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Senior Data Analyst

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

Mason, OH, US, 45040

Requisition ID: 335082 
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 Senior Analyst - Medicaid (Provider Operations) will be responsible for ensuring end to end processes and procedures are set up to deliver quality provider data and serve as a key contributor to current and future Medicaid projects. This includes the technical understanding of the provider information flow between enterprise systems. The Senior Analyst will be hands on with updating necessary provider information and a lead for the provider information management team to ensure team members are adequately trained and delivering quality information entered into systems.

 

MAJOR DUTIES AND RESPONSIBILITIES

  • Oversight of provider data integrity through monitoring data trends and identification of issues. This includes the day to day entry systems for processors as well as the system and batch processes.
  • Define requirements, processes and implementation of Medicaid information as it pertains to provider data as new states are added.
  • Manage ongoing maintenance and changes to Medicaid regulations across all implemented states.
  • Aligns project scope and deliverables as it aligns with government and/or state regulations
  • Partner with the functional compliance manager to ensure new processes are established and compliant with federal/state regulations and adhered to
  • Defines and leads sessions to develop efficient enterprise level business processes and standards that simplify processes and deliver enhanced provider data management quality. Produces process design documents to solidify understanding.
  • Identify through self-driven queries/reports operational efficiencies and defines a plan to implement.
  • Serve as a contact for Medicaid escalations that involve Provider Relations which will require critical thought process to resolve. Seeks to understand the impact of provider set up on cross functional business processes to ensure resolution.
  • Navigate large quantities of complicated data to derive root cause and impacts of data/process issues to the organization while adhering to regulatory and compliance requirements.
  • Ability to distill large data, take raw data and turn into meaningful information for leadership.
  • Responsible for the identification and correction of provider data issues within the organization and identify plans to resolve data issues. Ability to quantify the impact of the data issue for organizational prioritization using fact driven methodologies.
  • Ensures team adheres to policies and procedures and maintains compliant operations by developing/maintaining/executing audit programs.
  • Establish relevant internal and external KPI reporting to measure success/productivity of team as well as growth required to support new Medicaid business.

 

BASIC QUALIFICATIONS

  • Bachelor's Degree in a related field
  • 3+ years experience in a healthcare related field
  • Business analysis experience
  • Excellent interpersonal, oral and written communication
  • Strong problem-solving, analysis and issue resolution skills
  • Ability to work independently in a fast-paced environment, handle multiple assignments, establish priorities, and demonstrate excellent time management skills
  • Proficient in MS Office Applications and ability to learn department and job specific software systems.

 

PREFERRED QUALIFICATIONS

  • Knowledge of Medicare/Medicaid requirements
  • Project Management experience
  • Business Objects reporting 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

Job Segment: Medicaid, Medicare, Healthcare

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