Facets NetworX Configuration Analyst

Position Summary The Facets NetworX Configuration Analyst is responsible for configuring, maintaining, and supporting provider reimbursement and pricing structures within the TriZetto Facets and NetworX platforms. This role works closely with Provider Contracting, Claims, Pricing, and IT teams to translate provider contract terms into accurate system configurations that support claims adjudication and reimbursement processes. The analyst ensures pricing configurations are compliant, scalable, and aligned with business requirements. Key Responsibilities Configure and maintain NetworX pricing components, including: Agreements Rate Sheets Rate Terms Fee Schedules Qualifier Groups Networks Provider Rows and Pricing Rules. Analyze provider contracts and reimbursement methodologies and translate contract language into system configuration requirements. Build, test, and support provider reimbursement models within Facets and NetworX environments. Perform configuration updates, maintenance, and enhancements related to provider pricing and contract management. Collaborate with Provider Contracting, Claims Operations, Provider Data Management, and IT teams to ensure accurate implementation of pricing requirements. Conduct unit testing, integration testing, and production validation for configuration changes. Troubleshoot pricing and claims adjudication issues and perform root cause analysis. Develop and execute SQL queries, data extracts, and reports to support configuration validation and operational analysis. Create and maintain configuration documentation, workflows, and standard operating procedures. Participate in system upgrades, implementations, and process improvement initiatives. Required Qualifications Bachelor's degree in Information Systems, Healthcare Administration, Business, or related field (or equivalent experience). 3+ years of Facets and NetworX configuration experience. Hands-on experience building and maintaining provider contracts within NetworX. Strong understanding of Facets core modules, including: Membership Provider Management Claims Processing Billing Product/Benefits Configuration. Experience interpreting provider reimbursement methodologies and contract language. Proficiency with SQL and data analysis techniques. Strong analytical, troubleshooting, and problem-solving skills. Knowledge of healthcare payer operations, claims processing, and provider contracting. Salary Range Now, a little about us … At Tegria, we bring bold ideas and breakthroughs to improve care, technology, revenue, and operations in ways that move healthcare organizations from patient-centered to human-centered. We are helping healthcare put people first—both patients and those who dedicate their lives to delivering care. And at the very core of this vital work is our incredibly talented people. People with different backgrounds who welcome challenge and change. People who listen first, ask…