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Medicaid QNXT Claims Analyst — Adjudication & Edits Expert

Job in Hartford, Hartford County, Connecticut, 06112, USA
Listing for: Veriipro
Full Time position
Listed on 2026-10-06
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Management, Healthcare Compliance
Job Description & How to Apply Below

Minimum years of experience required: 6+ years Certification needed:
Not mandatory

Must Have Skills
  • Medicaid EDI 837 Claims Adjudication Expertise in QNXT with CXT Edits.
  • US Healthcare Provider Contracting and Demographics Expertise.
  • Medicaid Healthcare Plans Configuration for Claims Processing.
  • Knowledge on SQL queries.
Detailed

Job Description
  • Medicaid Claims Adjudication in QNXT Platform.
  • Medicaid CXT Claim Edits Hands on Expertise.
  • Knowledge on US Healthcare Provider Plans and different Classifications/Specialties.
  • Experience in Manual Automation Testing planning execution.
  • Strong understanding of Software Testing methodologies.
  • Experience with Test Management tools Rational Tool suite, JIRA.
  • Working experience in Test Plan, Test Scripts and Test Result preparation, Status reporting.
  • Strong communication skills.
  • Knowledge on SQL queries.
  • Consider building your career as a Medicaid QNXT Claims Analyst — Adjudication & Edits Expert at Veriipro.

    As a Medicaid QNXT Claims Analyst — Adjudication & Edits Expert, you will play an important part at Veriipro in Hartford, CT, United States.

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