Sr. QNXT Software Engineer

Impresiv Health is seeking a Senior QNXT Software Engineer to support a leading healthcare payer organization. This role is ideal for a senior software engineer with deep experience in QNXT, C#, and SQL who thrives in designing, developing, integrating, and supporting enterprise healthcare applications. The ideal candidate has extensive experience within a healthcare payer environment and possesses strong technical expertise in software architecture, enterprise application development, database development, and systems integration. This individual will play a key role in delivering scalable software solutions, resolving complex production issues, and collaborating with cross-functional teams to improve operational efficiency and business performance.

What You Will Do:

• Design, develop, and maintain enterprise healthcare software applications supporting QNXT and related payer systems.
• Develop, enhance, and support applications using C#/.NET.
• Write, optimize, troubleshoot, and maintain complex SQL queries, stored procedures, functions, views, and database objects.
• Design and support QNXT integrations, APIs, web services, interfaces, and communication frameworks.
• Lead technical design, software architecture, requirements gathering, and development efforts for complex initiatives.
• Collaborate with business stakeholders, developers, QA, analysts, and infrastructure teams throughout the Software Development Life Cycle (SDLC).
• Troubleshoot and resolve complex production issues involving applications, databases, and system integrations.
• Support software testing, validation, deployment, and production releases.
• Ensure adherence to software development standards, configuration management, and change management best practices.
• Identify opportunities to improve application performance, scalability, reliability, and maintainability.
• Provide technical leadership and mentor other developers when appropriate.

• You have extensive hands-on experience working with QNXT in a healthcare payer environment.
• You are highly proficient in C#/.NET development and enjoy building enterprise software solutions.
• You possess advanced SQL skills, including complex query development, stored procedures, database optimization, and performance tuning.
• You have experience designing scalable APIs, integrations, and enterprise applications.
• You can independently troubleshoot and resolve complex technical issues with minimal supervision.
• You effectively balance technical priorities with business objectives.
• You communicate effectively with both technical and non-technical stakeholders.
• You take ownership of projects from design through implementation and production support.

What You Will Bring:

• 10+ years of software engineering experience in healthcare technology.
• Extensive hands-on experience with QNXT in a healthcare payer environment.
• Strong C#/.NET development experience building enterprise applications and integrations.
• Advanced SQL Server experience, including writing complex queries, stored procedures, functions, query optimization, and database performance tuning.
• Experience developing enterprise software, APIs, integrations, and communication frameworks.
• Strong understanding of software architecture, object-oriented programming, and software design principles.
• Experience working through the full Software Development Life Cycle (SDLC).
• Excellent analytical, troubleshooting, and problem-solving skills.
• Strong communication and collaboration skills.
• Bachelor’s degree in Computer Science, Information Systems, Engineering, or a related field preferred.

Impresiv Health is a healthcare consulting partner specializing in clinical & operations management, enterprise project management, professional services, and software consulting services. We help our clients increase operational efficiency by delivering innovative solutions to solve their most complex business challenges.

Our approach is and has always been simple. First, think and act like the customers who need us, and most importantly, deliver what larger organizations cannot do, provide tangible results that add immediate value, at a rate that cannot be beaten. Your success matters, and we know it.

That’s Impresiv!