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Seeking a Senior Configuration Analyst with strong experience in healthcare claims pricing and configuration. This role will focus on building and maintaining pricing configurations, translating contract requirements into system logic, and supporting testing and implementation efforts.
Job Responsibility
Configure and maintain pricing rules within NetworX Pricer
Translate contract terms into system configuration and pricing logic
Perform claims testing (unit and regression) to validate configurations
Support implementation of new pricing models and updates
Collaborate with business and technical teams to ensure accurate configuration
Conduct detailed analysis to support system enhancements and operational improvements
Requirements
5+ years of NetworX configuration experience
Hands-on experience with QNXT (preferred) or Facets
Strong background in Commercial health plans
Solid experience in claims testing (unit and regression)
Proven ability to interpret contract language (PDFs) and translate into technical pricing configurations
Experience building NetworX rate sheets from scratch
Strong analytical and problem-solving skills
Bachelor’s degree in a related field preferred
Nice to have
Experience with both QNXT and Facets
PMP certification
Prior experience in large-scale healthcare payer environments