Healthcare Benefits Configuration Analyst (Facets) @ Mason, OH 45040 (Hybrid) Job at Azaaki, LLC, Mason, OH

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  • Azaaki, LLC
  • Mason, OH

Job Description

Healthcare Benefits Configuration Analyst (Facets)

Location: Mason, OH 45040 (Hybrid 2 days onsite per week)

Duration: 12 Months (Possible Extension)

Pay Rate: $40.00/hr. W2 All Inclusive / $45.00 50.00/hr. C2C All Inclusive



Work Hours: 8:00 AM 5:00 PM (1-hour break, 40 hrs/week)

Interview: Virtual/Onsite

JOB OVERVIEW

The Healthcare Benefits Configuration Analyst (Facets) will serve as a Sr. Configuration Analyst within the Business Configuration Solutions team. This role is responsible for designing, implementing, and executing benefit configuration , capturing and documenting business requirements, providing data analysis , troubleshooting, and leading cross-functional meetings. The analyst will support Medicaid, Medicare, and Med/Surgical program implementations and act as a subject matter expert across multiple internal teams.

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 .
  • Build SQL queries to pull backend data based on configuration needs.
  • Serve as a Business Analyst , documenting requirements , process flows , and executing testing for toolset enhancements.
  • Self-manage and prioritize workload to meet SLAs and KPIs.
  • Collaborate with Configuration leadership on system roadmap deliverables enhancing automation.
  • Conduct Fit/Gap Analysis and provide feedback on new client plans.
  • Maintain positive working relationships with stakeholders and cross-functional teams.

REQUIRED SKILLS & COMPETENCIES

  • SQL / Database Experience
  • Healthcare Claims Understanding / Benefit Configuration
  • Facets Platform
  • Analytical & Problem-Solving Skills
  • Configuration & Automation Tools (Informatica-based)
  • Data Analysis / Data Validation
  • Cross-Functional Meeting Leadership
  • Business Requirements Gathering
  • Testing Execution
  • Troubleshooting Configuration Issues
  • Medicaid / Medicare Product Configuration
  • Fit/Gap Analysis
  • Stakeholder Collaboration & Communication
  • Windows OS
  • Oracle SQL
  • Claims Testing (Facets)

PREFERRED QUALIFICATIONS

  • 3+ years' experience with Facets platform
  • Medical Plan Benefit Configuration
  • Provider Network & Agreement Configuration
  • Understanding of Medicare/Medicaid Programs
  • Strong Communication & Interpersonal Skills
  • Bachelor's Degree (or equivalent experience)

Job Tags

2 days per week,

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