Facets NetworX Configuration Analyst

Tegria; United States; Hybrid; USD 90,000 - 130,000; Full time

Benefits offered by this job

Health and dental plans

Retirement savings plan

Remote work opportunities

Generous paid time off

Job summary

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

You will work cross-functionally with Provider Contracting, Claims, Pricing, and IT teams to ensure configurations are compliant, scalable, and aligned with business needs.

Qualifications

• Bachelor’s degree or equivalent experience in information systems, healthcare administration, business, or related field.
• 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.

Responsibilities

• Configure and maintain NetworX pricing components and related pricing systems.
• Analyze provider contracts and reimbursement methodologies and translate language into system configuration requirements.
• Build, test, and support provider reimbursement models within Facets and NetworX.
• Perform configuration updates, maintenance, and enhancements for pricing and contract management.
• Collaborate with internal teams to ensure accurate pricing implementations.
• Conduct unit, integration, 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 for validation and analysis.
• Create and maintain configuration documentation, workflows, and SOPs.
• Participate in system upgrades, implementations, and process improvements.

Skills

SQL proficiency

Data analysis

Analytical thinking

Pricing/claims knowledge

Troubleshooting

Healthcare payer ops

Education

Bachelor’s degree in Information Systems or related field

Tools

Facets

NetworX

SQL tools

Job description

Position Summary

The 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:

• 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:

• 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.