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NetworX Configuration Analyst

ICONMA

Role overview

Qualifications

  • Must have hands on experience in NetworX Pricer (5-6 yrs)
  • NetworX Configuration (Integrated NetworX)
  • Oracle SQL
  • Review contract, Agreement testing, migration, assignment

Responsibilities

  • Configure, maintain, and model complex pricing logic within the TriZetto Facets Integrated NetworX Pricer software system
  • Translate managed care provider contract language into precise fee schedules, rate sheets, and system qualifiers
  • Manage day-to-day configuration workflows, mentor configuration analysts, and coordinate system conversion projects across platforms
  • Direct comprehensive unit, regression, and end-to-end testing processes to ensure absolute claim payment accuracy

Key facts

Hard skills

SQL (Programming Language) Configuration Management System Testing

Other skills

  • Mentorship
  • Communication

About the company

ICONMA logo

ICONMA

Management Consulting

We provide Professional Staffing Services & Project-Based Solutions for a broad range of Fortune 500 organizations. ICONMA is a certified Woman-Owned staffing company and was founded in 2000. ICONMA’s corporate headquarters is in Troy, Michigan, and has 15+ locations worldwide. What makes ICONMA stand out in a fiercely competitive industry? *We provide integrated, full lifecycle services across a broad range of business and technical platforms. *No single company can duplicate our full range of staffing and permanent recruiting services nationwide. *Proven track record of attracting and retaining exceedingly skilled professional workers in a highly competitive market. SERVICES OFFERED Staff Augmentation (Contract, Contract to Hire, Direct Hire, Single Source) Data Analysis Project-Based Services & Solutions Hire Train Deploy Service Model Offshore Staff Augmentation Payroll Services AREAS OF EXPERTISE - Information Technology - Engineering - Business Professional - Accounting/Finance - Admin/Clerical/Call Center - Healthcare/Clinical/Scientific - Marketing/Creative mail linkedin@iconma.com Phone (888) 451-2519 Website http://www.iconma.com

Company details

Company typeLarge
IndustryManagement Consulting
Company size1001 - 5000

Links

Website LinkedIn See all jobs

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Job description

Our Client, an IT Services and Consultant company, is looking for a NetworX Configuration Analyst for their Remote location.
 
Responsibilities:
  • Configure, maintain, and model complex pricing logic within the TriZetto Facets Integrated NetworX Pricer software system.
  • Translate managed care provider contract language into precise fee schedules, rate sheets, and system qualifiers.
  • Manage day-to-day configuration workflows, mentor configuration analysts, and coordinate system conversion projects across platforms.
  • Direct comprehensive unit, regression, and end-to-end testing processes to ensure absolute claim payment accuracy.
  • Utilize advanced SQL queries and relational databases to audit, validate, and troubleshoot massive configuration data batches.
  • Establish hierarchical system logic to correctly prioritize specific provider agreements over standard, regional fallback rates.
  • Monitor and implement quarterly pricing component updates to maintain strict compliance with CMS, Medicare, and Medicaid rules.
  • Act as the primary liaison between Configuration of leadership, claims operations, and the legal contracting team.
 
Requirements:
  • Must have hands on experience in NetworX Pricer (5-6 yrs)
  • NetworX Configuration (Integrated NetworX)
  • Oracle SQL
  • Review contract, Agreement testing, migration, assignment
  • Facets is not required, but nice to have
  • 10.00 Years of Experience
 
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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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