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Data Analyst

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Global Channel Management, Inc

2024-11-05 10:39:04

Job location Mason, Ohio, United States

Job type: all

Job industry: I.T. & Communications

Job description

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 Configuration
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.

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