Share this Job
Apply now »

Senior Analyst Business Data

Date:  Apr 6, 2021
Brand:  EyeMed Vision Care
Location: 

Mason, OH, US, 45040

Requisition ID: 335343 
Position:Full-Time
Total Rewards: Benefits/Incentive Information

 

There’s more to EyeMed than meets the eye. EyeMed is the fastest growing managed vision benefits company in the country with consistent double-digit membership growth! Through our commitment to innovation, we’re reimagining the way employers and their employees think about vision care. We want them to see life to the fullest and experience more of what’s best, not more of the same.  And if what’s best hasn’t been done yet, it’s our exceptional and passionate employees driving this change. But, our passion for vision isn’t just about vision insurance benefits. Our employees are proud to support and participate in life-altering global and local missions through our partnership with OneSight, a leading not-for-profit organization with a 100% focus on eradicating the world’s vision crisis.

 

Your family says a lot about who you are. EyeMed is a key member of the Luxottica family of companies, global leaders in the design, manufacture and distribution of fashion, luxury and sports eyewear.  In North America, Luxottica is the home to global brands Ray-Ban, Oakley and many top fashion house brands.  Our leading retail brands include LensCrafters, Sunglass Hut, Pearle Vision, Target Optical and Sears Optical.

 

If you’re passionate about driving innovation and change and interested in a career in the optical and insurance industry, EyeMed wants to start the conversation and help provide you a growth-focused opportunity with America’s fastest growing vision benefits company.

GENERAL FUNCTION

The Sr Analyst - EDI Transaction is responsible for configuring, supporting and monitoring EDI transactions EyeMed sends and receives from various trading partners.  This role will serve as a liaison between EyeMed and our clients and partners.  Its primary focus will be on the Health Care Eligibility Benefit Inquiry and Response (270/271), ensuring the configuration of membership leads to accurate claim adjudication.  The Senior Analyst will resolve adjudication issues with the client and develop accurate requirements for EyeMed IT.

 

MAJOR DUTIES AND RESPONSIBILITIES

  • Support day-to-day operations of EDI, including identifying technical problems
  • Develop complete understanding of the existing 270/271 process in EyeMed
  • Proactively work with client on their release schedules
  • Review electronic data received to ensure presence and accuracy of critical data elements
  • Monitor daily error reports
  • Work cross-functionally with Client, EyeMed Account Management and Collections functions to resolve A/R issues
  • Develop complete and accurate requirements for IT
  • Respond to encounter trading partner issues relating to submissions and quality of submissions
  • Create reports to monitor data accuracy and statistics
  • Resolve complex data issues and escalate as needed
  • Monitor scheduled EDI system jobs for completeness daily
  • Configure test and maintain EDI transactions to and from trading partners
  • Update existing companion guides
  • Ensure Globalscape SFTP rules are accurate and monitor execution
  • Submit encounter data in both test and production

 

BASIC QUALIFICATIONS

  • Bachelor’s Degree or equivalent work experience
  • 3+ years of experience in a reporting function
  • Excellent communication, analytical, problem-solving, planning, prioritization, project management, teamwork and organization skills
  • Strong balance of business and technology acumen
  • Proficient in SQL
  • Strong understanding of project management and requirements definition and management
  • Healthcare industry experience
  • EDI/HIPAA Transaction experience (specifically the Health Care Eligibility Benefit Inquiry and Response 270/271)

 

PREFERRED QUALIFICATIONS

  • Healthcare industry experience
  • SAP BI/Business Objects experience

Upon request and consistent with applicable laws, Luxottica will provide reasonable accommodations to individuals with disabilities who need assistance in the application and hiring process.  To request a reasonable accommodation, please call the Luxottica Ethics Compliance Hotline at 1-888-887-3348 or e-mail HRCompliance@luxotticaretail.com (be sure to provide your name and contact information for either option so that we may follow up in a timely manner). 

We are an Equal Opportunity Employer.  All qualified applicants will receive consideration for employment without regard to race, color, gender, national origin, social origin, social condition, being perceived as a victim of domestic violence, sexual aggression or stalking, religion, age, disability, sexual orientation, gender identity or expression, citizenship, ancestry, veteran or military status, marital status, pregnancy (including unlawful discrimination on the basis of a legally protected pregnancy or maternity leave), genetic information or any other characteristics protected by law.  Native Americans receive preference in accordance with Tribal Law.


Nearest Major Market: Cincinnati

Apply now »