Facets NetworX Pricer Architect
6 - 10 years
United States
Contract
Remote
1 month ago
About the role
Opportunity: Senior Facets Pricing Architect (NetworX Pricer)
Job Title: Facets NetworX Pricer Architect
Location: Remote
Experience: 18+ years in Healthcare IT, 5+ years in Facets Pricing / NetworX Pricer
Role Overview
Looking for a Facets NetworX Pricer Architect to lead pricing architecture, configuration, and backend development for high-volume claims adjudication. The role bridges functional pricing strategy with technical implementation in the Facets ecosystem.
Key Responsibilities
Required Skills
Preferred: Cloud (Azure), AI/automation in pricing, experience with large payers
Job Title: Facets NetworX Pricer Architect
Location: Remote
Experience: 18+ years in Healthcare IT, 5+ years in Facets Pricing / NetworX Pricer
Role Overview
Looking for a Facets NetworX Pricer Architect to lead pricing architecture, configuration, and backend development for high-volume claims adjudication. The role bridges functional pricing strategy with technical implementation in the Facets ecosystem.
Key Responsibilities
- Design and implement enterprise pricing strategies (fee schedules, DRG, APC, value-based pricing)
- Configure Pricing Plans, Pricing Groups, Rules, and Provider Contracts
- Work with Facets backend tables, SQL queries, and stored procedures
- Develop .NET services/APIs for pricing integrations and claims workflow
- Optimize pricing logic and system performance during claims adjudication
- Collaborate with stakeholders, product owners, SMEs, and offshore teams
- Ensure compliance with CMS guidelines, contracts, and best practices
Required Skills
- Facets NetworX Pricer expertise
- SQL Server, .NET / C#, REST APIs / Microservices
- Healthcare claims lifecycle and provider contracting knowledge
- Experience with ACT documents and pricing rule interpretation
Preferred: Cloud (Azure), AI/automation in pricing, experience with large payers
Skills
Staffing and RecruitingInformation Technology