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Online Resumes with "QNXT"

PMP Certified Project Manager

I am a bright and very organized project manager with excellent interpersonal skills.

Ideal Companies: Anheuser Busch

Tags for this Online Resume: marketing, writing, editing, management

Quality/Business Analyst

My objective is to obtain an entry level position in Information Technology career field as a Database Administrator. I am a quality oriented Analyst possessing excellent customer service and communication skills with over 23 years in the health insurance profession.

Tags for this Online Resume: DIAMOND, SIDEWINDER , RHUMBA, FACETS, ENCODER PRO, QNXT/QMACS, CACTUS, SOFTHEON, FLEXX, Microsoft Office, Windows 95, 98, 2000, XP, WordPerfect, Peradigm , Filemaker Pro, Qmacs/Qnxt, Visual Cactus, Lotus Notes

Provider Configuration Analyst - 10 yrs experience

Facets/QNXT configuration analyst with a company that will able me to advance in all levels.

Tags for this Online Resume: Provider Configuration, Provider Fee Schedule, Provider Contracts, Configuration Analyst, Provider Pricing, Contract Configuration

QA tester, Manual Testing, Mainframe Testing , STEP tool from STIBO, Duck Creek, Facets, QNXT

Valuable resource for Orgization.

Tags for this Online Resume: QA Analyst, STEP Tool from STIBO , DuckCreek Testing, Facets, QNXT

QNXT Aplication Analyst

As my resume indicates, I possess more than 6 years of progressive experience in Microsoft Technologies and Application Maintenance /support in Healthcare domain. My professional history includes work experience on QNXT and FACETS products.

Tags for this Online Resume: Dotnet, QNXT, Application analyst, Healthcare

Business Consultant, Benefit/Provider/Claims Configuration, Business Analyst

Twenty plus years in healthcare management and staff support roles in handling medical, claims encounter and dental claims processing, claims auditing, user acceptance testing, EMS billing, AAPC, DRG coding reimbursement, and configuration of various healthcare payers/providers for Medicare, Medicaid, TPA, and Commercial Managed Care products. Strong understanding of healthcare business operations, with a focus on configur...

Tags for this Online Resume: Telecommute, Benefit Configuration, Provider Confguration, SQL queries, User Acceptance Tester, 837p/837I XML/X12, Clearquest

Healthcare Insurance Recovery, Cost Containment, Configuration and Operations Leadership 20 plus years experience in Medicare, Medicaid, Commercial Insurance Operation Management.

Obtain an Executive Leadership role where my skills and knowledge can be utilized to minimize costs, increase profits, and ensure compliance with all Federal and STate Regulations. Autonomy to build effective teams, mentor staff, and develop a world class organization in a rewarding environment with an atmosphere of innovation and leading edge technologies being implemented or utilized would be the most favorable situation.

Tags for this Online Resume: Medicare, Medicaid, Configuration QNXT Amisys MHS, Cost Containment, Operations Leadership, Business Process Improvement

Customer Service Representative - 19 Years of Experience - Near 85308

QUALIFICATIONS * Experienced handling a high volume of inbound calls, while multitasking * Extremely confident and shows confidence over the phone, puts caller at ease * Ensure first call resolution while respecting the customers time * De-escalation * Technical/Troubleshooting support * Medical and Auto Insurance * FMLA, Long/Short term disability, enrollment, claims, All Medicare Plans, PPO, HMO, Limited Indemnity, HIPAA,...

Tags for this Online Resume: Customer Service, Billing, Email, Team Lead, APEX, Applications, Associate of the Society of Actuaries, Auto Insurance, Technical Support, Troubleshooting

Business Analyst

Summary * 7+ years of experience as Business Analyst in the Healthcare Industry with expertise in Affordable Care Act (ACA), HL-7, EDI Transactions (834, 835, 837), HIPAA, MMIS, Medicare and Medicaid. * Adequate knowledge in Health Administration - Claims processing (auto adjudication), COB, EOB/Drafts, Claims pricing and testing, HIPAA, enrolment, EDI, HIX, HMO, PPO, POS, Medicare, Medicaid, CDHP, MMIS system implementatio...

Tags for this Online Resume: Quality, Structured Query Language, Test, VISIO, Jad, Microsoft Office, Microsoft Visio, Rational, Rational Rose, Requisite Pro

Program Manager - 9 Years of Experience - Near 94080

PROFESSIONAL SUMMARY: * Nine years experience as Business System Analyst in directing cross-functional teams of technical experts to analyse systems & processes and implement infrastructure improvements. * Ensure project activities are completed in accordance with applicable Federal Reserve standards, such as Technology Project Standards (TPS) and NCA Application Development Methodology (ADM). Maintain electronic repository...

Tags for this Online Resume: Rational Unified Process, RUP, VISIO, Management, Microsoft Visio, Unified Modelling Language, Agile, Documentation, Microsoft Office, SDLC

Business Analyst - 20 Years of Experience - Near 91387

Professional Summary Over20+ years of experience in claims and customer service, experience in information technology across several healthcare companies, having played key roles in business analysis, testing software design, software development, training, implementation of online systems, organizational assessments and support of business solutions, self-starter with solid multi-faceted experience. Effective in analyzing ...

Tags for this Online Resume: Managed Care, POS, Cms, Support, System Implementation, Technical Support, Test, Test Plans, Test Scripts, Audit

Business Analyst - 6 Years of Experience

Experience Summary * 7.9 years of experience in IT industry and immense knowledge about US healthcare domain and 5 years of experience in closely working with Business by Managing Various Client Projects. * 10 months of experience in the USA, California in CRM leads management using Salesforce. * Project Manager Expertise includes Planning and Defining Scope in Documentation of client requirements and translates them into d...

Tags for this Online Resume: Management, System design, Test, Test Plan, Coding, Monitoring, Project Management, Scheduler, Stored Procedures, Structured Query Language