NetworX Configuration Analyst
Anurag singh chauhanRemoteMIDPosted 12d ago
NetworX PricerNetworX ModelerProvider contractReimbursement configurationFee schedulesPricing methodologiesNetwork reimbursementFACETSClaims adjudication
About the Role
We are seeking a NetworX Configuration Analyst to support provider contract pricing, reimbursement configuration, and claims adjudication within the NetworX Pricing platform.
Key Responsibilities
• 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.
Requirements
• 7 years of experience with NetworX Pricer and NetworX Modeler.
• Provider contract and reimbursement configuration experience.
• Experience with fee schedules, pricing methodologies, and network reimbursement.
• FACETS configuration and claims adjudication knowledge.