NetworX Configuration Analyst | Remote | 6+ Months

About Genius Business Solutions Inc. (GBSI)

Featured in CNBC, Digital Journal, Fox News, and CIO Review, GBSI is a globally recognized IT services leader with 20+ years serving Fortune 500 organizations. Our teams deliver solutions across automotive, manufacturing, retail, and pharmaceutical industries. Headquartered in Moline, IL, GBSI supports clients and consultants throughout the US, Canada, Europe, and India.

Join our innovative team to lead enterprise-grade SAP solutions and drive digital transformation initiatives across global enterprises.

Job Summary

We are seeking a NetworX Configuration Analyst to support provider contract pricing, reimbursement configuration, and claims adjudication within the NetworX Pricing platform. The ideal candidate will have strong healthcare payer experience, expertise in NetworX and FACETS, and the ability to translate provider contract requirements into accurate pricing configurations.

Key Responsibilities

• Configure and maintain provider contracts, fee schedules, qualifier groups, and reimbursement methodologies in NetworX.
• Analyze business and contractual requirements and convert them into system configurations.
• Perform pricing validation, claims analysis, testing, and production support.
• Investigate and resolve pricing, reimbursement, and claims adjudication issues.
• Collaborate with Provider Contracting, Claims, Business, and IT teams to implement configuration changes.
• Support UAT, production releases, and post-implementation validation activities.
• Create and maintain configuration documentation and testing evidence.

Must Have's:

1.NetworX Pricer and NetworX Modeler experience.

2. Provider contract and reimbursement configuration experience. Experience with fee schedules, pricing methodologies, and network reimbursement.

3. FACETS configuration and claims adjudication knowledge.

Equal Employment Opportunity

GeniusBSI is an Equal Opportunity Employer. We believe that no one should be discriminated against because of their differences, such as age, disability, ethnicity, gender, gender identity and expression, religion, or sexual orientation.

All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status, or any other basis as protected by federal, state, or local law.