NetworX and Facets Pricing Config Consultant – Remote

Cognizant; Rancho Cordova (CA); Remote; USD 113,000 - 130,000; Full time

Benefits offered by this job

Medical/Dental/Vision/Life Insurance

401(k) plan and contributions

Paid holidays + PTO

Long-term/Short-term Disability

Paid Parental Leave

Employee Stock Purchase Plan

Job summary

Cognizant is seeking a NetworX Pricing Configuration Consultant for a remote role in the United States. You will support provider contract pricing, reimbursement configuration, and claims adjudication for healthcare payer organizations.

Collaborate with Contracting, Claims, Business, and IT to implement configuration enhancements and ensure accurate pricing outcomes. Strong SQL and communication skills are essential to succeed in a fast-paced environment.

Qualifications

• Experience supporting healthcare payer organizations with provider contract pricing and reimbursement configuration.
• Hands-on experience with NetworX Pricer and NetworX Modeler.
• Experience with FACETS configuration and claims adjudication processes.
• Knowledge of provider contract configuration, fee schedules, reimbursement methodologies, and pricing validation.
• Strong SQL skills for data analysis, validation, and troubleshooting.

Responsibilities

• Configure and maintain provider contracts, fee schedules, qualifier groups, and reimbursement methodologies within the NetworX Pricing platform.
• Analyze business and contractual requirements and translate them into effective pricing and reimbursement configurations.
• Perform pricing validation, claims analysis, testing, and production support to ensure accurate claims adjudication and reimbursement outcomes.
• Partner with Provider Contracting, Claims Operations, Business, and IT teams to implement and support configuration enhancements.
• Investigate and resolve pricing, reimbursement, and claims adjudication issues while maintaining configuration documentation and testing evidence.

Skills

SQL

Communication skills

Analytical thinking

Pricing configuration

Tools

NetworX Pricer

NetworX Modeler

FACETS

SQL

Job description

NetworX and Facets Pricing Config Consultant – Remote

Location: Remote

Employment Type: Full-Time

Job ID: 00070636631

About the role

As a NetworX Pricing Configuration Consultant, you will make an impact by supporting provider contract pricing, reimbursement configuration, and claims adjudication for healthcare payer organizations. You will be a valued member of the healthcare consulting team and work collaboratively with Provider Contracting, Claims, Business, and Technology stakeholders to deliver accurate and scalable pricing solutions.

In this role, you will:

• Configure and maintain provider contracts, fee schedules, qualifier groups, and reimbursement methodologies within the NetworX Pricing platform.
• Analyze business and contractual requirements and translate them into effective pricing and reimbursement configurations.
• Perform pricing validation, claims analysis, testing, and production support to ensure accurate claims adjudication and reimbursement outcomes.
• Partner with Provider Contracting, Claims Operations, Business, and IT teams to implement and support configuration enhancements.
• Investigate and resolve pricing, reimbursement, and claims adjudication issues while maintaining configuration documentation and testing evidence.

Work model

We strive to provide flexibility wherever possible. Based on this role's business requirements, this is a remote position open to qualified applicants within the United States. Regardless of your working arrangement, we are here to support a healthy work-life balance through our various wellbeing programs.

What you need to have to be considered

• Experience supporting healthcare payer organizations with provider contract pricing and reimbursement configuration.
• Hands-on experience with NetworX Pricer and NetworX Modeler.
• Experience with FACETS configuration and claims adjudication processes.
• Knowledge of provider contract configuration, fee schedules, reimbursement methodologies, and pricing validation.
• Strong SQL skills for data analysis, validation, and troubleshooting.
• Experience supporting Commercial, Medicare, and Medicaid lines of business.
• Experience with testing, production releases, implementation support, and post-production validation.
• Strong analytical, troubleshooting, and problem-solving skills.
• Excellent verbal and written communication skills with the ability to collaborate across business and technical teams.

These will help you stand out

• Experience with complex reimbursement methodologies, fee schedules, and network pricing models.
• Knowledge of CMU migrations and production support activities.
• Experience working closely with Provider Contracting and Claims Operations teams.
• Understanding of healthcare EDI transactions, including 837 and 835 formats.
• Experience supporting healthcare transformation, modernization, or platform migration initiatives.
• Strong documentation, stakeholder management, and organizational skills.
• Ability to effectively communicate configuration impacts and recommendations to business partners.

Salary and Other Compensation:

Applicants will be accepted till 11/15/2026

Cognizant will only consider applicants for this position who are legally authorized to work in the United States without company sponsorship.

Please note, this role cannot offer visa transfer or sponsorship now or in the future

The annual salary for this position will be in the range of $113,000 - $130,000 depending on experience and other qualifications of the successful candidate.

This position is also eligible for Cognizant’s discretionary annual incentive program, based on performance and subject to the terms of Cognizant’s applicable plans.

Benefits:

• Medical/Dental/Vision/Life Insurance
• Paid holidays plus Paid Time Off
• 401(k) plan and contributions
• Long-term/Short-term Disability
• Paid Parental Leave
• Employee Stock Purchase Plan

Disclaimer:

The salary, other compensation, and benefits information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.

Our strength is built on our ability to work together. Our diverse backgrounds offer different perspectives and new ways of thinking. It encourages lively discussions, creativity, productivity, and helps us build better solutions for our clients. We want someone who thrives in this setting and is inspired to craft meaningful solutions through true collaboration.

If you are content with ambiguity, excited by change, and excel through autonomy, we’d love to hear from you!