Description: GENERAL FUNCTION Serve as a Data Analyst on the 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 client cross functional teams to ensure efficiency and accuracy of configuration requests. Specific Skills Needed: Top 3-5 mandatory and/or minimum requirements MAJOR DUTIES AND RESPONSIBILITIES 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. Perform and resolve network and agreement configuration questions/issues sent to the Business Configuration team without guidance. Maintain relationships with Account Managers, and Provider teams in order to develop a cohesive cross functional, results driven working environment. Self-manage completion of work inventory within established quality and turnaround time guidelines. Coordinate and participate in cross-functional team activities for issue resolution. Recommend process and system enhancements to drive improvements. Support the management team with on-going training activities, misc. projects, resolving issues, and serving as a subject matter expert for all Configuration requests. BASIC QUALIFICATIONS Associate degree or equivalent experience required. At least 5 years of experience working within a core claims administration system. Good analytical and problem-solving skills A minimum of 2 years’ experience writing SQL queries and exporting data from database tables. Good communication and interpersonal skills Ability to work independently or as a part of a team. Ability to manage multiple complex assignments at once. PREFERRED QUALIFICATIONS 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 Specific Skills Needed: Top 3-5 mandatory and/or minimum requirements SQL/Database experience Experience with health provider and network data elements Experience with Facets in a managed care setting Analytical & problem solving skills - Facets experience is preferred but not required. If they have Facets experience, it must be recent and they have to be able to explain their experience. Top 3-5 desirable attributes/qualifications: 3+ years of experience focused on data analytics Experience with Medicaid and/or Medicare programs and reporting Superior communication, critical thinking, teamwork and project management skills Experience with Claim adjudication and provider reimbursements Required levels/ Years of Experience education – discuss whether there is flexibility Bachelor’s degree or equivalent work experience Notes: Work hours: 8AM to 5PM – 1 hour break (8 hours a day , 40 hours a week) • Hybrid 2 days per week