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Facets Networx Medicare Specialist Remote

  • Facets Networx Medicare Specialist Remote job type Posted on: Oct 20, 2026
  • Facets Networx Medicare Specialist Remote experience level Stellent IT LLC
  • Facets Networx Medicare Specialist Remote employment type Austin, Texas
  • Facets Networx Medicare Specialist Remote employment type Remote
  • Facets Networx Medicare Specialist Remote salary Full-time

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Job Title :

Facets Networx Medicare Specialist Remote

Job Type :

Full-Time

Job Location :

Austin Texas United States

Remote :

Yes

Jobcon Logo Job Description :

Title: Facets / NetworX Medicare Specialist

Location: Remote

Duration: 6-12+ Month

Job Description:

  • Hands-on experience working in Facets within reimbursement or pricing functions.
  • Strong experience with NetworX Pricer, including operation, validation, and troubleshooting.
  • Able to interpret Provider Contract Documents (PDF/ Word formats) accurately.
  • 5 10 years of experience in reimbursement operations, provider payment operations, or claims pricing for a health plan or TPA.
  • Solid understanding of reimbursement concepts such as DRG, APC, fee schedules, cost-share impact, and payment policies.
  • Ability to operate with minimal training and produce accurate results quickly.
  • Strong analytical, investigative, and problem-solving skills.
  • Experience working in cross-functional environments.
  • Experience supporting Commercial and Medicare pricing models.
  • Exposure to provider contract interpretation and claims operations.
  • Familiarity with SQL or analytical tools; ability query NetworX back-end for troubleshooting
  • Prior experience with configuration testing or pricing audits.

Jobcon Logo Position Details

Posted:

Oct 20, 2026

Reference Number:

52171-6911

Employment:

Full-time

City:

Austin

Job Origin:

CIEPAL_ORGANIC_FEED

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Title: Facets / NetworX Medicare Specialist

Location: Remote

Duration: 6-12+ Month

Job Description:

  • Hands-on experience working in Facets within reimbursement or pricing functions.
  • Strong experience with NetworX Pricer, including operation, validation, and troubleshooting.
  • Able to interpret Provider Contract Documents (PDF/ Word formats) accurately.
  • 5 10 years of experience in reimbursement operations, provider payment operations, or claims pricing for a health plan or TPA.
  • Solid understanding of reimbursement concepts such as DRG, APC, fee schedules, cost-share impact, and payment policies.
  • Ability to operate with minimal training and produce accurate results quickly.
  • Strong analytical, investigative, and problem-solving skills.
  • Experience working in cross-functional environments.
  • Experience supporting Commercial and Medicare pricing models.
  • Exposure to provider contract interpretation and claims operations.
  • Familiarity with SQL or analytical tools; ability query NetworX back-end for troubleshooting
  • Prior experience with configuration testing or pricing audits.

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