Twitter!

Richmond RSS job feeds