Program Lead, QNXT Implementation - SCAN Temp
Core
Accountable leader for the end-to-end implementation of the Claims workstream within the QNXT core platform transformation, migrating from the legacy IKA platform to ensure accurate claim adjudication and payment.
Role type
Senior Program Lead (Healthcare Claims Transformation)
Builds
Claims migration and operational readiness for the QNXT core platform
Domain
Healthcare Payer / Health Insurance / Claims Operations
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Claims lifecycle management, cross-functional program leadership, risk and issue management, vendor and consultant management, operational readiness planning, SQL, Visio, Microsoft Office suite
Preferred skills
Master's degree (MBA/MPH/MS), experience with QNXT or comparable core administrative platforms, AI curiosity
Technologies
QNXT, IKA, SQL, Visio, Microsoft Office (Word, Excel, PowerPoint, Outlook, Teams, Access)
Responsibilities
Direct end-to-end planning, execution, governance, and delivery of the claims migration; coordinate alignment across Claims, Provider Data, and Configuration workstreams; manage governance including status reporting, RAID logs, and escalation; coach cross-functional teams and drive accountability; lead readiness for testing, cutover, and go-live; manage vendor and consultant relationships.
Seniority
Senior, hands-on IC with strategic planning and execution discipline