Facets with NetworX Pricing Experience

Role Summary A senior-level Facets Architect position focusing on the modernization of Medicare claims processing systems through cloud-native solutions. This role involves leading the design, implementation, and optimization of Facets platform deployments on Amazon Web Services (AWS), ensuring high performance, security, and regulatory compliance. The architect will collaborate with stakeholders, guide technical teams, and apply best practices in cloud architecture and healthcare IT to support

Position Title -HRP AnalystLocation - RemoteMandatory Skills:Healthcare Claims ProcessingHealth Rules Payer (HRP)EDI 837Blue CardHealthcare Domain KnowledgeClaims TestingMandatory Skills Description:4+ years of experience in healthcare claims processing, healthcare operations, or claims testing.Strong hands-on knowledge of local claims processing within HealthRules Payer (HRP).Hands-on experience working with and validating EDI 837 files.Experience with Blue Card claims processing and/or strong

Description: Remote Our client seeks a Facets Configuration Analyst to configure and support packaged software for healthcare claims and benefits. The analyst will lead complex facets product builds, interface design specifications, and file configuration to ensure accurate claim payments. The role includes requirements analysis, solution design, implementation, and ticket-based troubleshooting, with approximately two weeks of shadowing for training. Due to client requirements, applicants mus

Title : Healthcare NSA Analyst Remote Job Type: Contract Project description You will be part of a team responsible for testing healthcare claims processing, benefits, pricing, and related workflows for a non-profit healthcare organization in the US. The role is focused on validating local claims processing within HealthRules Payer (HRP), including EDI transactions, Blue Card claims, and HRP-to-TPA workflows. You will collaborate closely with Product Owners, Business Analysts, Develope