NetworX Configuration Analyst

TechDigital Group; California (MO); Hybrid; USD 90,000 - 120,000; Full time

Job summary

TechDigital Group seeks a pricing configuration professional with hands-on NetworX Pricer experience (5–6 yrs) to configure, maintain, and model complex pricing logic within the TriZetto Facets integrated system.

The role translates provider contracts into precise fee schedules, manages configuration workflows, and mentors analysts while coordinating system conversion projects across platforms. Strong SQL skills with Oracle are required.

Qualifications

• Hands-on experience with NetworX Pricer (5–6 years).
• Facets familiarity is a plus.
• Experience translating provider contracts into fee schedules.

Responsibilities

• Configure, maintain, and model pricing logic in TriZetto Facets Integrated NetworX Pricer.
• Translate contract language into precise fee schedules and system qualifiers.
• Manage configuration workflows and coordinate system conversion projects.
• Lead comprehensive unit, regression, and end-to-end testing for claim payment accuracy.
• Use advanced SQL queries to audit and troubleshoot large configuration data batches.
• Establish hierarchical logic to prioritize specific provider agreements.
• Monitor quarterly pricing updates to stay compliant with CMS, Medicare, and Medicaid rules.
• Serve as liaison between Configuration leadership, claims operations, and legal contracting team.

Skills

Pricing configuration

Contract testing

Project coordination

Stakeholder liaison

CMS rules knowledge

Tools

TriZetto Facets

NetworX Pricer

NetworX Configuration

Oracle SQL

Job description

Must have hands on experience in NetworX Pricer (5-6 yrs). Facets is not required, but nice to have. NetworX Configuration (Integrated NetworX). Oracle SQL. Review contract, Agreement testing, migration, assignment.

• Configure, maintain, and model complex pricing logic within the TriZetto Facets Integrated NetworX Pricer software system.
• Translate managed care provider contract language into precise fee schedules, rate sheets, and system qualifiers.
• Manage day-to-day configuration workflows, mentor configuration analysts, and coordinate system conversion projects across platforms.
• Direct comprehensive unit, regression, and end-to-end testing processes to ensure absolute claim payment accuracy.
• Utilize advanced SQL queries and relational databases to audit, validate, and troubleshoot massive configuration data batches.
• Establish hierarchical system logic to correctly prioritize specific provider agreements over standard, regional fallback rates.
• Monitor and implement quarterly pricing component updates to maintain strict compliance with CMS, Medicare, and Medicaid rules.
• Act as the primary liaison between Configuration leadership, claims operations, and the legal contracting team.