Job Description :

iZeal, Inc. is currently seeking an Sr. NetworX Configuration Analyst for our client's requirement. The salary depends on experience.

 

Job Title: Sr. NetworX Configuration Analyst

Type: W2-Contract

Location: Remote.

Responsibilities: 

  • Reading and interpreting provider contracts, or other pricing artifacts, to complete provider configuration design templates
  • Creating standard NetworX templates within Facets and on paper as a guide for Config Analysts to use to configure new
  • Extracting and analyzing pricing data to help assess load accuracy and to resolve provider pricing inquiries and/or pended claims
  • Complete quality control measures to ensure accuracy of NetworX Agreement build
  • Identify process improvement opportunities to improve accuracy and timeliness (i.e., automation, turn-around time, etc.)
  • Manage assigned inventory to ensure timely contract load
  • Perform user acceptance testing on new/changed pricing tools
  • Serve as subject matter expert regarding configuration and/or Facets capabilities
  • Provide direction in selecting the appropriate Configuration Template(s) and/or request new designs for new pricing requirements

Required Qualifications:
  • High school diploma or GED
  • 3 years of Provider Pricing Configuration in Facets/NetworX
  • 3 years of experience reading, interpreting, and translating provider contracts for professional, facility and ancillary providers
  • 3 years of physician, facility, and ancillary contract reimbursement methodology with Medicare & commercial products
  • Self-directed individual with a proven track record of strong organizational skills and ability to adapt quickly to change
  • Strong communication skills to translate complex or technical information clearly and concisely for diverse internal audiences
  • Proven ability to manage productivity and efficiency to visualize and achieve set goals for delivery of contracts for installation
  • Intermediate level of proficiency with Microsoft Word / Excel / Outlook / SharePoint
  • Strong customer focus with proven ability to anticipate, understand, and meet the needs of internal and external customers

Preferred Qualifications:

  • Medicare, Medicaid & Commercial pricing experience
  • Undergraduate degree in business or healthcare preferred

Educational Qualification: Minimum Bachelor's in Computer Science & Engineering or Equivalent Degree.


Charitha Ch 
|| IT Recruiter iZeal , Inc.

46090 Lake center plaza, Suite#100, Sterling, VA - 20165.
             

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