Senior Configuration Analyst (Hybrid - Mason, Ohio)

Senior Configuration Analyst (Hybrid - Mason, Ohio)

We are looking to hire a candidate with the skills sets mentioned and experience for one of our clients within the retail luxury goods and jewelry industry. This is a Hybrid role in Mason, Ohio; 2 days per week in Mason office.

*Candidates who are s, s,holders, or TN visa holders eligible to work on W2 highly preferred.

Position Summary:

Serve as a Sr. Configuration Analyst on the Business Configuration Solutions team. Responsible for the enablement of member benefit configuration strategies by designing, implementing, and executing Configuration. Lead projects for the Configuration space to enable system and process solutions for the Business Configuration tool sets. Serve as a subject matter expert for the Business Configuration team interfacing with EyeMed's cross functional teams implementing solutions for client requirements.

This role is about 60% configuration 40% attending cross functional meetings and capture requirements. Able to lead/represent cross functional meetings (this is one of the major skill set that we look for). Require high level roles to build, troubleshoot, and prototype Medicaid products. Capture business requirements with clients, testing execution, and troubleshooting for multiple Medicaid program implementations.

Key Responsibilities:

• Serve as a subject matter expert representing the Configuration workstream for large Government Implementations for Medicaid, Med/Surgical, and Medicare programs.
• Provide Data Analysis and troubleshooting expertise on Configuration tool sets with automated processes.
• Prepare data for analysis by removing duplicates, errors, and outliers and perform data validation. Should be able to build SQL queries to pull backend data based on configuration need.
• Serve as a Business Analyst documenting requirements, process flows, and execute testing for enhancements to improve the automation toolset for Configuration.
• Self-manage and prioritize work to achieve designated service level agreements. Also, meet key performance indicators of the Business Configuration solution team for Projects.
• Collaborate with Configuration leaders on the Configuration roadmap deliverables that enable automation of EyeMed's product and network offerings.
• Provide Fit/Gap Analysis and Feedback Assessments on new client plans as Configuration is leveraged to bring on new business.

Required Experience/Skills/Education:

• 5+ years of experience with Facets platform, Medical Plan Benefit Configuration, Provider Network & Agreement Configuration.
• At least 5+ years experience in health plan.
• Understanding for Medicare/Medicaid.
• Experience with FACETS is a MUST.
• Healthcare claim understanding/benefit configuration.
• SQL and Database experience.
• Oracle SQL for data validation and Facets for claims testing.
• Experience in Facets NetworX and Utilization Management Modules.
• Experience as a lead in cross functional projects.
• Knowledge of Project Management Methodologies.
• Bachelor s degree or equivalent work experience.
• Excellent analytical and problem-solving skills.
• Strong communication and interpersonal skills.
• Operating System: Windows Applications.

Other Job Specifications:

• Employment Type: W2 only. NO C2C, NO 1099.
• Contracting Length: 6+ months contract, with potential extensions.
• Job Location: Mason, Ohio.
• Work hours: 8AM to 5PM 1 hour break (8 hours a day, 40 hours a week).
• Contract Rate: $50 - $55/hr. on W2.
• Interview Process: Phone/Video/In-person Interviews.