Healthcare Product Consulting - NetworX Consultant (Remote)

Cognizant; Cincinnati (OH); Remote; USD 93,000 - 109,000; Full time

Job summary

A leading company is seeking a NetworX Consultant to provide expertise in TriZetto NetworX functionalities. This remote role involves conducting requirements sessions, leading design efforts, and configuring applications. The ideal candidate will have extensive healthcare experience and strong consulting skills, ensuring optimal application performance and compliance with industry standards.

Benefits

Medical/Dental/Vision Insurance

Paid Holidays and Time Off

401(k)

Disability Insurance

Paid Parental Leave

Employee Stock Purchase Plan

Qualifications

• 10 years of healthcare experience with 5 years on TriZetto NetworX pricing.
• Strong understanding of NetworX functionalities.

Responsibilities

• Conduct requirements discovery and lead design sessions.
• Collaborate with teams and document configurations.
• Mentor junior team members on Facets functionalities.

Skills

SQL

Analytical Skills

Communication

Tools

NetworX

Facets

NetworX Modeler

Facets Integrated NetworX Pricer

Job description

Healthcare Product Consulting - NetworX Consultant (Remote)

Job Summary: The NetworX Product Consultant provides application domain expertise related to TriZetto NetworX functionality. Responsibilities include conducting requirements discovery sessions, leading design sessions, and configuring applications within NetworX to meet specific requirements. This role requires excellent consulting skills and NetworX application knowledge, with remote participation.

Salary and Compensation:

Applications are accepted until May 23rd, 2025. The annual salary ranges from $93,000 to $109,000, depending on experience and qualifications. The position is also eligible for Cognizant’s discretionary annual incentive program, based on performance.

Key Responsibilities:

1. Conduct requirements discovery and lead design sessions to optimize NetworX application configurations.
2. Analyze and interpret application configurations and troubleshoot issues.
3. Collaborate with business and technical teams, transferring NetworX knowledge effectively.
4. Communicate issues clearly and propose solutions both verbally and in writing.
5. Coordinate with onshore/offshore teams and cross-functional units for seamless integration.
6. Design, implement, and maintain provider reimbursement configurations, contract loading, and pricing methodologies within NetworX.
7. Test and validate Facets configurations to ensure system reliability.
8. Document configurations and processes thoroughly.
9. Mentor junior team members on Facets functionalities and best practices.
10. Gather business requirements and ensure compliance with industry standards and regulations.
11. Participate in project planning, provide status updates, and seek process improvements.
12. Troubleshoot system issues with a focus on root cause analysis and adapt to changing environments.

Required Skills and Experience:

• Strong understanding of core NetworX functionalities, including grouping and pricing.
• Experience with Facets, NetworX Modeler, and Facets Integrated NetworX Pricer.
• 10 years of healthcare experience, with at least 5 years relevant to TriZetto NetworX pricing.
• Proficiency in SQL, data structures, and report writing for data manipulation and extraction.
• Knowledge of healthcare claims processing, provider contracts, fee schedules, and benefits configuration.
• Understanding of payer-provider contract terms and Optum PPS configuration.
• Familiarity with health plan operations for Medicare, Medicaid, Marketplace, LTSS, and DSNP is highly preferred.

Preferred Qualifications:

• Advanced analytical and problem-solving skills.
• Excellent communication skills, both verbal and written.
• Experience working with onshore/offshore teams.
• Ability to document configurations, processes, and procedures comprehensively.
• Proactive in diagnosing, resolving system issues, and enhancing system performance.

Benefits:

Cognizant offers benefits including Medical/Dental/Vision/Life Insurance, Paid Holidays and Time Off, 401(k), Disability Insurance, Paid Parental Leave, and Employee Stock Purchase Plan. Benefits are subject to eligibility.

Disclaimer: Salary, compensation, and benefits are current as of this posting and may be modified at any time according to applicable law.