• Sr. Data Analyst

    Belcan (Mason, OH)


    Sr. Data Analyst

     

    Job Number: 357345

     

    Category: Business Analysis

     

    Description: Job Title: Sr. Data Analyst

     

    Zip Code: 45040

     

    Start Date: Right Away

     

    Keywords: #MasonJobs; #DataAnalystjobs;

    Job Description:

    Serve as a Data Analyst on the Business Configuration team, responsible for provider agreement, fee schedule and network data integrity initiatives. Provide subject matter expertise for agreement, fee schedule and network setup. Partner with EyeMed cross functional teams to ensure efficiency and accuracy of configuration requests.

    MAJOR DUTIES AND RESPONSIBILITIES

    * Writing SQL queries to extract data from the database, analysis of configuration data to identify clean-up activities.

    * Ensure agreement configuration accuracy that may impact provider payment and member responsibility.

    * Set up new Network and Agreement configurations into the Facets system.

    * Validate agreement and network configuration utilizing claims testing, SQL queries and Excel to ensure the configuration properly adjudicates during claims processing, for member benefit, reimbursements and provider pay amounts.

    * Perform and resolve network and agreement configuration questions/issues sent to the Business Configuration team without guidance.

    * Maintain relationships with Account Managers, and Provider teams in order to develop a cohesive cross functional, results driven working environment.

    * Self-manage completion of work inventory within established quality and turnaround time guidelines.

    * 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.

    Specific Skills Needed:

    Top 3-5 mandatory and/or minimum requirements

    * SQL/Database experience

    * Experience with health provider and network data elements

    * Experience with Facets in a managed care setting

    * Analytical & problem solving skills

    Top 3-5 desirable attributes/qualifications*

    * 3+ years of experience focused on data analytics

    * Experience with Medicaid and/or Medicare programs and reporting

    * Superior communication, critical thinking, teamwork and project management skills

    * Experience with Claim adjudication and provider reimbursements

    Required levels/ Years of Experience education - discuss whether there is flexibility

    * Bachelor"s degree or equivalent work experience

     

    If you are interested in this role, please apply via the apply now link provided. Our overriding goal is to provide quality staffing solutions that help people, organizations, and communities succeed. Belcan is a leading provider of qualified personnel to many of the world's most respected enterprises. We offer excellent opportunities for contract, temporary, temp-to-hire, and direct assignments. We are the employer of choice for thousands worldwide. For more information, please visit our website at Belcan.com

    EOE/F/M/D/V

    Minimum Experience (yrs): 3+

     

    Required Education: Not Specified

    Benefits:

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