MID Level Data Analyst (Mason)

A client in the Mason, OH area is looking for 2 Data Analyst to join their team for roughly a 12 month contract, potential hire, hybrid opportunity. These consultants will serve as a Data Analyst on the clients Business Configuration team, responsible for provider agreement, fee schedule and network data integrity initiatives. Provide subject matter expertise for agreement, fee schedule and network setup. Partner with the clients cross functional teams to ensure efficiency and accuracy of configuration requests.

Writing SQL queries to extract data from the database, analysis of configuration data to identify clean-up activities.

Ensure agreement configuration accuracy that may impact provider payment and member responsibility.

Set up new Network and Agreement configurations into the Facets system.

Validate agreement and network configuration utilizing claims testing, SQL queries and Excel to ensure the configuration properly adjudicates during claims processing, for member benefit, reimbursements and provider pay amounts.

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Experience in Operations in the Healthcare industry

Experience working in the Insurance industry

At 3-5 years of experience working within a core claims administration system.

Experience with Facets platform using Claims, Provider, Network, Product Benefit Configuration

Experience understanding claim adjudication for member and provider reimbursements.

A minimum of 2 years experience writing SQL queries and exporting data from database tables.