Data Analyst - Senior
Data Analyst - Senior
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Job Description
Job Title: Senior Data Analyst (Hybrid)
Location: Mason OH 45040
Duration: 7 Months
Hybrid 2 days per week in Mason office
Top 35 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
Bachelors 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 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 cleanup 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.
Selfmanage completion of work inventory within established quality and turnaround time guidelines.
Coordinate and participate in crossfunctional team activities for issue resolution.
Recommend process and system enhancements to drive improvements.
Support the management team with ongoing training activities misc. projects resolving issues and serving as a subject matter expert for all Configuration requests.
Employment Type
Full Time
