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Key Responsibilities:
- Lead end-to-end program leadership and migration, including issue resolution for QNXT Claims workstream.
- Manage integrated planning and governance across operations, testing, data conversion, and cutover.
- Coordinate cross-functional workstream alignment for accurate claims adjudication and payment.
Required Qualifications:
- Bachelor’s degree in Business, Health Administration, or related field with 6+ years experience in health plan or managed care.
- Hands-on experience with QNXT or comparable core administrative platform required.
- Deep expertise in healthcare payer claims operations and lifecycle.
What Will Make You Successful:
- Ability to take end-to-end ownership of high-stakes enterprise claims implementation.
- Strong consensus-building and coaching skills to align diverse teams.
- Sharp analytical and risk-management skills for fast-paced transformation environments.
Breezy
Breezy is a hiring platform that streamlines recruitment processes for companies. The company is growing and fosters a culture of efficiency and innovation.