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Note: This is a 100 % remote, contract-to-hire position. Eligibility for conversion to direct hire at the end of the contract is limited to individuals residing in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Senior NetworX Pricer Configuration Analyst
Overview
Seeking a Senior Configuration Analyst with strong experience in healthcare claims pricing and configuration. This role will focus on building and maintaining pricing configurations, translating contract requirements into system logic, and supporting testing and implementation efforts.
Must Haves
- 5+ years of NetworX configuration experience
- Hands-on experience with QNXT (preferred) or Facets
- Strong background in Commercial health plans
- Solid experience in claims testing (unit and regression)
- Proven ability to interpret contract language (PDFs) and translate into technical pricing configurations
- Experience building NetworX rate sheets from scratch
- Strong analytical and problem-solving skills
Key Responsibilities
- Configure and maintain pricing rules within NetworX Pricer
- Translate contract terms into system configuration and pricing logic
- Perform claims testing (unit and regression) to validate configurations
- Support implementation of new pricing models and updates
- Collaborate with business and technical teams to ensure accurate configuration
- Conduct detailed analysis to support system enhancements and operational improvements
Nice to Have
- Experience with both QNXT and Facets
- PMP certification
- Prior experience in large-scale healthcare payer environments
Education
- Bachelor’s degree in a related field preferred
Interested candidates may submit their resumes online or call at 310-906-4780 for further information regarding the position. Bottom of Form
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