Networx Configuration Analyst With Optum Rate Manager

Please note we are unable to offer H1B employer sponsorship and will not consider applications from third party vendors.
AXIOM Systems, Inc. is the premier healthcare IT and business solutions provider specializing in support for the system integration, implementation, enterprise reporting, HIPAA and EDI needs of healthcare organizations. AXIOM is unique in its ability to develop and implement practical, effective solutions based on its deep knowledge of the healthcare industry.
To support its clients AXIOM is looking for A NetworX Configuration Analyst with OptumRate Manager experience. The ideal candidate must have strong NetworX Pricer configuration, Optum Rate Manager, SANP, Provider Pricing, SQL and Healthplan experience. The ideal candidate will have experience working as part of a team or as a team lead within a consulting environment.
RESPONSIBILITIES:

• Interpret provider contracts and configure NetworX Pricer (creating new agreements if needed, or updating existing) for the following types of agreements: Professional, ASC, SNF, Hospital (including DRG, APC, CAH, per diems, case rates etc.).
• Optum Rate Manager configuration.
• Building out rate sheets in NetworX Pricer.
• NetworX Payment Bundling Application (PBA) configuration.
• Update existing agreements to add in new terms for Med Adv additional physical exam benefit.
• Update existing agreements to add in new gap fill pricing terms.
• Update existing agreements to move to “current year” fee schedules, DRG tables etc.
• Add network/agreement rows to providers as needed based on contract, providers etc.
• Commercial line of business implementation.

QUALIFICATIONS

• 8+ years experience with demonstrated expert level skills with NetworX Configuration, NetworX Pricer, and Optum Rate Manager configuration.
• Ability to adequately test terms being added to assure we are achieving intended results.
• Ability to interpret contracts and translate into NetworX agreements.
• Proven ability to quickly integrate existing knowledge of NetworX configuration.
• Bachelor’s degree or equivalent experience in relevant field required.

Job Type: Contract