Excelon solutions is hiring a Data Analyst for the Business Configuration team focused on configuring managed vision care product structures and benefit plan setups for EyeMed clients using Facets.
Responsibilities
- 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 data from databases to analyze and troubleshoot configuration issues
- Resolve configuration requests by investigating issues and completing issue resolution based on findings
- Handle product configuration questions and issues sent to the Business Configuration production team without guidance
- Maintain relationships with Implementation Managers and Account Managers, supporting a cohesive cross-functional, results-driven work environment
- Self-manage completion of work inventory in production queues within established quality and turnaround time service levels
- Coordinate and participate in cross-functional team activities to support issue resolution
- Recommend process and system enhancements to improve configuration workflows
- Support the management team with ongoing training, miscellaneous projects, and issue resolution
- Serve as a subject matter expert for all configuration requests
Requirements
- Associate degree or equivalent experience required
- 5+ years of experience working within a core claims administration system
- Good 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
Preferred Qualifications
- 3+ years experience in Operations in the Healthcare industry
- Experience understanding claim adjudication for member and provider reimbursements
- Experience with the Facets platform using Claims, Provider, Network, Product Benefit Configuration
- Knowledge of Medicare and Medicaid programs
General Function
- Act as a Data Analyst on the Business Configuration team for structure and benefit plan setup for EyeMed Managed Vision Care clients
- Provide subject matter expertise for product configuration in the Facets system
- Partner with EyeMed cross-functional teams to maintain efficiency and accuracy of configuration requests
Location: Mason, OH (hybrid)
Compensation: USD 45 to 47 per hour