NetworX Configuration Analyst

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.

• Configure and maintain provider contracts, fee schedules, qualifier groups, and reimbursement methodologies in Networ
  
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• 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.

• NetworX Pricer and NetworX Modeler experience.
• FACETS configuration and claims adjudication knowledge.
• Provider contract and reimbursement configuration experience.
• Strong SQL skills for analysis and validation.
• Excellent analytical, troubleshooting, and communication skills.

• Experience with fee schedules, pricing methodologies, and network reimbursement.
• Knowledge of CMU migrations and production support.
• Experience working with Provider Contracting and Claims Operations teams.

• Healthcare EDI (837/835) knowledge.