Description

You will manage configuration tasks and rate sheet development for commercial lines of business.

This role is remote.

Responsibilities

• Build and maintain rate sheets within NetworX Pricer.
• Configure Optum Rate Manager and the NetworX Payment Bundling Application (PBA).
• Implement commercial lines of business using standard pricing methodologies.
• Translate business requirements into technical solutions and perform unit testing.
• Execute proof of concept testing and resolve defects.

Required Skills

• 5+ years of experience with NetworX Pricer.
• Proficiency in NetworX, SANP, and SQL.
• Direct experience in Provider Pricing and commercial insurance.
• Hands-on experience with benefits configuration (Commercial, Medicare, or Medicaid).
• Knowledge of healthcare claims and commercial lines of business.
• Ability to work independently to solve technical requirements.

Preferred Skills

• QNXT experience.
• Experience with Optum Rate Manager or Optum PSI.

Key Skills

Education

Any Graduate