Role: NetworX Architect Remote – EST, but HM is flexible if candidate is strong Potential for extension Work type: W2
Design work Must have hands on experience in NetworX Pricer (5-6 yrs) Facets is not required, but nice to have NetworX Configuration (Integrated NetworX) Oracle SQL Review contract, Agreement testing, migration, assignment
• Configure, maintain, and model complex pricing logic within the TriZetto Facets Integrated NetworX Pricer software system. • Translate managed care provider contract language into precise fee schedules, rate sheets, and system qualifiers. • Manage day-to-day configuration workflows, mentor configuration analysts, and coordinate system conversion projects across platforms. • Direct comprehensive unit, regression, and end-to-end testing processes to ensure absolute claim payment accuracy. • Utilize advanced SQL queries and relational databases to audit, validate, and troubleshoot massive configuration data batches. • Establish hierarchical system logic to correctly prioritize specific provider agreements over standard, regional fallback rates. • Monitor and implement quarterly pricing component updates to maintain strict compliance with CMS, Medicare, and Medicaid rules. • Act as the primary liaison between Configuration of leadership, claims operations, and the legal contracting team.