NetworX Pricer SME

Job Description

Insight Global is seeking a NetworX Pricer Subject Matter Expert (SME) to support one of our largest healthcare clients. This role is fully remote, and will start as a 6-month contract to hire format with potential to convert to permanent or extend. This individual will work as a NetworX Pricer Configuration Analyst with the provider/ pricing team specifically focused on Florida Medicaid implementation and configuration. The position involves root cause analysis for errors, receiving tickets and resolving issues to ensure claims are processed corectly, and working with the team on the NetworX / FL Medicaid implementation through the QNXT platform. While this team is focused mainly on FL Medicaid, they may also assist with NetworX Pricer configuration in the Medicare and commercial spaces.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to [email protected] .

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Skills and Requirements

-4+ years of experience configuring in NetworX Pricer

-In depth understanding of and strong expertise in NetworX Pricer

-Experience with root cause analysis

-Experience with fee schedules

-Ability to create rate sheets from scratch and build contracts

-SQL experience -- writing basic SQL queries -Experience with QNXT configuration

-Medicaid-specific NetworX Pricer experience (especially Florida Medicaid)

-NetworX Pricer experience with Commercial insurance

-Experience with Medicaid fee schedules null

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to [email protected].