NetworX Configuration Analyst

Facets NetworX Configuration Analyst

Remote

C2H role

• Ensure the documentation of technical standard business practices to support provider pricing configuration
• Ensure the creation and maintenance of pricing Design Templates/structures to administer reimbursement requirements within Facets/NetworX based on CMS, Medicaid or Commercial payer requirements
• Review provider contract terms and assess platform pricing capabilities to ensure the administrability of documented terms
• Identify, design, and implement internal process improvements by working with stakeholders to understand opportunities related to provider pricing functions
• Lead large-scale cross-functional end-to-end Pricing Configuration projects and ensure participation from internal/external teams, adherence to deadlines and the completion of testing protocols
• Participate in and manage root cause analysis and break/fix functions
• Ensure technical staff maintain pricing knowledge by working with Configuration Analysts, Managers, Supervisors, IT, and Subject Matter Experts to support and promote accurate provider pricing
• Generate claim reports that help scale and quantify rework associated with incorrect provider pricing installation
• Set team direction, participate in the development of business strategy
• Develop and manage business plans to achieve objectives
• Influence senior leadership to adopt changes in the process
• Forecast and plan resource requirements
• Review work performed by others; and suggest recommendations for improvement
• Adapt departmental plans and priorities to address business and operational challenges
• Authorize deviations from standards
• Solve complex problems and develop innovative solutions
• Provide explanations and information to others on the most complex issues
• Prepare and present performance results promptly
• Perform other duties as assigned

Required Qualifications:

• Previous management experience working with professional-level employees in a provider pricing environment
• 5+ years of Facets / NetworX Pricing configuration experience
• 5+ years of multi-product reimbursement requirements: Medicare, Commercial and Medicaid
• 5+ years provider reimbursement for hospital, ancillary and professional providers
• 5+ years MS SQL experience and the ability to coach others on best practices in managing data extracts and reports

Dexian is an Equal Opportunity Employer that recruits and hires qualified candidates without regard to race, religion, sex, sexual orientation, gender identity, age, national origin, ancestry, citizenship, disability, or veteran status.

Dexian is a leading provider of staffing, IT, and workforce solutions with over 12,000 employees and 70 locations worldwide. As one of the largest IT staffing companies and the 2nd largest minority-owned staffing company in the U.S., Dexian was formed in 2023 through the merger of DISYS and Signature Consultants. Combining the best elements of its core companies, Dexian's platform connects talent, technology, and organizations to produce game-changing results that help everyone achieve their ambitions and goals.

Dexian's brands include Dexian DISYS, Dexian Signature Consultants, Dexian Government Solutions, Dexian Talent Development and Dexian IT Solutions. Visit https://dexian.com/ to learn more.