HJ Staffing

The Medical Director will conduct medical necessity determinations for inpatient and post-acute care while ensuring clinical integrity and regulatory compliance. They will also lead peer-to-peer consultations and collaborate with multidisciplinary teams to optimize clinical outcomes and cost efficiency.

The Program Lead will manage the end-to-end delivery of the QNXT Claims workstream, overseeing planning, execution, and governance during the platform migration. They will coordinate cross-functional teams and stakeholders to ensure accurate adjudication, pricing, and operational readiness.

Lead the end-to-end planning and execution of the QNXT Claims workstream, focusing on migrating from the IKA platform. Coordinate cross-functional alignment across provider data, configuration, and capitation to ensure operational readiness and precise claims adjudication.