NetworX Configuration Analyst

Amtex Systems Inc; Texas; Vor Ort; USD 90.000 - 120.000; Vollzeit

Zusammenfassung

Amtex Systems Inc. is seeking a NetworX Configuration Analyst to support provider contract pricing and reimbursement configuration within the NetworX Pricing platform.

The candidate should have strong healthcare payer experience and expertise in NetworX and FACETS to translate provider contract requirements into accurate pricing configurations. Key responsibilities include configuring provider contracts, fee schedules, and reimbursement methodologies, analyzing requirements, and performing

Qualifikationen

• 7+ years in healthcare payer pricing and contract configuration.
• Experience translating provider contracts into NetworX configurations.
• Knowledge of FACETS, claim adjudication, and reimbursement methodologies.

Aufgaben

• Configure and maintain provider contracts, fee schedules, qualifier groups, and reimbursement methodologies in NetworX.
• Analyze business and contractual requirements and convert them into system configurations.
• Perform pricing validation, claims analysis, testing, and production support.

Kenntnisse

NetworX Pricing

NetworX Modeler

FACETS configuration

Pricing methodologies

Claims adjudication

Healthcare payer experience

Tools

FACETS

NetworX platform

Jobbeschreibung

1.NetworX Pricer and NetworX Modeler experience.

2. Provider contract and reimbursement configuration experience. Experience with fee schedules, pricing methodologies, and network reimbursement.

3. FACETS configuration and claims adjudication knowledge.

Job Summary

We are seeking a NetworX Configuration Analyst to support provider contract pricing, reimbursement configuration, and claims adjudication within the NetworX Pricing platform. The ideal candidate will have strong healthcare payer experience, expertise in NetworX and FACETS, and the ability to translate provider contract requirements into accurate pricing configurations.

Key Responsibilities

• Configure and maintain provider contracts, fee schedules, qualifier groups, and reimbursement methodologies in NetworX.
• Analyze business and contractual requirements and convert them into system configurations.
• Perform pricing validation, claims analysis, testing, and production support.

Years of Experience: 7.00 Years of Experience