NetworX Pricing Configuration Analyst

Compunnel, Inc.; Thomson (GA); On-site; USD 100,000 - 140,000; Full time

Job summary

Compunnel, Inc. seeks a NetworX Configuration Analyst to configure, maintain, and optimize provider pricing and reimbursement logic within the TriZetto Facets NetworX Pricer platform.

You will translate contracts into system configurations and support pricing accuracy and regulatory compliance. Applicants need strong TriZetto NetworX Pricer expertise, SQL skills, and familiarity with CMS/Medicaid pricing rules.

Qualifications

• Bachelor's degree or equivalent professional experience in IT, healthcare admin, CS or business.
• Experience configuring TriZetto Facets Integrated NetworX Pricer.
• Strong understanding of managed care provider contracts, reimbursement, and pricing methodologies.
• Experience configuring fee schedules, rate sheets, pricing qualifiers, and provider reimbursement rules.
• Strong SQL and relational database experience.
• Experience performing unit, regression, integration, and end-to-end testing.

Responsibilities

• Configure, maintain, and optimize pricing logic within the NetworX Pricer platform.
• Translate provider contracts into fee schedules, rate sheets, and pricing rules.
• Configure provider reimbursement methodologies and pricing models.
• Manage day-to-day configuration activities and support system conversions.
• Mentor configuration analysts and provide technical guidance on pricing configurations.
• Plan and execute unit, regression, integration, and end-to-end testing.

Skills

Analytical thinking

Troubleshooting

Communication

Stakeholder management

Problem solving

Education

Bachelor's degree in Information Technology

Tools

TriZetto Facets NetworX Pricer

SQL

Job description

Compunnel, Inc. seeks a NetworX Configuration Analyst to configure, maintain, and optimize provider pricing and reimbursement logic within the TriZetto Facets NetworX Pricer platform.

You will translate contracts into system configurations and support pricing accuracy and regulatory compliance. Applicants need strong TriZetto NetworX Pricer expertise, SQL skills, and familiarity with CMS/Medicaid pricing rules.