NetworX Configuration Analyst Role
New Jersey
NetworX Configuration Analyst Role
Full Time • New Jersey
Hiring: NetworX Configuration Analyst
Location: Remote – EST Time Zone
Employment: Only W2
NO OPT/CPT
Experience: 12+ years overall relevant experience; 5-6 years of hands-on NetworX Pricer experience (MANDATORY)
Location: Remote – EST Time Zone
Employment: Only W2
NO OPT/CPT
Experience: 12+ years overall relevant experience; 5-6 years of hands-on NetworX Pricer experience (MANDATORY)
Job Summary
We are looking for an experienced NetworX Configuration Analyst with strong hands-on expertise in TriZetto Facets Integrated NetworX Pricer and healthcare/managed care pricing configuration.
The ideal candidate will have extensive experience translating provider contract language into accurate pricing configurations, fee schedules, rate sheets, and system qualifiers. This role will also support configuration testing, data migration, pricing updates, and collaboration with claims, contracting, legal, and configuration teams.
Key Responsibilities
- Configure, maintain, and model complex pricing logic within the TriZetto Facets Integrated NetworX Pricer system.
- Translate managed care provider contract language into accurate fee schedules, rate sheets, and system qualifiers.
- Perform day-to-day NetworX configuration and configuration workflow management.
- Mentor configuration analysts and coordinate system conversion and migration initiatives.
- Review provider contracts and perform agreement testing and configuration validation.
- Lead unit, regression, and end-to-end testing to ensure accurate claim payment.
- Develop and use advanced Oracle SQL queries to audit, validate, and troubleshoot configuration data.
- Establish hierarchical pricing logic to prioritize specific provider agreements over standard and regional fallback rates.
- Monitor and implement quarterly pricing component updates.
- Ensure pricing configurations align with CMS, Medicare, and Medicaid requirements.
- Collaborate with configuration leadership, claims operations, legal, and contracting teams.
- Support data migration, system conversion, and configuration validation activities.
Mandatory Skills
- NetworX Pricer
- Integrated NetworX / TriZetto Facets NetworX
- NetworX Configuration
- 5–6 years of hands-on NetworX Pricer experience
- Advanced Oracle SQL
- Contract Review
- Agreement Testing
- Configuration Testing
- Data Migration
- Unit, Regression, and End-to-End Testing
- Healthcare / Managed Care Pricing Configuration
Nice-to-Have Skills
- TriZetto Facets
- Claims Operations experience
- CMS, Medicare, and Medicaid pricing rules
- Configuration team mentoring
- System conversion projects
- Relational database auditing
Candidate Requirements
- 10+ years of overall relevant experience.
- 5–6 years of hands-on NetworX Pricer experience is required.
- Strong healthcare/managed care pricing configuration background.
- Must be comfortable working remotely within the EST time zone.
- Strong analytical, testing, troubleshooting, and communication skills.
- Only W2 candidates.
Compensation: $50.00 - $55.00 per hour
WELCOME TO IPOLARITY LLC
IPolarity LLC. is a Professional Services firm composed of highly trained professionals with a wide range of experience in various industries. We provide our clients in key industry verticals with focused expertise in IT Solution, Application Development, Application Maintenance, Testing services and Systems Integration. IPolarity LLC integrates expert industry knowledge, process and technology frameworks, strong partnerships, and a reliable work force to provide strategic solutions that generate sustainable results. We are able to leverage our expertise via a flexible delivery model, which includes onsite and offsite resources.
(if you already have a resume on Indeed)