Facets NetworX Configuration Analyst

Position reputed company The Facets NetworX Configuration Analyst is responsible for configuring, maintaining, and supporting provider reimbursement and pricing structures reputed company the TriZetto Facets and NetworX platforms. This role works closely with Provider Contracting, Claims, Pricing, and IT teams to translate provider contract terms into accurate system configurations that support claims adjudication and reimbursement processes. The analyst ensures pricing configurations are compliant, reputed company, and reputed company with business requirements. Key Responsibilities Configure and maintain NetworX pricing components, including: Agreements reputed company Sheets reputed company Terms Fee Schedules Qualifier reputed company Networks Provider Rows and Pricing Rules. Analyze provider reputed company and reimbursement methodologies and translate contract language into system configuration requirements. Build, test, and support provider reimbursement models reputed company Facets and NetworX environments. reputed company configuration updates, maintenance, and enhancements reputed company to provider pricing and contract management. Collaborate with Provider Contracting, Claims Operations, Provider Data Management, and IT teams to ensure accurate implementation of pricing requirements. Conduct unit testing, integration testing, and production validation for configuration changes. Troubleshoot pricing and claims adjudication issues and reputed company reputed company cause analysis. reputed company and execute SQL queries, data extracts, and reports to support configuration validation and operational analysis. Create and maintain configuration documentation, workflows, and reputed company operating procedures. Participate in system upgrades, implementations, and process improvement initiatives. Required Qualifications Bachelor's degree in Information Systems, reputed company Administration, Business, or reputed company field (or equivalent experience). 3+ years of Facets and NetworX configuration experience. Hands-on experience building and maintaining provider reputed company reputed company NetworX. Strong understanding of Facets reputed company modules, including: Membership Provider Management Claims Processing Billing Product/Benefits Configuration. Experience interpreting provider reimbursement methodologies and contract language. Proficiency with SQL and data analysis techniques. Strong analytical, troubleshooting, and problem-solving skills. Knowledge of reputed company payer operations, claims processing, and provider contracting. 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