Data Analyst

AVA Consulting is seeking a Data Analyst

Location: Mason, OH

U.S. Citizens and those authorized to work in the U.S. are encouraged to apply. We are unable to sponsor at this time.

Job Description:

• Serve as a Data Analyst on the Business Configuration team, responsible for the structure, and benefit plan set up for clients.
• Provide subject matter expertise for product configuration in the Facets system.
• Partner with Client cross functional teams to ensure efficiency and accuracy of configuration requests.

Duties and Responsibilities:

• 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.
• Self-manage completion of work inventory in the production queues within established quality and turnaround time service levels.
• Coordinate and participate in cross-functional team activities for issue resolution
• Recommend process and system enhancements to drive improvements.
• Support the management team with on-going training activities, misc. projects, resolving issues, and serving as a subject matter expert for all Configuration requests.

Required Qualifications:

• Associate degree or equivalent experience required.
• At least 5 years of experience working within a core claims administration system.
• Good analytical and problem-solving skills
• A minimum of 2 years'' experience writing SQL queries and exporting data from database tables into Excel for analysis.
• Good communication and interpersonal skills
• Ability to work independently or as a part of a team.
• Ability to manage multiple complex assignments at once.

Preferred Qualifications:

• 3+ years'' experience in Operations in the Healthcare industry
• 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

NOTE: Interested Candidates can apply by sending their Updated Resume and Contact Details.

Ron Tolson

AVA Consulting

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