Healthcare Developer (QNXT Developer)

<p><strong>Role:</strong> TriZetto QNXT Developer / Data Integration Engineer</p><p><strong>Location:</strong> Texas (Occasional Travel to Oklahoma)</p><p><strong>Duration:</strong> Contract (6 Months)</p><p><strong>Working Time Zone:</strong> CST</p><p><br></p><p><strong>Position Overview</strong></p><p>We are seeking a <strong>TriZetto QNXT Developer / Data Integration Engineer</strong> with strong experience working within <strong>payer systems and healthcare claims platforms</strong>. The ideal candidate will have hands-on expertise with the <strong>TriZetto QNXT platform</strong>, including configuration, development, and integration with downstream and upstream healthcare systems.</p><p>This role will focus on <strong>building and maintaining data integrations, supporting claims and membership workflows, and enabling interoperability between QNXT and other healthcare systems</strong>. The candidate should have strong experience working with healthcare data, payer systems, and integration frameworks commonly used in health plans.</p><p><strong>Key Responsibilities</strong></p><ul><li>Design, develop, and maintain <strong>data integrations between TriZetto QNXT and external healthcare systems</strong>.</li><li>Build and support <strong>interfaces for claims, membership, provider, and enrollment data</strong>.</li><li>Develop and manage <strong>ETL pipelines and data transformations</strong> to support operational and reporting workflows.</li><li>Work with healthcare data standards and formats including <strong>EDI transactions (e.g., 837, 835, 270/271)</strong>.</li><li>Configure and support <strong>QNXT modules and workflows</strong> related to claims processing, membership, and provider management.</li><li>Collaborate with business teams, analysts, and architects to gather requirements and translate them into technical solutions.</li><li>Troubleshoot data integration issues and ensure <strong>data quality and system reliability</strong>.</li><li>Document integration processes, data mappings, and system workflows.</li></ul><p><strong>Required Qualifications</strong></p><ul><li>Strong experience working with <strong>TriZetto QNXT platform development and configuration</strong>.</li><li>Experience building <strong>data integrations and ETL pipelines within healthcare payer environments</strong>.</li><li>Familiarity with <strong>healthcare claims processing systems and payer operations</strong>.</li><li>Experience working with <strong>EDI healthcare transactions such as 837, 835, 270/271, and related formats</strong>.</li><li>Strong experience with <strong>SQL and data integration tools</strong>.</li><li>Ability to troubleshoot complex data issues across multiple healthcare systems.</li></ul><p><strong>Preferred Qualifications</strong></p><ul><li>Experience working with <strong>health plans, healthcare payers, or healthcare technology organizations</strong>.</li><li>Familiarity with <strong>HL7, FHIR, or other healthcare interoperability standards</strong>.</li><li>Experience integrating QNXT with <strong>data warehouses, reporting platforms, or population health systems</strong>.</li><li>Experience working with <strong>cloud-based data platforms or modern ETL tools</strong>.</li></ul><p></p>

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