[Hiring] NetworX Configuration Analyst @Ruri Software Technologies LLC

Role Description

The NetworX Configuration Analyst will be responsible for the following:

• 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 leadership, claims operations, and the legal contracting team.

Qualifications

• Must have hands-on experience in NetworX Pricer (5-6 years).
• Facets is not required, but nice to have.
• Experience with Oracle SQL.
• Years of Experience: 10.00 Years of Experience.

Company Description