Healthcare Data Analyst (Claims/Facets) - Hybrid

Title: Healthcare Data Analyst (Claims/Facets) - Hybrid

Description:

Data Analyst Operations - Plan setup

GENERAL FUNCTION

Serve as a Data Analyst on the Business Configuration team, responsible for the structure, and benefit plan set up for client s Managed Vision Care clients. Provide subject matter expertise for product configuration in the Facets system.

MAJOR 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.

BASIC 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
.

Mandatory skills:

claims administration system,
Data Analysis, MS Excel,
Business Configuration, Managed Vision Care, Facets system,
Business Configuration, benefit plan, product configuration, configuration tools,
manual product creation, automated product creation, product configuration,
SQL queries, SQL export,
Medicare, Medicaid programs, production queues, database tables,
SQL, Excel, Analytical, Problem-solving, Communication, Interpersonal, Product Configuration, Database, Teamwork, Time Management,
Operations, Healthcare, Facets, Claims, Provider, Network, Product Benefit Configuration

VIVA USA is an equal opportunity employer and is committed to maintaining a professional working environment that is free from discrimination and unlawful harassment. The Management, contractors, and staff of VIVA USA shall respect others without regard to race, sex, religion, age, color, creed, national or ethnic origin, physical, mental or sensory disability, marital status, sexual orientation, or status as a Vietnam-era, recently separated veteran, Active war time or campaign badge veteran, Armed forces service medal veteran, or disabled veteran. Please contact us at for any complaints, comments and suggestions.

Contact Details :

Account co-ordinator: Sekhar Radhakrishnan

VIVA USA INC.
3601 Algonquin Road, Suite 425
Rolling Meadows, IL 60008
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