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E-Solutions

Facets / NetworX Reimbursement Specialist Location: Remote Mandatory Skills: Facets , Reimbursement, Network X Job Summary The Reimbursement Specialist is an operational subject matter expert ...

Quantix

Facets NetworX Pricer Developer

Denver, CO · Remote

Facets NetworX Pricer Developer Location: Various locations throughout the US Type: Contract (possibility of conversion) Length: Minimum 6 months (may roll from engagement to engagement) Company, who ...

Premier Networx, Inc.

Solutions Architect

Augusta, GA · Hybrid

$59.25 - $78/hr

About Our Growth Premier Networx is experiencing rapid growth, and we're looking for high-performing individuals who want to grow with us. We're building a team of driven professionals who thrive in ...

Premier Networx, Inc.

Solutions Architect

Augusta, GA · On-site

$59.25 - $78/hr

About Our Growth Premier Networx is experiencing rapid growth, and we're looking for high-performing individuals who want to grow with us. We're building a team of driven professionals who thrive in ...

ClinDCast LLC

Facets Configuration Analyst

Albany, NY · Remote

Facets configuration analysts with experience in product build and NetworX configuration. Required skills: 3 years of residential requirements in the US; Strong knowledge of the Facets Data Model ...

Premier Networx, Inc.

Cabling Technician

Augusta, GA

$15/hr

We're on the hunt for a dynamic and enthusiastic Cabling Technician to join our fast-paced, growing managed service provider crew at Premier Networx! As a managed service provider, we provide ...

Premier Networx, Inc.

Cabling Technician

Augusta, GA · On-site

$15/hr

We're on the hunt for a dynamic and enthusiastic Cabling Technician to join our fast-paced, growing managed service provider crew at Premier Networx! As a managed service provider, we provide ...

Vytwo

Facets Configuration Analyst

Prosper, TX · Remote

Role: Facets Configuration Analyst Duration: 7 months USA - Remote Work Facets configuration analysts with experience in product build and NetworX configuration.. Required skills: 3 years of ...

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As of Jun 5, 2026, the average yearly pay for networx in the United States is $61,014.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,000.00 and $72,000.00 per year, depending on experience, location, and employer.

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A Networx job typically refers to work associated with the General Services Administration (GSA) Networx contract, which provides telecommunications and networking services to federal agencies. These jobs often involve managing, implementing, or maintaining network infrastructure, security, and support services. Networx professionals may work for government agencies or contractors that support government communication needs. Responsibilities can include network design, cybersecurity, project management, and technical support.

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To thrive in a Networx role, you need a strong background in computer networking, network security, and IT systems management, usually supported by relevant degrees or certifications such as CompTIA Network+ or Cisco CCNA. Familiarity with network monitoring tools, firewalls, and various operating systems is essential. Excellent problem-solving abilities, communication skills, and attention to detail help set top professionals apart. These competencies are vital to ensure reliable network performance and to address technical issues efficiently in any organization.

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Networx professionals frequently encounter challenges such as maintaining network reliability, responding to security threats, and troubleshooting connectivity issues. They often work in dynamic environments where quick decision-making and adaptability are crucial, especially during unexpected outages or cyber-attacks. Additionally, these professionals must stay updated with emerging technologies and evolving security protocols, which can require ongoing learning and certification. Collaborating with other IT and business teams is also a key part of the role to ensure smooth network operations and meet organizational goals.
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Facets / NetworX Reimbursement

Facets / NetworX Reimbursement

E-Solutions

Remote

Full-time

Posted 23 days ago

Job description

Job title: Facets / NetworX Reimbursement Specialist Location: Remote Mandatory Skills: Facets , Reimbursement, Network X Job Summary The Reimbursement Specialist is an operational subject matter expert responsible for executing, validating, and supporting reimbursement and pricing processes within the Facets/NetworX platform. The role requires ability to interpret Provider Contract documents accurately with strong hands on experience with NetworX Pricer and deep understanding of provider reimbursement methodologies across commercial and government programs. This position supports day to day pricing operations, troubleshooting, and configuration-driven validation to ensure accurate claims payments with minimal training and rapid ramp-up. Responsibilities Reimbursement Operations
  • Analyze Provider Contract Documents (Word/ PDF) to extract accurate Contract information to configure in NetworX
  • Execute daily reimbursement and pricing activities using NetworX Pricer to ensure accurate payment calculations.
  • Review, validate, and troubleshoot pricing outcomes for claims across multiple product lines.
  • Support implementation and maintenance of reimbursement methodologies, including:
    • DRG-based pricing
    • Fee schedules
    • APC/MAPC/EAPG
    • RBRVS
    • Custom or plan-specific reimbursement rules
Facets Functional Expertise
  • Perform operational tasks within Networx related to reimbursement, provider contracts, and claim pricing rules.
  • Validate that configuration, pricing logic, and contract terms are being applied correctly.
  • Identify discrepancies, conduct root-cause analysis, and recommend corrective updates to configuration teams.
Cross-Functional Collaboration
  • Collaborate with Provider Contracting, Claims Operations, Product, and Configuration teams to ensure alignment on reimbursement methodologies.
  • Support audits, pricing investigations, and operational improvement initiatives.
  • Support Production migration from Configuration/ QA environments.
  • Participate in release cycles, testing, and operational readiness for pricing updates.
Documentation & Compliance
  • Maintain accurate documentation of pricing rules, reimbursement logic, and operational processes.
  • Support compliance reviews, regulatory updates, and reimbursement policy interpretations as required.
Experience
  • Hands-on experience working in Facets within reimbursement or pricing functions.
  • Strong experience with NetworX Pricer, including operation, validation, and troubleshooting.
  • Able to interpret Provider Contract Documents (PDF/ Word formats) accurately
  • 5-10 years of experience in reimbursement operations, provider payment operations, or claims pricing for a health plan or TPA.
  • Solid understanding of reimbursement concepts such as DRG, APC, fee schedules, cost-share impact, and payment policies.
  • Ability to operate with minimal training and produce accurate results quickly.
  • Strong analytical, investigative, and problem-solving skills.
  • Experience working in cross-functional environments.
  • Experience supporting Commercial and Medicare pricing models.
  • Exposure to provider contract interpretation and claims operations.
  • Familiarity with SQL or analytical tools; ability query NetworX back-end for troubleshooting
  • Prior experience with configuration testing or pricing audits

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