NetworX Architect

Job Title: NetworX Architect
Duration: 6-12 months
Location: Remote

Work Type:
Rate: Pay range offered to a successful candidate will be based on several factors, including the candidate's education, work experience, work location, specific job duties, certifications, etc.

Skills :
Must have hands on experience in NetworX Pricer (5-6 yrs)
Facets is not required, but nice to have
NetworX Configuration (Integrated NetworX)
Oracle SQL
Review contract, Agreement testing, migration, assignment
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 of leadership, claims operations, and the legal contracting team. ABOUT Ztek:
Website: www.ztekinc.com
Ztek Consulting Inc is a minority- and woman-owned business enterprise that leverages a unique blend of human talent, machine learning algorithms, and artificial intelligence to provide customized talent management solutions for clients. Ztek's diversity-focused hiring models have proven successful, particularly in hiring veterans. The company's veteran-focused hiring and deployment program, Z-V.E.T, matches skilled veterans with clients' needs in various areas.
Disclaimer:
Ztek is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment. Ztek is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment on the basis of race, color, religion or belief, national origin, citizenship, social or ethnic origin, sex, age, physical or mental disability, veteran status, marital status, domestic partner status, sexual orientation, or any other status protected by the statutes, rules, and regulations in the locations where it operates.If you are an individual with a disability and need a reasonable accommodation to assist with your job search or application for employment, please contact us at hrd@ztekinc.com Please indicate the specifics of the assistance needed. Ztek encourages all interested and qualified candidates to apply for employment opportunities. Ztek does not discriminate against applicants based on citizenship status, immigration status, or national origin, in accordance with 8 U.S.C. 1324b.