Senior Data Analyst - Mason, United States - Cynet Systems

Description

Job Description:
Pay Range $54.62hr - $58.62hr


Responsibilities:
Represent Product Configuration on cross-functional project teams to implement new Government/Medical-Surgical products.

Serve as the lead subject matter expert for Government/Medical-Surgical product configuration for the production team.

Partner with IT Configuration on Global Configuration requirements, perform data analysis, prototyping, and testing support for Government client setup requests.

Develop and document the standard operating procedures for Government/Medical-Surgical product configuration

Develop and train the team on the knowledge of Government/Medical-Surgical product configuration.

Provide additional support working Commercial client setup and maintenance requests sent to the Plan Setup team when necessary.

Perform audits on client setup or maintenance request by following established team audit controls.

Develop and maintain positive working relationships with team members and other stakeholders, including business partners at all levels of EyeMed leadership.

Self-manage completion of work inventory in the Plan Setup production queues within established quality and turnaround time guidelines.

Support the management team with miscprojects, resolving issues, and other duties as assigned.


Education/Experience:
Bachelor s degree or equivalent work experience.

At least 5+ years

experience with health plans or medical claims.

Experience with Claims Processing, Medical Plan Benefit Configuration (Facets platform a plus).

SQL and Database experience with basic queries.

Excellent analytical and problem-solving skills.

Strong communication and interpersonal skills.

There will actually be 5 courses that required for all temporary employees:

3 for Compliance purposes and 2 for HiTrust / Security requirements:

General Compliance.

HIPAA.

Fraud, Waste, and Abuse.

Security Essentials.

Introduction to Phishing.

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