facets/Qnxt Pricing configuration analyst: -14
Analyze Provider Contracts, Design/Configure Provider agreements, Configuration Validation, Configuration Peer Review.
Must be able to configure agreements in NetworX
Must be able to configure Qualifier Groups in NetworX
Must be able to use/configure DRG related groupers
Must Have Skills:
Healthcare, Facets, SQL, NetworX Pricing Configuration, Good Communication skills
facets/Qnxt Testing configuration analyst: -14
Review Benefits/Pricing configurations and perform high level testing to check if optimal configurations is done.
Validate agreements in NetworX
Validate CDNP, claims for appropriate payment
Validate QGs, Groupers, Explanation codes
facets/Qnxt Benefits configuration Anayst - To configure products, benefits and plans-5
® Benefit configuration setup and maintenance
® Plan/Product Build
® Determine and document product build requirements
® Create and Attach Product Components
® Validate current benefit configuration
® Review provider contracts and validate benefits
® Complete analysis of Facets for benefits and medical definitions
® Cleanup of Supplemental tables within product builds
® Document benefits and medical definitions in Facets
® Product Build Audits
® Provider Contract and Pricing Analysis
Must Have Skills:
Healthcare, Facets, SQL, NetworX Pricing Configuration, Good Communication skills
Must Have Skills:
Healthcare, Facets, SQL, NetworX Pricing QC /Benefit Configuration QC, Good Communication skills
Thanks & Regards,
Bhushan rao
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