Job Description

A client in the Mason, OH area is looking for 2 Data Analyst to join their team for roughly a 12 month contract, potential hire, hybrid opportunity. These consultants will serve as a Data Analyst on the clients Business Configuration team, responsible for provider agreement, fee schedule and network data integrity initiatives. Provide subject matter expertise for agreement, fee schedule and network setup. Partner with the clients cross functional teams to ensure efficiency and accuracy of configuration requests.

 Writing 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.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com .

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Skills and Requirements

At 3-5 years of experience working within a core claims administration system.

 Experience with Facets platform using Claims, Provider, Network, Product Benefit Configuration

 Experience understanding claim adjudication for member and provider reimbursements.

 A minimum of 2 years experience writing SQL queries and exporting data from database tables. Experience in Operations in the Healthcare industry

 Experience working in the Insurance industry null

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to HR@insightglobal.com.