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NetworX Configuration Analyst

ICONMA

Role overview

Qualifications

  • NetworX Pricer and NetworX Modeler experience
  • Provider contract and reimbursement configuration experience
  • FACETS configuration and claims adjudication knowledge
  • Strong healthcare payer experience

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

Key facts

Hard skills

Other skills

  • Collaboration
  • Problem Solving
  • Analytical Thinking

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

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Job description

Our Client, an IT Services and Consultant company, is looking for a NetworX Configuration Analyst – Provider Pricing & FACETS for their Remote location.
 
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
 
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MR

Marcus Rivera

Chief Revenue Officer

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