Real Soft
Job Description
Job Description
Job Title: Data Analyst
Location: 4000 Luxottica Pl, Mason, OH 45040
Pay rate:$46.00/hr
Work Hours: 8:00 AM – 5:00 PM
GENERAL FUNCTION
The
Data Analyst – Operations (Plan Setup)
will work as part of the
Business Configuration Team
and be responsible for the structure and benefit plan setup for
EyeMed’s Managed Vision Care clients . The role requires deep familiarity with configuration of products within the
Facets system
, strong
SQL skills
, and effective cross-functional collaboration.
MAJOR DUTIES AND RESPONSIBILITIES
Configure all types of managed vision care products in the system using the
Product Key Sheet method
and
manual configuration .
Ensure product configuration accuracy using appropriate tools for both
manual
and
automated
product creation.
Write
SQL queries
to export and analyze data from databases for issue resolution and performance review.
Troubleshoot and resolve product configuration issues independently.
Serve as the point of contact for questions and issues raised to the Business Configuration production team.
Collaborate with
Implementation Managers
,
Account Managers
, and other cross-functional teams to ensure accurate and timely configuration.
Self-manage assigned work queues to meet quality and turnaround time standards.
Participate in cross-functional team meetings for issue resolution and process improvements.
Suggest and implement
process or system enhancements
to improve efficiency.
Provide support to the management team for training, special projects, and issue resolution.
Act as a
Subject Matter Expert
for all configuration-related requests.
BASIC QUALIFICATIONS
Associate degree or equivalent experience required.
Minimum
5 years
of experience working with a
core claims administration system .
At least
2 years
of experience writing
SQL queries
and exporting data into Excel.
Strong
analytical
and
problem-solving
skills.
Excellent communication and interpersonal abilities.
Ability to work
independently
and manage
multiple complex tasks
simultaneously.
PREFERRED QUALIFICATIONS
3+ years
of experience in
Healthcare Operations .
Familiarity with
claims adjudication
for member and provider reimbursements.
Experience with the
Facets platform
, especially within
Claims
,
Provider
,
Network
, and
Product Benefit Configuration
modules.
Knowledge of
Medicare
and
Medicaid
programs
Company Description
Incorporated in 1991, Real Soft Inc. (RSI) is a US-based global software solutions company, a pioneer in providing professional services and delivering business solutions. Our persistent focus has been on forging strong relationships through service excellence and cost containment for customers.
Address:
125 Village Blvd
Forrestal Village, Suite 200
Princeton, NJ 08540
Company Description Incorporated in 1991, Real Soft Inc. (RSI) is a US-based global software solutions company, a pioneer in providing professional services and delivering business solutions. Our persistent focus has been on forging strong relationships through service excellence and cost containment for customers.\r\nAddress:\r\n125 Village Blvd\r\nForrestal Village, Suite 200\r\nPrinceton, NJ 08540
Job Title: Data Analyst
Location: 4000 Luxottica Pl, Mason, OH 45040
Pay rate:$46.00/hr
Work Hours: 8:00 AM – 5:00 PM
GENERAL FUNCTION
The
Data Analyst – Operations (Plan Setup)
will work as part of the
Business Configuration Team
and be responsible for the structure and benefit plan setup for
EyeMed’s Managed Vision Care clients . The role requires deep familiarity with configuration of products within the
Facets system
, strong
SQL skills
, and effective cross-functional collaboration.
MAJOR DUTIES AND RESPONSIBILITIES
Configure all types of managed vision care products in the system using the
Product Key Sheet method
and
manual configuration .
Ensure product configuration accuracy using appropriate tools for both
manual
and
automated
product creation.
Write
SQL queries
to export and analyze data from databases for issue resolution and performance review.
Troubleshoot and resolve product configuration issues independently.
Serve as the point of contact for questions and issues raised to the Business Configuration production team.
Collaborate with
Implementation Managers
,
Account Managers
, and other cross-functional teams to ensure accurate and timely configuration.
Self-manage assigned work queues to meet quality and turnaround time standards.
Participate in cross-functional team meetings for issue resolution and process improvements.
Suggest and implement
process or system enhancements
to improve efficiency.
Provide support to the management team for training, special projects, and issue resolution.
Act as a
Subject Matter Expert
for all configuration-related requests.
BASIC QUALIFICATIONS
Associate degree or equivalent experience required.
Minimum
5 years
of experience working with a
core claims administration system .
At least
2 years
of experience writing
SQL queries
and exporting data into Excel.
Strong
analytical
and
problem-solving
skills.
Excellent communication and interpersonal abilities.
Ability to work
independently
and manage
multiple complex tasks
simultaneously.
PREFERRED QUALIFICATIONS
3+ years
of experience in
Healthcare Operations .
Familiarity with
claims adjudication
for member and provider reimbursements.
Experience with the
Facets platform
, especially within
Claims
,
Provider
,
Network
, and
Product Benefit Configuration
modules.
Knowledge of
Medicare
and
Medicaid
programs
Company Description
Incorporated in 1991, Real Soft Inc. (RSI) is a US-based global software solutions company, a pioneer in providing professional services and delivering business solutions. Our persistent focus has been on forging strong relationships through service excellence and cost containment for customers.
Address:
125 Village Blvd
Forrestal Village, Suite 200
Princeton, NJ 08540
Company Description Incorporated in 1991, Real Soft Inc. (RSI) is a US-based global software solutions company, a pioneer in providing professional services and delivering business solutions. Our persistent focus has been on forging strong relationships through service excellence and cost containment for customers.\r\nAddress:\r\n125 Village Blvd\r\nForrestal Village, Suite 200\r\nPrinceton, NJ 08540