Note: The job is a remote job and is open to candidates in USA. IPolarity LLC is a professional services firm providing IT solutions, application development and maintenance, testing services, and systems integration across multiple industries. The company is seeking an experienced NetworX Configuration Analyst to configure and maintain TriZetto Facets Integrated NetworX Pricer solutions, translate managed care contracts into pricing configurations, and support testing, migration, validation, and collaboration with claims and contracting teams.
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
Skills
- **Experience:** 12+ years overall relevant experience; 5-6 years of hands-on NetworX Pricer experience (**MANDATORY**)
- * **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
- * **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.**
- * TriZetto Facets
- * Claims Operations experience
- * CMS, Medicare, and Medicaid pricing rules
- * Configuration team mentoring
- * System conversion projects
- * Relational database auditing
Benefits
- Remote – EST Time Zone
Company Overview
Company H1B Sponsorship