Job Title: Data Analyst, SQL
Location: Mason, OH (Hybrid – 3 days onsite)
Work Hours: 8:00 AM – 5:00 PM
Duration: 6-Month Contract
General Function
The Data Analyst, Operations – Plan Setup will serve as a key member of the Business Configuration team, responsible for managing the structure and benefit plan setup for EyeMed’s Managed Vision Care clients. This role involves configuring benefit products within the Facets system, ensuring efficiency, accuracy, and compliance across all configuration activities, while collaborating with cross-functional teams to support product launches and ongoing operations.
Major Duties and Responsibilities
- Configure all types of managed vision care products using both Product Key Sheet and manual configuration methods.
- Ensure product configuration accuracy through manual and automated tools.
- Develop and execute SQL queries to analyze and troubleshoot configuration issues, resolving complex requests independently.
- Manage and prioritize workload in production queues to meet established quality and turnaround time standards.
- Collaborate with Implementation Managers, Account Managers, and other teams to foster an effective, results-driven work environment.
- Participate in cross-functional team activities to address and resolve issues efficiently.
- Recommend process and system enhancements to improve configuration workflows.
- Support management with training initiatives, special projects, and serve as a subject matter expert for all configuration-related requests.
Basic Qualifications
- Minimum 5 years’ experience with core claims administration systems.
- Minimum 2 years’ experience writing SQL queries and exporting data for analysis.
- Strong analytical and problem-solving capabilities.
- Excellent communication and interpersonal skills.
- Proven ability to work independently and manage multiple complex assignments simultaneously.
Preferred Qualifications
- 3+ years of experience in Healthcare Operations.
- Knowledge of claim adjudication processes for member and provider reimbursements.
- Hands-on experience with Facets platform modules including Claims, Provider, Network, and Product Benefit Configuration.
- Familiarity with Medicare and Medicaid program requirements.