Overview
Skills
Job Details
Sr. Configuration Analyst with Facets Exp. (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.
MUST work on W2 as this a potential full-time employment.
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.
- Develop and maintain positive working relationships with team members and other stakeholders, including business partners at all levels of EyeMed leadership
Required Experience/Skills/Education:
- 5+ years of experience with Facets platform, Medical Plan Benefit Configuration, Provider Network & Agreement Configuration.
- Able to lead/represent cross-functional meetings (this is one of the major skills set that we look for).
- At least 5+ years of experience in health plans.
- 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: 4000 Luxottica Place, Mason, OH.
- Hybrid - 2 days per week in Mason office
- 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.