Pricing Configuration Consultant
Job Summary
Supporting provider contract pricing and reimbursement configuration, the full-time remote Pricing Configuration Consultant will collaborate with healthcare payer organizations to deliver accurate pricing solutions and ensure effective claims adjudication.
Key responsibilities
- Configure and maintain provider contracts, fee schedules, and reimbursement methodologies within the NetworX Pricing platform
- Analyze business requirements and translate them into effective pricing configurations, performing validation and claims analysis
- Partner with cross-functional teams to implement configuration enhancements and resolve pricing and claims adjudication issues
Required qualifications
- Experience supporting healthcare payer organizations with provider contract pricing and reimbursement configuration
- Hands-on experience with NetworX Pricer and NetworX Modeler
- Experience with FACETS configuration and claims adjudication processes
- Strong SQL skills for data analysis and troubleshooting
- Experience with testing, production releases, and post-production validation
Complete Job Description
The complete job description is available to members. Premium membership includes:
Full access to 40,222 remote jobs from human-vetted companies, updated daily
Resume Builder - AI-powered tool to craft, enhance, and tailor your resume to a specific job
Twice-monthly live group coaching and the full Remote Career Center
20% member discount on Career Services
Backed by a 30-day money-back guarantee
Company Company Name
Headquarters Headquarters
Founded Founded
Website
Wikipedia Wikipedia URL
BBB URL BBB URL
The company description is available to members. Go Premium for full access to every job and company profile in our remote jobs database, backed by a 30-day money-back guarantee.
