Healthcare Data Analyst

Globalchannelmanagement; Mason (OH); On-site; USD 70,000 - 85,000; Full time

Job summary

A leading healthcare solutions provider seeks a Data Analyst to support operations in healthcare. The candidate should have over 3 years of experience, focusing on claim adjudication and vision care product configuration. Responsibilities include writing SQL queries, maintaining configuration accuracy, and collaborating with implementation teams to resolve issues. Strong knowledge of Medicare and Medicaid programs is preferred. This role is pivotal in enhancing operational efficiency.

Qualifications

• 3+ years experience in Operations within the Healthcare industry.
• Experience with various aspects of claims processing and product configuration.

Responsibilities

• Configure managed vision care products in the system.
• Write SQL queries to analyze and troubleshoot configuration issues.
• Maintain relationships with Implementation and Account Managers.

Skills

Understanding claim adjudication

Experience with Facets platform

Knowledge of Medicare and Medicaid

SQL querying

Job description

Data Analyst needs 3+ years experience in Operations in the Healthcare industry

Data Analyst requires:

• 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
• 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