What are the responsibilities and job description for the Data Analyst - Senior position at Careers Integrated Resources Inc?
Duration: 7 Months (Possibility of Extension)
Work hours: 8AM to 5PM 1 hour break (8 hours a day , 40 hours a week).
Location - Mason OH - Hybrid 2-3 x a week
Top 3-5 mandatory and/or minimum requirements
SQL / Healthcare claim understanding, data-feed. / Facets /Analytical & problem solving skill
Top 3-5 desirable attributes/qualifications?
5 years experience with Facets platform, Medical Plan Benefit Configuration, Provider Network & Agreement Configuration
SQL and Database experience / Excellent analytical and problem-solving skills, quick learning Strong communication and interpersonal skills
Bachelor s degree or equivalent work experience
GENERAL FUNCTION
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 Client 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.
Work hours: 8AM to 5PM 1 hour break (8 hours a day , 40 hours a week).
Location - Mason OH - Hybrid 2-3 x a week
Top 3-5 mandatory and/or minimum requirements
SQL / Healthcare claim understanding, data-feed. / Facets /Analytical & problem solving skill
Top 3-5 desirable attributes/qualifications?
5 years experience with Facets platform, Medical Plan Benefit Configuration, Provider Network & Agreement Configuration
SQL and Database experience / Excellent analytical and problem-solving skills, quick learning Strong communication and interpersonal skills
Bachelor s degree or equivalent work experience
GENERAL FUNCTION
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 Client 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.
