Remote Facets NetworX Configuration Analyst

Tegria Company; North Carolina; Vor Ort; USD 85.000 - 110.000; Vollzeit

Zusammenfassung

Tegria is seeking a Facets NetworX Configuration Analyst in North Carolina to configure, maintain, and support provider reimbursement and pricing structures within Facets and NetworX. You will translate contract terms into precise system configurations supporting claims adjudication and pricing rules.

You will build and test pricing components, collaborate with contracting, claims, analytics and IT teams, and develop SQL queries and documentation to ensure accurate configurations and ongoing

Qualifikationen

• 3+ years of Facets and NetworX configuration experience.
• Hands-on experience building and maintaining provider contracts within NetworX.
• Strong understanding of Facets core modules (Membership, Provider Management, Claims Processing, Billing, Product/Benefits Configuration).
• Proficiency with SQL and data analysis.

Aufgaben

• Configure and maintain NetworX pricing components and provider contracts.
• Translate contract terms into system configuration for claims adjudication and reimbursement.
• Build, test, and support provider reimbursement models in Facets and NetworX.
• Conduct testing and production validation for configuration changes.
• Develop SQL queries and reports to support validation and analysis.
• Document configurations and SOPs.

Kenntnisse

Facets/NetworX configuration

SQL / data analysis

Provider contract analysis

Troubleshooting

Analytical skills

Ausbildung

Bachelor's degree in Information Systems, Healthcare Administration, Business, or related field

Tools

Facets

NetworX

SQL

Jobbeschreibung

Tegria is seeking a Facets NetworX Configuration Analyst in North Carolina to configure, maintain, and support provider reimbursement and pricing structures within Facets and NetworX. You will translate contract terms into precise system configurations supporting claims adjudication and pricing rules.

You will build and test pricing components, collaborate with contracting, claims, analytics and IT teams, and develop SQL queries and documentation to ensure accurate configurations and ongoing