Job Description
Healthcare Data Analyst (Claims Admin, Facets) needs Facets, 5 years of experience working within a core claims administration system.
Healthcare Data Analyst (Claims Admin, Facets) requires:
-Good analytical and problem-solving skills
-A minimum of 2 years' experience writing SQL queries and exporting data from database tables.
- Ability to manage multiple complex assignments at once
-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
- SQL and Database experience
Healthcare Data Analyst (Claims Admin, Facets) 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.
-Set up new Network and Agreement configurations into the Facets system.
- Validate agreement and network configuration utilizing claims testing, SQL queries and Excel to ensure the configuration properly adjudicates during claims processing, for member benefit, reimbursements and provider pay amounts.
-Perform and resolve network and agreement configuration questions/issues sent to the Business Configuration team without guidance.
-Support the management team with on-going training activities, misc. projects, resolving issues, and serving as a subject matter expert for all Configuration requests.
Employment Type: Full-Time
Salary: $ 46.00 Per Hour
Job Tags
Hourly pay, Full time,
Similar Jobs
Hilton Grand Vacations
...their talent, passion, and dedication to our brand that has fueled the success of Hilton Grand Vacations.What will I be doing?Our Sales Executives on the Action Line are responsible for presenting outstanding ownership programs and products to pre-qualified guests and...
Bullock Protection LLC
...Job Posting: Armed Security Officer Bullock Protection LLC Job Description Bullock Protection LLC, a leader in private security services, is currently seeking to fill a role for a dedicated and vigilant Armed Security Officer. The chosen candidate will be part...
Movement Search & Delivery
...Safety (EHS) Manager with a company that is a global supplier of industrial components to the automotive, commercial vehicle, and off-road... ...knowledge of industrial processes, mechanics, chemistry, psychology, and safety standards, develops loss control programs, and devises...
Hays Electrical Services
...With over 18 years of experience and hundreds of million-dollar projects completed, Hays Electrical Services provides excellent service to customers in industries hospitality, commercial and solar. Hays Electrical Services approaches each project with a cooperative mindset...
SAP
...for your individual contributions, and a variety of benefit options for you to choose from. Role Description: The HR Global Mobility Consultant provides operational and strategic guidance to the organization regarding mobility and compliance services, while collaborating...