Data Analyst

AVA Consulting is seeking a Data Analyst

Location: Mason, OH (Hybrid - 2-3 days a week onsite)

U.S. Citizens and those authorized to work in the U.S. are encouraged to apply. We are unable to sponsor at this time.

Job Description:

• Serve as a Data Analyst on the Business Configuration team, responsible for the structure, and benefit plan set up for clients. Provide subject matter expertise for product configuration in the Facets system.

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.

Requirement:

Required Skills:

• 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 Skills:

• 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

NOTE: Interested Candidates can apply by sending their Updated Resume and Contact Details.

Ron Tolson

AVA Consulting

Fax:

Web:

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.