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Healthcare IS · 9 hours ago

NetworX Configuration Analyst

United States

Contract

Remote

Senior Level

5+ years exp

Healthcare IS is seeking a NetworX Configuration Analyst to configure and maintain modules related to NetworX. The role involves building provider contract configurations, performing testing, troubleshooting pricing discrepancies, and partnering with cross-functional teams to support operational workflows.

ConsultingData IntegrationElectronic Health Record (EHR)Health CarePharmaceutical

Responsibilities

Configure and maintain NetworX Pricer, NetworX Payment Editing, and related Facets modules

Build and update provider contract configurations, fee schedules, pricing methodologies, and reimbursement rules

Support new benefit designs and network changes by translating requirements into system configuration

Perform end-to-end testing for pricing, provider setup, and claims adjudication changes

Troubleshoot pricing discrepancies, analyze root causes, and implement corrective updates

Partner with cross-functional teams (claims, network, finance, IT) to support operational workflows

Document configuration changes, test cases, and procedures

Support upgrades, patches, and performance improvements related to NetworX and Facets

Qualification

Facets configurationNetworX modulesClaims adjudicationSQL skillsProvider contractingTroubleshootingData analysisDocumentation

Required

5+ years of hands-on Facets configuration experience, with strong focus on NetworX (Pricer, NetworX Payment Editing, provider pricing logic)

Strong understanding of claims adjudication, provider contracting, and reimbursement methodologies (DRG, APC, RBRVS, fee-for-service, capitation, etc.)

Experience translating business requirements into detailed system configurations

Ability to troubleshoot complex pricing issues across Facets modules