Live opening · Posted 3 days ago
At a glance
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About the role
Description supplied by the original job listing.
Job Title: NetworX Configuration Analyst
Location: USA Remote
Employment Type: Contract
About the Role
We are seeking an experienced NetworX Configuration Analyst to join our team.
Key Responsibilities:
1.NetworX Pricer and NetworX Modeler experience.
2. Provider contract and reimbursement configuration experience. Experience with fee schedules, pricing methodologies, and network reimbursement.
3. FACETS configuration and claims adjudication knowledge.
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.
Work Authorization
Applicants must be legally authorized to work in the United States.
Equal Employment Opportunity
Themesoft Inc is an Equal Employment Opportunity employer. We consider qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other status protected by applicable federal, state, or local law.
Work arrangement
Yes
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