Remote EST NetworX Pricing Config Analyst

IPolarity LLC; Whippany (NJ); On-site; USD 120,000 - 180,000; Full time

Job summary

IPolarity LLC seeks an experienced NetworX Configuration Analyst with hands-on NetworX Pricer experience in TriZetto Facets. You will translate provider contracts into accurate pricing configurations, run testing, and support data migration and pricing updates while collaborating with claims, contracting, legal, and configuration teams.

The role requires 10+ years of relevant experience, 5-6 years in NetworX Pricer, and strong Oracle SQL skills.

Qualifications

• 10+ years of overall relevant experience in healthcare pricing configuration.
• 5-6 years of hands-on NetworX Pricer experience is required.
• Strong experience translating provider contracts into pricing configurations.

Responsibilities

• Configure, maintain, and model pricing logic within NetworX Pricer.
• Translate contract language into fee schedules and qualifiers.
• Perform day-to-day NetworX configuration and workflow management.
• Mentor configuration analysts and coordinate system migrations.
• Review provider contracts and perform testing and configuration validation.
• Lead unit, regression, and end-to-end testing to ensure accurate claim payments.
• Develop and use advanced Oracle SQL queries to audit, validate, and troubleshoot configuration data.
• Establish hierarchical pricing logic to prioritize provider agreements over standard rates.
• Monitor and implement quarterly pricing component updates.
• Ensure pricing configurations align with CMS, Medicare, and Medicaid requirements.
• Collaborate with configuration leadership, claims operations, legal, and contracting teams.
• Support data migration, system conversion, and configuration validation activities.

Skills

NetworX Pricer

Integrated NetworX / TriZetto Facets

NetworX Configuration

Advanced Oracle SQL

Contract Review

Agreement Testing

Configuration Testing

Data Migration

Unit, Regression, End-to-End Testing

Healthcare / Managed Care Pricing

Tools

Oracle SQL

Job description

IPolarity LLC seeks an experienced NetworX Configuration Analyst with hands-on NetworX Pricer experience in TriZetto Facets. You will translate provider contracts into accurate pricing configurations, run testing, and support data migration and pricing updates while collaborating with claims, contracting, legal, and configuration teams.

The role requires 10+ years of relevant experience, 5-6 years in NetworX Pricer, and strong Oracle SQL skills.