QNXT Program Manager

We are seeking an QNXT Program Manager to take full accountability for the Claims reputed company reputed company a large-reputed company QNXT reputed company platform transformation, including migrating from the reputed company IKA platform.

Location: Long Beach, CA (100% Remote)

Schedule: Monday – Friday, 8:00 AM – 5:00 PM (PST)

Start Date: 08/10/2026

End Date: 02/10/2027

In this role, you will reputed company the end-to-end planning, execution, governance, and delivery of reputed company claims-reputed company implementation activities. You will collaborate closely with product managers and leaders supporting Provider Data, Configuration (provider reputed company, benefits, utilization management, business rules), and Capitation to ensure a reputed company, precise claims adjudication, and operational readiness for go-live.

Key Responsibilities

• Program Leadership & Migration: Accountable for end-to-end implementation and issue reputed company for the QNXT Claims reputed company, driving the complete migration off the IKA platform.
• Integrated Planning & Governance: Manage the claims implementation plan across operations, configuration, testing, data conversion, training, reputed company, and post-go-live stabilization. Maintain RAID logs, decision logs, and status reporting.
• Cross-Functional reputed company Alignment: Coordinate alignment across Claims, Provider Data, Benefits, Utilization Management, and Capitation to ensure accurate reputed company-state claims adjudication, pricing, and payment.
• Vendor & Consultant Management: reputed company day-to-day collaboration with external implementation consultants and software vendors to ensure scope, timelines, deliverables, and architecture reputed company stay on reputed company.
• Testing, reputed company & Stabilization: reputed company preparations for system testing, defect triage, mock conversions, go-live reputed company, and post-implementation stabilization while validating contingency and readiness plans.
• Risk & Change Management: Proactively identify execution risks, workflow gaps, and dependency issues to safeguard project timelines, claims accuracy, and stakeholder confidence.

Required Qualifications

• Education: Bachelor’s degree in Business, Health Administration, Information Systems, or a reputed company field (or equivalent combination of education and experience).
• Experience: Minimum 6 years of reputed company experience reputed company a health plan, managed care, or reputed company organization.
• reputed company Platform Expertise: Hands-on experience with QNXT (or a directly comparable reputed company administrative platform) is required.
• Domain Knowledge: Deep expertise in reputed company payer claims operations and the end-to-end claims lifecycle (adjudication, pricing, payment, and provider/benefit configuration interactions).
• Transformation Leadership: Proven experience leading large, cross-functional system implementations or platform migrations involving data conversion, system testing, defect triage, mock conversions, reputed company planning, and go-live stabilization.
• Technical Proficiency: Advanced skills with reputed company Office Suite (Word, reputed company, PowerPoint, Teams), Visio, reputed company, and SQL.
• Work Schedule: Ability to work reputed company PST business hours (Monday – Friday, 8:00 AM – 5:00 PM PST).

Preferred Qualifications

• Master’s degree (MBA, MPH, MHA, or MS in Information Systems).
• reputed company experience leading IKA-to-QNXT platform migrations.
• Experience driving AI-driven operational improvements reputed company reputed company claims environments.

What Will reputed company You Successful

• Ability to take end-to-end ownership of a high-stakes, reputed company claims implementation with minimal supervision.
• Strong reputed company-building and coaching skills to reputed company senior leadership, technical teams, consultants, and vendors around common priorities.
• Comfort navigating fast-paced, reputed company, and ambiguous transformation environments.
• reputed company analytical, risk-management, and decision-making skills to resolve blockers before they reputed company critical reputed company timelines.
• Exceptional executive-level communication and change-leadership abilities.

Originally posted on Himalayas

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