Remote Facets/NetworX Configuration Specialist

Tegria; United States; Hybrid; USD 90,000 - 130,000; Full time

Benefits offered by this job

Health and dental plans

Retirement savings plan

Remote work opportunities

Generous paid time off

Job summary

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

You will work cross-functionally with Provider Contracting, Claims, Pricing, and IT teams to ensure configurations are compliant, scalable, and aligned with business needs.

Qualifications

• Bachelor’s degree or equivalent experience in information systems, healthcare administration, business, or related field.
• 3+ years of Facets and NetworX configuration experience.
• Hands-on experience building and maintaining provider contracts within NetworX.
• Strong understanding of Facets core modules.
• Experience interpreting provider reimbursement methodologies and contract language.
• Proficiency with SQL and data analysis techniques.
• Strong analytical, troubleshooting, and problem-solving skills.
• Knowledge of healthcare payer operations, claims processing, and provider contracting.

Responsibilities

• Configure and maintain NetworX pricing components and related pricing systems.
• Analyze provider contracts and reimbursement methodologies and translate language into system configuration requirements.
• Build, test, and support provider reimbursement models within Facets and NetworX.
• Perform configuration updates, maintenance, and enhancements for pricing and contract management.
• Collaborate with internal teams to ensure accurate pricing implementations.
• Conduct unit, integration, and production validation for configuration changes.
• Troubleshoot pricing and claims adjudication issues and perform root cause analysis.
• Develop and execute SQL queries, data extracts, and reports for validation and analysis.
• Create and maintain configuration documentation, workflows, and SOPs.
• Participate in system upgrades, implementations, and process improvements.

Skills

SQL proficiency

Data analysis

Analytical thinking

Pricing/claims knowledge

Troubleshooting

Healthcare payer ops

Education

Bachelor’s degree in Information Systems or related field

Tools

Facets

NetworX

SQL tools

Job description

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

You will work cross-functionally with Provider Contracting, Claims, Pricing, and IT teams to ensure configurations are compliant, scalable, and aligned with business needs.