Highlights
The ideal candidate will have strong healthcare payer experience, expertise in NetworX and FACETS, and the ability to translate provider contract requirements into accurate pricing configurations. We are seeking a NetworX Configuration Analyst to support provider contract pricing, reimbursement configuration, and claims adjudication within the NetworX Pricing platform.
Numbers & Facts
| Location | Remote, CA (Remote) |
| Industry | Management Consulting Services |
| Salary | $15–$60.71 Per Hour |
| Company Size | 2,000 to 2,499 employees |
| Year Founded | 2000 |
| Website | https://www.iconma.com/ |
Description
Our Client, an IT Services and Consultant company, is looking for a NetworX Configuration Analyst – Provider Pricing & FACETS for their Remote location.
Responsibilities:
Requirements:
Why Should You Apply?
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:
- NetworX Pricer and NetworX Modeler experience.
- Provider contract and reimbursement configuration experience. Experience with fee schedules, pricing methodologies, and network reimbursement.
- FACETS configuration and claims adjudication knowledge.
- We are seeking a NetworX Configuration Analyst to support provider contract pricing, reimbursement configuration, and claims adjudication within the NetworX Pricing platform.
- The ideal candidate will have strong healthcare payer experience, expertise in NetworX and FACETS, and the ability to translate provider contract requirements into accurate pricing configurations.
- Years of Experience: 7.00 Years of Experience
Why Should You Apply?
- Health Benefits
- Referral Program
- Excellent growth and advancement opportunities
Benefits
401K, Employee Referral Program, Life Insurance
About Company
ICONMA is a global information consulting management firm providing Professional Staffing Services and Project-Based Solutions for organizations in a broad range of industries.
- Corporate Headquarters in Troy, Michigan; 20+ locations worldwide.
- Certified Woman-Owned Business Enterprise (WBE); certified by Women’s Business Enterprise National Council, National Women Business Owners Corporation (NWBOC); and California Public Utilities Commission (CPUC).
- Founded in 2000
- 2000+ Employees
The company was founded on the principle that success is derived from delivering high quality service and resources in the most responsive, flexible, and innovative way. ICONMA invests in people and resources with a single goal: To provide our customers with the highest quality service in the most responsive manner. Through its network of offices, ICONMA provides the resources to help clients maintain their competitive advantage.