Job Description
Overview:
TekWissen is a global workforce management provider headquartered in Ann Arbor, Michigan that offers strategic talent solutions to our clients world-wide. Our client is an American multinational information technology services and consulting company and is a leading provider of information technology, consulting, and business process outsourcing services, dedicated helping the world's leading companies build stronger businesses.
Job Title: NetworX Configuration Analyst
Location: Remote
Duration: 6 Months
Job Type: Temporary Assignment
Work Type: Remote
Location: Remote
Duration: 6 Months
Job Type: Temporary Assignment
Work Type: Remote
Job Description:
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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.
Must Have's:
- NetworX Pricer and NetworX Modeler experience.
- Provider contract and reimbursement configuration experience.
- Experience with fee schedules, pricing methodologies, and network reimbursement.
- FACETS configuration and claims adjudication knowledge.
Years of Experience:
- 7 Years of Experience.
TekWissen Group is an equal opportunity employer supporting workforce diversit
Numbers & Facts
| Location | NULL, NULL (Remote) |
| Industry | Computer/IT Services |
| Salary | $60.71 |
| Company Size | 100 to 499 employees |
| Year Founded | 2009 |
| Website | http://www.tekwissen.com/ |
About Company
WE THE TEKWISSEN PEOPLE
TekWissen offers you a broader portfolio of services, industry-leading solutions, and the meaningful innovations that give you greater flexibility and speed to respond to market dynamics, reduced costs and risk to improve enterprise performance, and increased productivity to enable growth.
To keep pace with global market demands, TekWissen keeps its finger on the pulse of change. Our organized approach to guiding a project from its inception to closure. Managing projects is becoming more and more important as we enter the digital era. To cope with the pace that this transition demands, a method is required to manage projects so they can yield quality work, while incorporating efficient use of time and resources.
Project involves identifying which quality standards are relevant to the project and determining how to satisfy them.
It is important to perform quality planning during the Planning Process and should be done alongside the other project planning processes because changes in the quality will likely require changes in the other planning processes, or the desired product quality may require a detailed risk analysis of an identified problem. It is important to remember that quality should be planned, designed, then built in, not added on after the fact.
Capabilities and accomplishments in one TekWissen business enhance the opportunity for success in the others. Put simply, TekWissen's unique combination of attributes promotes success.Skills
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