Healthcare Data Analyst - Hybrid

Title: Healthcare Data Analyst - Hybrid

Mandatory skills:

Microsoft Excel, data cubes,
Call Center, Sales Center Data, call center data,
dashboard displaying vendor performance,
analytical reporting, recommending enhancement solutions,
documentation, data elements, reports, processes, procedures,
quality reporting, quality analysis,
data integrity, validate reporting results

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 the client s Managed Vision Care clients. Provide subject matter expertise for product configuration in the Facets system. Partner with the client cross functional teams to ensure efficiency and accuracy of configuration requests.

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

Analytical and SQL, Excel experience a must
Positive attitude, eager to learn and yet humble disposition

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 :

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