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Facets NetworX Configuration Analyst

Apolis

New Jersey, NJ(remote)

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JOB DETAILS
SALARY
$45–$50 Per Hour
SKILLS
Analysis Skills, Application Programming Interface (API), Automation, Contract Analysis, Data Migration, Fee Schedule, Healthcare, Healthcare Reimbursement, Microsoft C# (C Sharp), Pricing, Problem Solving Skills, Provider Contracting, Reimbursement, SQL (Structured Query Language), Scripting (Scripting Languages), Testing, Validation Testing
LOCATION
New Jersey, NJ(remote)
POSTED
6 days ago

  • Job Title: Facets NetworX Configuration Analyst

    Location: Remote
    Employment Type: Contract / Full-Time

    Job 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.

About the Company

A

Apolis

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.

COMPANY SIZE
500 to 999 employees
INDUSTRY
Computer/IT Services
EMPLOYEE BENEFITS
Paid Sick Days, Employee Referral Program, Employee Events, Retirement / Pension Plans
WEBSITE
https://www.apolisrises.com/