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.