Integrated Resources
Title: Data Analyst - Operations
Location: Mason OH - Hybrid- required 2-3x week in Mason office
Duration: 3 Months and Possibility of Extension
Work hours: 8-5 pm
GENERAL FUNCTION Serve as a
Data Analyst on the Business Configuration team , responsible for the structure, and benefit plan set up for Client's Managed Vision Care clients. Provide subject matter expertise for product configuration in the Facets system.
MAJOR DUTIES AND RESPONSIBILITIES • Responsible for configuring all types of managed vision care products in the system (using both the Product Key Sheet method and manual configuration) • Responsible for product configuration accuracy utilizing the configuration tools for manual and automated product creation. • Write SQL queries and export from database to analyze and troubleshoot configuration issues, as well as perform issue resolution of requests. • Perform and resolve product configuration questions/issues sent to the Business Configuration production team without guidance. • Maintain relationships with Implementation Managers, Account Managers, and develop a cohesive cross functional, results driven working environment. • Self-manage completion of work inventory in the production queues within established quality and turnaround time service levels. • Coordinate and participate in cross-functional team activities for issue resolution. • Coordinate and participate in cross-functional team activities for issue resolution. • Recommend process and system enhancements to drive improvements. • Support the management team with on-going training activities, misc. projects, resolving issues, and serving as a subject matter expert for all Configuration requests.
BASIC QUALIFICATIONS • Associate degree or equivalent experience required. • At least 5 years of experience working within a core claims administration system. • Good analytical and problem-solving skills • A minimum of 2 years' experience writing SQL queries and exporting data from database tables into Excel for analysis. • Good communication and interpersonal skills • Ability to work independently or as a part of a team. • Ability to manage multiple complex assignments at once.
PREFERRED QUALIFICATIONS • 3+ years' experience in Operations in the Healthcare industry • Experience understanding claim adjudication for member and provider reimbursements. • Experience with Facets platform using Claims, Provider, Network, Product Benefit Configuration • Knowledge of Medicare and Medicaid programs
GENERAL FUNCTION Serve as a
Data Analyst on the Business Configuration team , responsible for the structure, and benefit plan set up for Client's Managed Vision Care clients. Provide subject matter expertise for product configuration in the Facets system.
MAJOR DUTIES AND RESPONSIBILITIES • Responsible for configuring all types of managed vision care products in the system (using both the Product Key Sheet method and manual configuration) • Responsible for product configuration accuracy utilizing the configuration tools for manual and automated product creation. • Write SQL queries and export from database to analyze and troubleshoot configuration issues, as well as perform issue resolution of requests. • Perform and resolve product configuration questions/issues sent to the Business Configuration production team without guidance. • Maintain relationships with Implementation Managers, Account Managers, and develop a cohesive cross functional, results driven working environment. • Self-manage completion of work inventory in the production queues within established quality and turnaround time service levels. • Coordinate and participate in cross-functional team activities for issue resolution. • Coordinate and participate in cross-functional team activities for issue resolution. • Recommend process and system enhancements to drive improvements. • Support the management team with on-going training activities, misc. projects, resolving issues, and serving as a subject matter expert for all Configuration requests.
BASIC QUALIFICATIONS • Associate degree or equivalent experience required. • At least 5 years of experience working within a core claims administration system. • Good analytical and problem-solving skills • A minimum of 2 years' experience writing SQL queries and exporting data from database tables into Excel for analysis. • Good communication and interpersonal skills • Ability to work independently or as a part of a team. • Ability to manage multiple complex assignments at once.
PREFERRED QUALIFICATIONS • 3+ years' experience in Operations in the Healthcare industry • Experience understanding claim adjudication for member and provider reimbursements. • Experience with Facets platform using Claims, Provider, Network, Product Benefit Configuration • Knowledge of Medicare and Medicaid programs