Duration:0-195 day(s)

Description/Comment:Requisition Details
Openings - 2 (
Job Title: Sr. Data Analyst
Bill Rate: *** or less
Start date - 7/21 thru 1/31/2026 - pending extension
Brand: Eyemed (Background check; 5 panel Drug screening, Exclusions screenings)
Work hours: 8AM to 5PM – 1 hour break (8 hours a day , 40 hours a week)
Location Address: 4000 *** Place Cincinnati OH 45040
Hybrid 2 days per week in Mason office)
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

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


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 EyeMed cross functional teams to ensure efficiency and accuracy of configuration requests.

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.
OIG, GSA/SAM and /OFAC screening is an additional requirement for EyeMed positions. It should be conducted prior to placement and once a month thereafter. The results should be emailed to *** by the 4th of each month and we again ask that you house each file internally for auditing purposes. EyeMed needs full screenshots where the website link and the date/time the screening was performed are all visible (this is required for all 3 types of screenings). Office of Inspector General: OIG: https://exclusions.oig.hhs.gov/General Service Administrator List: SAM: https://sam.gov/search/ Sanctions List Search: OFAC: https://sanctionssearch.ofac.treas.gov/ There will actually be 5 courses that required for all temporary employees:3 for Compliance purposes and 4 for HiTrust / Security requirements: 2024 EyeMed General Compliance/ 2024 EyeMed HIPAA / 2024 EyeMed Fraud Waste and Abuse / 2024 Conflict of Interests Acknowledgement / 2024 Unintentional Insider Treats / FSL New Hire Fraud Integral Staff Training
In addition; Model of Care, ODAG, and CA Fair Claims.
Link: https://leonardo.essilor***.com/