Huron Consulting Group Inc. is hiring a NetworX Configuration Analyst. In this subject matter expert role, you will oversee the configuration, maintenance, and optimization of provider reimbursement methodologies within the NetworX Pricer platform. You’ll ensure provider contracts and pricing rules are accurately interpreted and reflected in the claims payment environment.
What You'll Do
- Configure and optimize provider pricing rules, fee schedules, and reimbursement logic using NetworX Pricer.
- Analyze contract terms and translate them into systematic pricing configuration requirements.
- Validate pricing outcomes by performing test adjudication and reconciling variances.
- Partner with Provider Contracting, Claims, Finance, and IT teams to support new contract implementations and pricing updates.
- Monitor and troubleshoot pricing-related claims issues; lead root-cause investigations and recommend corrective actions.
- Ensure compliance with regulatory requirements, CMS pricing standards, and organizational policies.
- Maintain configuration documentation, version controls, and process maps.
What We're Looking For
- 4–7 years of hands-on NetworX Pricer configuration experience in a health plan or TPA environment.
- Expertise in provider pricing methodologies such as RBRVS, APC/DRG, custom fee schedules, and value-based reimbursement models.
- Strong knowledge of claims adjudication and provider contracting workflows.
- Ability to analyze complex pricing rules and convert them into scalable configuration logic.
- Excellent communication skills and attention to detail.
Technical Stack
- NetworX Pricer
Team & Environment
You will partner with cross-functional teams including Provider Contracting, Claims, Finance, and IT.
Work Mode
This position is local-country and is based in the United States of America.
Huron Consulting Group Inc. is an equal opportunity employer.
