Facets NetworX Configuration Analyst

Tegria Company; North Carolina; On-site; USD 85,000 - 110,000; Full time

Job summary

Tegria is seeking a Facets NetworX Configuration Analyst in North Carolina to configure, maintain, and support provider reimbursement and pricing structures within Facets and NetworX. You will translate contract terms into precise system configurations supporting claims adjudication and pricing rules.

You will build and test pricing components, collaborate with contracting, claims, analytics and IT teams, and develop SQL queries and documentation to ensure accurate configurations and ongoing

Qualifications

• 3+ years of Facets and NetworX configuration experience.
• Hands-on experience building and maintaining provider contracts within NetworX.
• Strong understanding of Facets core modules (Membership, Provider Management, Claims Processing, Billing, Product/Benefits Configuration).
• Proficiency with SQL and data analysis.

Responsibilities

• Configure and maintain NetworX pricing components and provider contracts.
• Translate contract terms into system configuration for claims adjudication and reimbursement.
• Build, test, and support provider reimbursement models in Facets and NetworX.
• Conduct testing and production validation for configuration changes.
• Develop SQL queries and reports to support validation and analysis.
• Document configurations and SOPs.

Skills

Facets/NetworX configuration

SQL / data analysis

Provider contract analysis

Troubleshooting

Analytical skills

Education

Bachelor's degree in Information Systems, Healthcare Administration, Business, or related field

Tools

Facets

NetworX

SQL

Job description

## Facets NetworX Configuration AnalystApplyremote type: Remotelocations: North Carolinatime type: Full timeposted on: Posted 2 Days Agojob requisition id: JR1257Position SummaryThe Facets NetworX Configuration Analyst is responsible for configuring, maintaining, and supporting provider reimbursement and pricing structures within the TriZetto Facets and NetworX platforms. This role works closely with Provider Contracting, Claims, Pricing, and IT teams to translate provider contract terms into accurate system configurations that support claims adjudication and reimbursement processes. The analyst ensures pricing configurations are compliant, scalable, and aligned with business requirements.### Key Responsibilities* Configure and maintain NetworX pricing components, including: + Agreements + Rate Sheets + Rate Terms + Fee Schedules + Qualifier Groups + Networks + Provider Rows and Pricing Rules.* Analyze provider contracts and reimbursement methodologies and translate contract language into system configuration requirements.* 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 to ensure accurate implementation of pricing requirements.* 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.### Required Qualifications* 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, including: + Membership + Provider Management + Claims Processing + Billing + Product/Benefits Configuration.* 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.**Salary Range****Now, a little about us ...**At Tegria, we bring bold ideas and breakthroughs to improve care, technology, revenue, and operations in ways that move healthcare organizations from patient-centered to human-centered. We are helping healthcare put people first—both patients and those who dedicate their lives to delivering care.And at the very core of this vital work is our incredibly talented people.People with different backgrounds who welcome challenge and change. People who listen first, ask hard questions, and make decisions to cultivate a culture of equity and inclusion. People who chase after goals, growth, and generosity. We’re real. We’re nimble, and we believe in our mission to humanize healthcare.**Perks and benefits**Top talent deserves top rewards. We’ve carefully curated a best-in-class benefits package, meant to meet you wherever you are in your life and career.* **Your health, holistically.** We offer a choice of multiple health and dental plans with nationally recognized networks, as well as vision benefits, a total wellness program, and an employee assistance program for you and your family.* **Your financial well-being.** We offer competitive wages, retirement savings plans, company-paid disability and life insurance, pre-tax savings opportunities (HSA and/or FSA), and more.* **And everything in between.** Our lifestyle benefits are unrivaled, including professional development offerings, opportunities for remote work, and our favorite: a generous paid-time-off program, giving you the flexibility to plan a vacation, take time away for illness (or life’s important events), and shift your schedule to accommodate those unexpected curve balls thrown your way.*Tegria is an equal employment opportunity employer and provides equal employment opportunities (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. All qualified candidates are encouraged to apply.*