NetworX Configuration Analyst

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Set up and oversee the pricing components of NetworX.

• Evaluate provider contracts and reimbursement strategies.

• Construct, test, and support provider reimbursement models within both Facets and NetworX settings.

• Implement configuration updates, maintenance, and enhancements concerning provider pricing and contract management.

• Collaborate with teams in Provider Contracting, Claims Operations, Provider Data Management, and IT.

• Execute unit testing, integration testing, and production validation for changes in configuration.

• Diagnose pricing and claims adjudication problems and conduct root cause analysis.

• Create and run SQL queries, data extracts, and reports to facilitate configuration validation and operational assessments.

• Develop and uphold configuration documentation, workflows, and standard operating procedures.

• Engage in system upgrades, implementations, and initiatives for process improvement.

⛳️ Requirements

• A Bachelor’s degree in Information Systems, Healthcare Administration, Business, or a related discipline (or equivalent experience).

• Over 3 years of experience with Facets and NetworX configuration.

• Practical experience in constructing and managing provider contracts within NetworX.

• Solid understanding of the core modules of Facets.

• Experience in interpreting provider reimbursement strategies and contract terminology.

• Proficient in SQL and data analysis methodologies.

• Strong analytical, troubleshooting, and problem-solving capabilities.

• Familiarity with healthcare payer operations, claims processing, and provider contracting.

🏝️ Benefits

• We provide a selection of multiple health and dental plans with nationally recognized networks.

• Vision benefits are available.

• Comprehensive wellness program.

• Employee assistance program for you and your family.

• Competitive salary.

• Retirement savings options.

• Company-funded disability and life insurance.

• Pre-tax savings opportunities (HSA and/or FSA).

• Professional development programs.

• Options for remote work.

• Generous paid time off policy.