NetworX Configuration Analyst
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Job Description
Facets NetworX Configuration Analyst responsible for system configurations supporting claims adjudication and reimbursement processes. Collaborating with teams to ensure compliant and scalable pricing configurations in healthcare operations.
Responsibilities:
- Configure and maintain NetworX pricing components
- Analyze provider contracts and reimbursement methodologies
- Build, test, and support provider reimbursement models within Facets and NetworX environments
- Perform configuration updates, maintenance, and enhancements related to provider pricing and contract management
- Collaborate with Provider Contracting, Claims Operations, Provider Data Management, and IT teams
- Conduct unit testing, integration testing, and production validation for configuration changes
- Troubleshoot pricing and claims adjudication issues and perform root cause analysis
- Develop and execute SQL queries, data extracts, and reports to support configuration validation and operational analysis
- Create and maintain configuration documentation, workflows, and standard operating procedures
- Participate in system upgrades, implementations, and process improvement initiatives
Requirements:
- Bachelor's degree in Information Systems, Healthcare Administration, Business, or related field (or equivalent experience)
- 3+ years of Facets and NetworX configuration experience
- Hands-on experience building and maintaining provider contracts within NetworX
- Strong understanding of Facets core modules
- Experience interpreting provider reimbursement methodologies and contract language
- Proficiency with SQL and data analysis techniques
- Strong analytical, troubleshooting, and problem-solving skills
- Knowledge of healthcare payer operations, claims processing, and provider contracting
Benefits:
- We offer a choice of multiple health and dental plans with nationally recognized networks
- Vision benefits
- Total wellness program
- Employee assistance program for you and your family
- Competitive wages
- Retirement savings plans
- Company-paid disability and life insurance
- Pre-tax savings opportunities (HSA and/or FSA)
- Professional development offerings
- Opportunities for remote work
- Generous paid-time-off program
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