Title: NetworX Configuration AnalystLocation: Remote – ESTDuration: 06 months 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
Roles and responsibilities: - 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.
Applicant Notices & Disclaimers
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At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws.This position's pay range is $57.14/hr - $58.12/hr.
