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Facets NetworX Configuration Analyst
Apolis
🇺🇸 United States
Remote
3 months ago
$45 – $50 / hour
- C#
- SQL
3 months ago
Not enough detail in this posting to match
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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.
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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.
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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.
Facets NetworX Configuration Analyst · Apolis