Job Title: Sr. Data Analyst (2 openings)
Type: Contract
Location: Mason, OH (Hybrid – 3 days/week onsite, no relocation)
Start Date: ASAP
End Date: 01/31/2026 (extension possible)
Hours: 8:00 AM – 5:00 PM (1-hour lunch)
Pay Rate: $40-$44/hr
General Function
Serve as a Data Analyst on the Provider Network & Agreement Configuration team, responsible for managing provider agreement, fee schedule, and network data integrity in the claims system. This includes configuration setup, maintenance, validation, and issue resolution to ensure accurate provider payments and member responsibility calculations.
Key Responsibilities
- Write SQL queries to extract and analyze configuration data; identify and address clean-up needs.
- Configure and maintain provider agreements, fee schedules, and networks in the claims system (Facets).
- Validate configurations using claims testing, SQL queries, and Excel to ensure accurate adjudication.
- Investigate and resolve configuration issues without guidance.
- Maintain strong relationships with cross-functional teams (Provider, Account Managers) to support operational accuracy.
- Manage work inventory to meet established quality and turnaround standards.
- Recommend process and system enhancements to improve efficiency.
- Provide training and serve as a subject matter expert for configuration-related requests.
Mandatory Qualifications
- SQL/database experience.
- Experience with health provider and network data elements.
- Experience with Facets in a managed care setting.
- Strong analytical and problem-solving skills.
Preferred Qualifications
- 3+ years of experience in data analytics.
- Medicaid/Medicare program and reporting experience.
- Strong communication, critical thinking, teamwork, and project management skills.
- Experience with claim adjudication and provider reimbursements.
- Bachelor's degree or equivalent work experience.