Huron Consulting Group Inc.
NetworX Configuration Analyst
Huron Consulting Group Inc., Chicago, Illinois, United States, 60290
NetworX Configuration Analyst page is loaded## NetworX Configuration Analystremote type:
Remotelocations:
Chicago - 550 Van Burentime type:
Full timeposted on:
Posted Todayjob requisition id:
JR-0013434Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes.
Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.
Joining the Huron team means you’ll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise.
Join our team as the expert you are now and create your future.### Huron is looking for a highly skilled NetworX Configuration SME to oversee the configuration, maintenance, and optimization of provider reimbursement methodologies within the NetworX Pricer platform. This expert will ensure that provider contracts and pricing rules are accurately interpreted and reflected in our claims payment environment.### **Key Responsibilities*** 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.**Qualifications*** 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.### ## ****Position Level****Senior Associate### ## ****Country****United States of AmericaAt Huron, we’re redefining what a consulting organization can be. We go beyond advice to deliver results that last. We inherit our client’s challenges as if they were our own. We help them transform for the future. We advocate. We make a difference. And we intelligently, passionately, relentlessly do great work…together.
Whether you have years of experience or come right out of college, we invite you to explore our many opportunities. Find out how you can use your talents and develop your skills to make an impact immediately. Learn about how our culture and values provide you with the kind of environment that invites new ideas and innovation. Come see how we collaborate with each other in a culture of learning, coaching, diversity and inclusion. And hear about our unwavering commitment to make a difference in partnership with our clients, shareholders, communities and colleagues.
Huron Consulting Group offers a competitive compensation and benefits package including medical, dental, and vision coverage to employees and dependents; a 401(k) plan with a generous employer match; an employee stock purchase plan; a generous Paid Time Off policy; and paid parental leave and adoption assistance. Our Wellness Program supports employee total well-being by providing free annual health screenings and coaching, bank at work, and on-site workshops, as well as ongoing programs recognizing major events in the lives of our employees throughout the year. All benefits and programs are subject to applicable eligibility requirements.
Huron is fully committed to providing equal employment opportunity to job applicants and employees in recruitment, hiring, employment, compensation, benefits, promotions, transfers, training, and all other terms and conditions of employment. Huron will not discriminate on the basis of age, race, color, gender, marital status, sexual orientation, gender identity, pregnancy, national origin, religion, veteran status, physical or mental disability, genetic information, creed, citizenship or any other status protected by laws or regulations in the locations where we do business. We endeavor to maintain a drug-free workplace. #J-18808-Ljbffr
Remotelocations:
Chicago - 550 Van Burentime type:
Full timeposted on:
Posted Todayjob requisition id:
JR-0013434Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes.
Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.
Joining the Huron team means you’ll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise.
Join our team as the expert you are now and create your future.### Huron is looking for a highly skilled NetworX Configuration SME to oversee the configuration, maintenance, and optimization of provider reimbursement methodologies within the NetworX Pricer platform. This expert will ensure that provider contracts and pricing rules are accurately interpreted and reflected in our claims payment environment.### **Key Responsibilities*** 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.**Qualifications*** 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.### ## ****Position Level****Senior Associate### ## ****Country****United States of AmericaAt Huron, we’re redefining what a consulting organization can be. We go beyond advice to deliver results that last. We inherit our client’s challenges as if they were our own. We help them transform for the future. We advocate. We make a difference. And we intelligently, passionately, relentlessly do great work…together.
Whether you have years of experience or come right out of college, we invite you to explore our many opportunities. Find out how you can use your talents and develop your skills to make an impact immediately. Learn about how our culture and values provide you with the kind of environment that invites new ideas and innovation. Come see how we collaborate with each other in a culture of learning, coaching, diversity and inclusion. And hear about our unwavering commitment to make a difference in partnership with our clients, shareholders, communities and colleagues.
Huron Consulting Group offers a competitive compensation and benefits package including medical, dental, and vision coverage to employees and dependents; a 401(k) plan with a generous employer match; an employee stock purchase plan; a generous Paid Time Off policy; and paid parental leave and adoption assistance. Our Wellness Program supports employee total well-being by providing free annual health screenings and coaching, bank at work, and on-site workshops, as well as ongoing programs recognizing major events in the lives of our employees throughout the year. All benefits and programs are subject to applicable eligibility requirements.
Huron is fully committed to providing equal employment opportunity to job applicants and employees in recruitment, hiring, employment, compensation, benefits, promotions, transfers, training, and all other terms and conditions of employment. Huron will not discriminate on the basis of age, race, color, gender, marital status, sexual orientation, gender identity, pregnancy, national origin, religion, veteran status, physical or mental disability, genetic information, creed, citizenship or any other status protected by laws or regulations in the locations where we do business. We endeavor to maintain a drug-free workplace. #J-18808-Ljbffr