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Facets Networx Medicare Specialist Remote
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Posted on: Oct 20, 2026
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Austin, Texas
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Remote
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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
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.
Position Details
Posted:
Oct 20, 2026
Reference Number:
52171-6911
Employment:
Full-time
City:
Austin
Job Origin:
CIEPAL_ORGANIC_FEED
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