Highlights
Hands-on experience configuring Agreements, Rate Sheets, Rate Terms, Qualifier Groups, Fee Schedules, Networks, and Provider Rows. Collaborate with business and technical teams to ensure accurate implementation of provider reimbursement methodologies.
Numbers & Facts
| Location | New Jersey, NJ (Remote) |
| Industry | Computer/IT Services |
| Salary | $45–$50 Per Hour |
| Company Size | 500 to 999 employees |
| Website | https://www.apolisrises.com/ |
Description
Job Title: Facets NetworX Configuration Analyst
Location: Remote
Employment Type: Contract / Full-TimeJob Description
- Create, update, and maintain NetworX pricing configuration data, including:
- Agreements
- Rate Sheets
- Rate Terms
- Qualifier Groups
- Fee Schedules
- Networks
- Provider Rows
- Analyze and interpret provider contracts and agreements and translate them into NetworX pricing configurations.
- Configure and maintain pricing rules within the Facets NetworX environment.
- Automate the loading and maintenance of NetworX pricing data using C# APIs and SQL scripting.
- Collaborate with business and technical teams to ensure accurate implementation of provider reimbursement methodologies.
- Support testing, validation, and troubleshooting of pricing configurations.
Required Qualifications
- Strong experience with Facets NetworX Configuration.
- Hands-on experience configuring Agreements, Rate Sheets, Rate Terms, Qualifier Groups, Fee Schedules, Networks, and Provider Rows.
- Ability to read, analyze, and map provider contracts to NetworX rate terms and pricing configurations.
- Experience with C# API development/integration and SQL scripting for pricing data automation.
- Healthcare payer domain experience.
- Strong analytical and problem-solving skills.
Preferred Qualifications
- Experience supporting Optum or other large healthcare payer environments.
- Knowledge of provider reimbursement methodologies and healthcare claims pricing.
- Experience with automation and data migration initiatives within NetworX.
Benefits
Paid Sick Days, Employee Referral Program, Employee Events, Retirement / Pension Plans
About Company
Since 1996, RJT has provided successful SAP, Oracle, and IT consulting solutions and staffing services to clients around the world. The new Apolis brings you the same personalized service fortified with a greater array of IT solutions, global expertise, and cost-management strategies.
We are a global IT consultancy that seamlessly integrates experts and leading-edge solutions into your organization so you can focus on what really matters.