NetworX Pricing & Reimbursement Config Analyst

TechDigital Group; California; Hybrid; USD 110.000 - 150.000; Vollzeit

Zusammenfassung

TechDigital Group is seeking a NetworX Configuration Analyst to support provider contract pricing and reimbursement configuration within the NetworX Pricing platform. The role emphasizes healthcare payer experience, NetworX, and FACETS to translate contract requirements into accurate pricing configurations.

The ideal candidate will collaborate with cross-functional teams to implement configuration changes, support testing, and ensure post-implementation validation.

Qualifikationen

• NetworX Pricer and NetworX Modeler experience.
• Provider contract and reimbursement configuration experience including fee schedules, pricing methodologies, and network reimbursement.
• FACETS configuration and claims adjudication knowledge.

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.
• Investigate and resolve pricing, reimbursement, and claims adjudication issues.
• Collaborate with Provider Contracting, Claims, Business, and IT teams to implement configuration changes.
• Support UAT, production releases, and post-implementation validation activities.
• Create and maintain configuration documentation and testing evidence.

Kenntnisse

NetworX Pricer

NetworX Modeler

Provider contracts

Reimbursement configuration

Fee schedules

Pricing methodologies

Network reimbursement

FACETS configuration

Claims adjudication knowledge

Tools

NetworX

FACETS

Jobbeschreibung

TechDigital Group is seeking a NetworX Configuration Analyst to support provider contract pricing and reimbursement configuration within the NetworX Pricing platform. The role emphasizes healthcare payer experience, NetworX, and FACETS to translate contract requirements into accurate pricing configurations.

The ideal candidate will collaborate with cross-functional teams to implement configuration changes, support testing, and ensure post-implementation validation.