NetworX Configuration Analyst - Provider Pricing & FACETS

Our Client, an IT Services and Consultant company, is looking for a NetworX Configuration Analyst - Provider Pricing & FACETS for their Remote location.

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.

Requirements:

• 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.
• 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.
• Years of Experience: 7.00 Years of Experience

Why Should You Apply?

• Health Benefits
• Referral Program
• Excellent growth and advancement opportunities