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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in configuring and maintaining pricing logic within TriZetto Facets Integrated NetworX Pricer, utilizing advanced SQL for data validation and troubleshooting. Capable of managing workflows, mentoring analysts, and ensuring compliance with CMS, Medicare, and Medicaid regulations.
Highest-signal resume keywords
NetworX Pricer ConfigurationAdvanced SQL QueriesConfiguration ManagementContract Review and TestingCompliance with CMS Regulations
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
NetworX ConfigurationOracle SQLData AuditingFee Schedule DevelopmentTesting Processes
Soft Skills
MentoringCollaborationCommunication
Tools & Technologies
TriZetto FacetsIntegrated NetworX Pricer
Industry Keywords
Managed CareMedicareMedicaidClaims Operations
Tech Stack
Tools & technologiesOracleSQL
About the role
Key responsibilities & impact- 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 claim payment accuracy
- Utilize advanced SQL queries and relational databases to audit, validate, and troubleshoot configuration data batches
- Establish hierarchical system logic to prioritize specific provider agreements over standard, regional fallback rates
- Monitor and implement quarterly pricing component updates to maintain compliance with CMS, Medicare, and Medicaid rules
- Act as the primary liaison between Configuration leadership, claims operations, and the legal contracting team
Requirements
What you’ll need- Hands-on experience with NetworX Pricer (5–6 years)
- Experience with NetworX Configuration (Integrated NetworX)
- Oracle SQL knowledge
- Facets experience is nice to have, but not required
- Experience reviewing contracts, testing agreements, migration, and assignment
- Ability to work remotely on EST hours, with hiring manager flexibility for strong candidates
Benefits
Comp & perks- 🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account IPolarity Website LinkedIn All Job Openings 51 - 200 employees Founded 2011 💼 Consulting 🏥 Healthcare 📦 Logistics Consulting
- Healthcare
- Logistics IPolarity is a professional IT services firm that provides cloud computing, virtualization, data center management, CRM implementation, data science, machine learning, and NLP/chatbot solutions to enterprise clients. The company offers both consulting and product development (including EasySAS, Panorama 360, and Orion) and supports workforce strategies such as staff augmentation and hiring, serving B2B customers across industries from offices in the US, Canada, and India. Network Architect Job not on LinkedIn 🔥 13 minutes ago 🏖️ New Jersey – Remote 💵 $85 - $90 / hour ⏰ Full Time 🟡 Mid-level 🟠 Senior 🛜 Network Engineer / Network Administrator 🦅 H1B Visa Sponsor Oracle SQL Apply Now Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
- 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 claim payment accuracy
- Utilize advanced SQL queries and relational databases to audit, validate, and troubleshoot configuration data batches
- Establish hierarchical system logic to prioritize specific provider agreements over standard, regional fallback rates
- Monitor and implement quarterly pricing component updates to maintain compliance with CMS, Medicare, and Medicaid rules
- Act as the primary liaison between Configuration leadership, claims operations, and the legal contracting team 🎯 Requirements
- Hands-on experience with NetworX Pricer (5–6 years)
- Experience with NetworX Configuration (Integrated NetworX)
- Oracle SQL knowledge
- Facets experience is nice to have, but not required
- Experience reviewing contracts, testing agreements, migration, and assignment
- Ability to work remotely on EST hours, with hiring manager flexibility for strong candidates Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs AI Cloud Network Architect 🔥 6 hours ago Bitdeer Group 201 - 500 💼 Consulting 📦 Logistics 🏗️ Construction Website LinkedIn All Job Openings AI Cloud Network Architect designing hyperscale AI data center, DCI, and backbone networks for Bitdeer’s AI and Bitcoin mining infrastructure. Leading GPU-cluster connectivity, routing, overlays, and congestion control. 🇺🇸 United States – Remote 💰 Post-IPO Equity on 2023-05 ⏰ Full Time 🟠 Senior 🔴 Lead 🛜 Network Engineer / Network Administrator Cloud Senior Network Engineer 🔥 9 hours ago Akamai Technologies 5001 - 10000 🔒 Cybersecurity Website LinkedIn All Job Openings Senior Network Engineer automating Akamai’s global cloud and edge network infrastructure. Designing scalable routing, data center fabrics, and secure network automation. 🇺🇸 United States – Remote 💵 $112.5k - $202.5k / year 💰 Post-IPO Equity on 2001-07 ⏰ Full Time 🟠 Senior 🛜 Network Engineer / Network Administrator 🦅 H1B Visa Sponsor Ansible Python Senior Provider Network Analyst 🔥 12 hours ago Covera Health 51 - 200 🏥 Healthcare ⚕️ Healthcare Insurance 🤖 Artificial Intelligence Website LinkedIn All Job Openings Senior Provider Network Analyst improving radiology network performance for Covera Health, a healthcare technology company. Building dashboards, analyzing access and adequacy, and translating network data into executive-ready insights. 🇺🇸 United States – Remote 💵 $105k - $140k / year 💰 $27.9M Series C on 2021-08 ⏰ Full Time 🟠 Senior 🛜 Network Engineer / Network Administrator 🦅 H1B Visa Sponsor Python SQL Tableau Senior Network Engineer – Active Secret Required 🔥 17 hours ago CompQsoft 501 - 1000 💼 Consulting 🏥 Healthcare 📦 Logistics Website LinkedIn All Job Openings Senior Network Engineer supporting Cisco LAN/WLAN/WAN infrastructure for Defense Health Agency healthcare environments. Serving as Pacific regional technical lead for secure network operations, troubleshooting, and Zero Trust modernization. 🇺🇸 United States – Remote ⏰ Full Time 🟠 Senior 🛜 Network Engineer / Network Administrator Ansible Cyber Security DNS Firewalls Switching TCP/IP Unix Senior Network Engineer, Secret Clearance Required 🔥 17 hours ago CompQsoft 501 - 1000 💼 Consulting 🏥 Healthcare 📦 Logistics Website LinkedIn All Job Openings Senior Network Engineer securing Cisco LAN/WLAN/WAN infrastructure for a DoD enterprise healthcare environment. Leading troubleshooting, network security, and operational support across complex enterprise networks. 🇺🇸 United States – Remote ⏰ Full Time 🟠 Senior 🛜 Network Engineer / Network Administrator Firewalls Switching View More Network Engineer Jobs 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates About us Is Remote Rocketship legit? Privacy policy Terms of service Job board SEO course Remote Job Search MasterClass AI Apply Copilot OpenClaw job finder Find jobs using your resume Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs