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NetworX Configuration Analyst

Apolis
  • Norfolk, VA
  • Remote
  • $60–$65 Per Hour
  • Quick Apply
13 days ago

Job Description

NetworX Configuration Analyst
Remote – EST, but HM is flexible if candidate is strong
Potential for extension

Must have hands on experience in NetworX Pricer (5-6 yrs)
Facets is not required, but nice to have
NetworX Configuration (Integrated NetworX)
Oracle SQL
Review contract, Agreement testing, migration, assignment


• Configure, maintain, and model complex pricing logic within the TriZetto Facets Integrated NetworX Pricer software system.
• Translate managed care provider contract language into precise fee schedules, rate sheets*** and system qualifiers.
• Manage day-to-day configuration workflows, mentor configuration analysts, and coordinate system conversion projects across platforms.
• Direct comprehensive unit, regression, and end-to-end testing processes to ensure absolute claim payment accuracy.
• Utilize advanced SQL queries and relational databases to audit, validate, and troubleshoot massive configuration data batches.
• Establish hierarchical system logic to correctly prioritize specific provider agreements over standard, regional fallback rates.
• Monitor and implement quarterly pricing component updates to maintain strict compliance with CMS, Medicare, and Medicaid rules.
• Act as the primary liaison between Configuration of leadership, claims operations, and the legal contracting team.

Numbers & Facts

LocationNorfolk, VA (
Remote
)
IndustryComputer/IT Services
Salary$60–$65 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
  • Centers for Medicare and Medicaid Services (CMS)unmatched
  • Contract Reviewunmatched
  • Establish Prioritiesunmatched
  • Fee Scheduleunmatched
  • Leadershipunmatched
  • Legalunmatched
  • Maintain Complianceunmatched
  • Managed Careunmatched
  • Medicaidunmatched
  • Medicareunmatched
  • Mentoringunmatched
  • Multiplatform/Cross-Platformunmatched
  • Oracle Databaseunmatched
  • Pricingunmatched
  • Product Pricingunmatched
  • Project/Program Coordinationunmatched
  • Provider Contractingunmatched
  • Quality Assurance Methodologyunmatched
  • Relational Databases (RDBMS)unmatched
  • SQL (Structured Query Language)unmatched
  • Testingunmatched

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