

Claims Analyst
⭐ - Featured Role | Apply direct with Data Freelance Hub
This role is for a Claims Analyst based in Mason, OH, with a contract until 01/31/2026, offering a hybrid work model. Key skills include SQL, healthcare claims understanding, and Facets experience. A Bachelor’s degree and 5+ years in Medicaid/Medicare configuration are required.
🌎 - Country
United States
💱 - Currency
$ USD
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💰 - Day rate
320
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🗓️ - Date discovered
July 31, 2025
🕒 - Project duration
Unknown
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🏝️ - Location type
Hybrid
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📄 - Contract type
Unknown
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🔒 - Security clearance
Unknown
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📍 - Location detailed
Mason, OH
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🧠 - Skills detailed
#Oracle #Leadership #SQL Queries #Automation #Informatica #Data Analysis #Business Analysis #SQL (Structured Query Language)
Role description
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Sr. Configuration Analyst - LOCAL CANDIDATES ONLY
Work hours : 8AM to 5PM – 1 hour break (8 hours a day , 40 hours a week).
Location Address: 4000 Place, Mason, OH
Hybrid - 2 days per week in Mason office
Duration: 01/31/2026
Serve as a Sr. Configuration Analyst on the Business Configuration Solutions team. Responsible for the enablement of member benefit configuration strategies by designing, implementing, and executing Configuration. Lead projects for the Configuration space to enable system and process solutions for the Business Configuration tool sets. Serve as a subject matter expert for the Business Configuration team interfacing with cross functional teams implementing solutions for client requirements.
Responsibilities:
• Serve as a subject matter expert representing the Configuration workstream for large Government Implementations for Medicaid, Med/Surgical, and Medicare programs.
• Provide Data Analysis and troubleshooting expertise on Configuration tool sets with automated processes.
• Prepare data for analysis by removing duplicates, errors, and outliers and perform data validation. Should be able to build SQL queries to pull backend data based on configuration need.
• Serve as a Business Analyst documenting requirements, process flows, and execute testing for enhancements to improve the automation toolset for Configuration.
• Self-manage and prioritize work to achieve designated service level agreements. Also, meet key performance indicators of the Business Configuration solution team for Projects.
• Collaborate with Configuration leaders on the Configuration roadmap deliverables that enable automation of product and network offerings.
• Provide Fit/Gap Analysis and Feedback Assessments on new client plans as Configuration is leveraged to bring on new business.
• Develop and maintain positive working relationships with team members and other stakeholders, including business partners at all levels of leadership
Must have:
• This role is about 60% configuration 40% attending cross functional meetings and capture requirements. Able to lead/represent cross functional meetings (this is one of the major skill set that we look for). Require high level roles to build, troubleshoot, and prototype Medicaid products. Capture business requirements with clients, testing execution, and troubleshooting for multiple Medicaid program implementations.
Specific Skills Needed:
• Top 3-5 mandatory and/or minimum requirements –
• SQL/Database experience.
• Healthcare claim understanding/benefit configuration.
• Facets
• Analytical & problem solving skill Operating System: Windows Applications: Facets Automation tools: homegrown tool developed in Informatica.
• Testing tools: Oracle SQL for data validation and Facets for claims testing.
• 5+ years’ experience with Facets platform, Medical Plan Benefit Configuration, Provider Network & Agreement Configuration, Understanding for Medicare/Medicaid.
• Bachelor’s degree or equivalent work experience