Data Analyst

Data Analyst needs 5 years’ experience working within a core claims administration system.

Data Analyst requires:

• 5+ years’ experience with Facets platform, Medical Plan Benefit Configuration, Provider Network & Agreement Configuration •

• SQL and Database experience •

• 2 years’ experience writing SQL queries and exporting data from database tables.

• 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 Configuratio

• Knowledge of Medicare and Medicaid programs

• • SQL and Database experience

Data Analyst duties:

• Write SQL queries to extract data from the database, analysis of configuration data to identify clean-up activities.

• Ensure agreement configuration accuracy that may impact provider payment and member responsibility.