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Role Overview
Highly experienced Facets NetworX Pricer Architect with deep expertise across pricing configuration, backend data structures, and .NET-based integrations. This role will drive end-to-end pricing architecture, enabling scalable, accurate, and high-performance claims adjudication solutions within the Facets ecosystem. The ideal candidate will bridge functional pricing strategy with technical implementation, ensuring alignment with payer business needs, regulatory requirements, and enterprise architecture standards.
Key Responsibilities
- Pricing Architecture & Strategy
- Design and implement enterprise-wide pricing strategies using Facets NetworX Pricer
- Define reimbursement models (fee schedules, DRG, APC, case rates, value-based pricing)
- Lead pricing transformation initiatives, including migration from legacy pricing systems to NetworX
- Facets Configuration (Front-End Expertise)
- Configure and manage:
- Pricing Plans, Pricing Groups, and Pricing Rules
- Provider Contracts and Reimbursement Structures
- Fee Schedules and Contract Terms
- Interpret ACT (Add/Change/Terminate) documents and translate them into system configurations
- Ensure pricing alignment with benefit plans and claims adjudication workflows
Experience: 8-10 Years .
The expected compensation for this role ranges from $80,000 to $158,000 .
Final compensation will depend on various factors, including your geographical location, minimum wage obligations, skills, and relevant experience. Based on the position, the role is also eligible for Wipro's standard benefits including a full range of medical and dental benefits options, disability insurance, paid time off (inclusive of sick leave), other paid and unpaid leave options.
Applicants are advised that employment in some roles may be conditioned on successful completion of a post-offer drug screening, subject to applicable state law.
Wipro provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. Applications from veterans and people with disabilities are explicitly welcome.
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