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Facets NetworX Configuration Analyst

Apolis
  • New Jersey, NJ
  • Remote
  • $45–$50 Per Hour
  • Quick Apply
30+ days ago

Job Description

  • Job Title: Facets NetworX Configuration Analyst

    Location: Remote
    Employment Type: Contract / Full-Time

    Job Description

  • Create, update, and maintain NetworX pricing configuration data, including:
    • Agreements
    • Rate Sheets
    • Rate Terms
    • Qualifier Groups
    • Fee Schedules
    • Networks
    • Provider Rows
  • Analyze and interpret provider contracts and agreements and translate them into NetworX pricing configurations.
  • Configure and maintain pricing rules within the Facets NetworX environment.
  • Automate the loading and maintenance of NetworX pricing data using C# APIs and SQL scripting.
  • Collaborate with business and technical teams to ensure accurate implementation of provider reimbursement methodologies.
  • Support testing, validation, and troubleshooting of pricing configurations.
  • Required Qualifications

  • Strong experience with Facets NetworX Configuration.
  • Hands-on experience configuring Agreements, Rate Sheets, Rate Terms, Qualifier Groups, Fee Schedules, Networks, and Provider Rows.
  • Ability to read, analyze, and map provider contracts to NetworX rate terms and pricing configurations.
  • Experience with C# API development/integration and SQL scripting for pricing data automation.
  • Healthcare payer domain experience.
  • Strong analytical and problem-solving skills.
  • Preferred Qualifications

  • Experience supporting Optum or other large healthcare payer environments.
  • Knowledge of provider reimbursement methodologies and healthcare claims pricing.
  • Experience with automation and data migration initiatives within NetworX.

Numbers & Facts

LocationNew Jersey, NJ (
Remote
)
IndustryComputer/IT Services
Salary$45–$50 Per Hour
Company Size500 to 999 employees
Websitehttps://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

  • Analysis Skillsunmatched
  • Application Programming Interface (API)unmatched
  • Automationunmatched
  • Contract Analysisunmatched
  • Data Migrationunmatched
  • Fee Scheduleunmatched
  • Healthcareunmatched
  • Healthcare Reimbursementunmatched
  • Microsoft C# (C Sharp)unmatched
  • Pricingunmatched
  • Problem Solving Skillsunmatched
  • Provider Contractingunmatched
  • Reimbursementunmatched
  • SQL (Structured Query Language)unmatched
  • Scripting (Scripting Languages)unmatched
  • Testingunmatched
  • Validation Testingunmatched

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