Join the Business Configuration team to configure managed vision care products in the Facets system and use SQL to analyze and troubleshoot configuration issues.
Responsibilities
- Act as a Data Analyst on the Business Configuration team for product structure and benefit plan setup for clients’ Managed Vision Care programs
- Provide subject matter expertise for product configuration in the Facets system
- Collaborate with client cross-functional teams to ensure configuration requests are handled efficiently and accurately
- Configure all types of managed vision care products in the system using both the Product Key Sheet method and manual configuration
- Ensure product configuration accuracy using configuration tools for manual and automated product creation
- Write SQL queries and export database data to Excel to analyze, troubleshoot, and resolve configuration issues
- Handle and resolve product configuration questions and issues submitted to the Business Configuration production team without guidance
- Maintain working relationships with Implementation Managers and Account Managers, supporting a cohesive cross-functional environment
- Self-manage completion of work inventory in production queues within established quality and turnaround time service levels
- Coordinate and participate in cross-functional activities to support issue resolution
- Recommend process and system enhancements to drive improvements
- Support management with ongoing training activities, miscellaneous projects, issue resolution, and serving as a subject matter expert for configuration requests
Requirements
- Associate degree or equivalent experience
- 5+ years of experience working within a core claims administration system
- Strong analytical and problem-solving skills
- 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 part of a team
- Ability to manage multiple complex assignments at once
Technologies
- Facets system
- SQL
- Excel
- Product Key Sheet method
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
Location: Mason, OH (onsite)
Compensation: USD 42 - 47 per hourly