Job Description
NetworX Configuration Analyst
Max SBR: ***
Remote
Must Have's:
1.NetworX Pricer and NetworX Modeler experience.
2. Provider contract and reimbursement configuration experience. Experience with fee schedules, pricing methodologies, and network reimbursement.
3. FACETS configuration and claims adjudication knowledge.
Job Summary
We are seeking a NetworX Configuration Analyst to support provider contract pricing, reimbursement configuration, and claims adjudication within the NetworX Pricing platform. The ideal candidate will have strong healthcare payer experience, expertise in NetworX and FACETS, and the ability to translate provider contract requirements into accurate pricing configurations.
Key Responsibilities
"Configure and maintain provider contracts, fee schedules, qualifier groups, and reimbursement methodologies in NetworX.
"Analyze business and contractual requirements and convert them into system configurations.
"Perform pricing validation, claims analysis, testing, and production support.
"Investigate and resolve pricing, reimbursement, and claims adjudication issues.
"Collaborate with Provider Contracting, Claims, Business, and IT teams to implement configuration changes.
"Support UAT, production releases, and post-implementation validation activities.
"Create and maintain configuration documentation and testing evidence.
Max SBR: ***
Remote
Must Have's:
1.NetworX Pricer and NetworX Modeler experience.
2. Provider contract and reimbursement configuration experience. Experience with fee schedules, pricing methodologies, and network reimbursement.
3. FACETS configuration and claims adjudication knowledge.
Job Summary
We are seeking a NetworX Configuration Analyst to support provider contract pricing, reimbursement configuration, and claims adjudication within the NetworX Pricing platform. The ideal candidate will have strong healthcare payer experience, expertise in NetworX and FACETS, and the ability to translate provider contract requirements into accurate pricing configurations.
Key Responsibilities
"Configure and maintain provider contracts, fee schedules, qualifier groups, and reimbursement methodologies in NetworX.
"Analyze business and contractual requirements and convert them into system configurations.
"Perform pricing validation, claims analysis, testing, and production support.
"Investigate and resolve pricing, reimbursement, and claims adjudication issues.
"Collaborate with Provider Contracting, Claims, Business, and IT teams to implement configuration changes.
"Support UAT, production releases, and post-implementation validation activities.
"Create and maintain configuration documentation and testing evidence.
Numbers & Facts
| Location | Folsom, CA (Remote) |
| Industry | Computer/IT Services |
| Salary | $60–$65 Per Hour |
| Company Size | 500 to 999 employees |
| Website | https://www.apolisrises.com/ |
Benefits
Paid Sick Days, Employee Referral Program, Employee Events, Retirement / Pension Plans
About Company
Since 1996, RJT has provided successful SAP, Oracle, and IT consulting solutions and staffing services to clients around the world. The new Apolis brings you the same personalized service fortified with a greater array of IT solutions, global expertise, and cost-management strategies.
We are a global IT consultancy that seamlessly integrates experts and leading-edge solutions into your organization so you can focus on what really matters.
Skills
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