NetworX Configuration Analyst

Job not on LinkedIn

🔥 13 hours ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

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Tegria

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2020

⚕️ Healthcare Insurance

💳 Fintech

☁️ SaaS

Healthcare Insurance • Fintech • SaaS

Tegria is a global healthcare consulting and services company that partners with provider and payer organizations to advance care, improve performance, and tackle the biggest challenges in healthcare. They offer a range of services including patient access optimization, data analytics, cloud solutions, and revenue cycle transformation to create value and enhance healthcare delivery. Tegria focuses on streamlining operations, fostering innovation, and leveraging technology to maximize performance and improve patient experiences.

📋 Description

• Configure and maintain NetworX pricing components • Analyze provider contracts and reimbursement methodologies • Build, test, and support provider reimbursement models within Facets and NetworX environments • Perform configuration updates, maintenance, and enhancements related to provider pricing and contract management • Collaborate with Provider Contracting, Claims Operations, Provider Data Management, and IT teams • Conduct unit testing, integration testing, and production validation for configuration changes • Troubleshoot pricing and claims adjudication issues and perform root cause analysis • Develop and execute SQL queries, data extracts, and reports to support configuration validation and operational analysis • Create and maintain configuration documentation, workflows, and standard operating procedures • Participate in system upgrades, implementations, and process improvement initiatives

🎯 Requirements

• Bachelor's degree in Information Systems, Healthcare Administration, Business, or related field (or equivalent experience) • 3+ years of Facets and NetworX configuration experience • Hands-on experience building and maintaining provider contracts within NetworX • Strong understanding of Facets core modules • Experience interpreting provider reimbursement methodologies and contract language • Proficiency with SQL and data analysis techniques • Strong analytical, troubleshooting, and problem-solving skills • Knowledge of healthcare payer operations, claims processing, and provider contracting

🏖️ Benefits

• We offer a choice of multiple health and dental plans with nationally recognized networks • Vision benefits • Total wellness program • Employee assistance program for you and your family • Competitive wages • Retirement savings plans • Company-paid disability and life insurance • Pre-tax savings opportunities (HSA and/or FSA) • Professional development offerings • Opportunities for remote work • Generous paid-time-off program