Data Analysis - Data Analyst II Temp-perm

send resumes to franklin@jjcpl.net

Position:Data Analysis - Data Analyst II Temp-perm

Location:Owings Mills,MD

Duration: 6+Months

Facets End to End & Claims processing exp

Job Description:

Responsibilities: Execute Delivery of High Priority Corporate Initiatives: Supports client transaction system configuration changes and new configuration requirements as necessary in support of Corporate Initiatives. As a Facets Product Specialist provides leadership through the SDLC process including configuration analysis, design, development and testing. Serves as the end to end product consultant in the support of changes and/or configuration defects as they apply to enrollment, provider reimbursement, provider setup, claims processing, benefits setup, billing and accounts receivable. Knowledge of data base structure and queries Facets tables to audit and validate that configuration is highly desirable. Provides technical support in identifying the appropriate solutions required by user areas; assists IT Leadership in performing a needs analysis of the relevant business areas and in matching user needs to system capabilities to ensure that changes can be easily transitioned into the business environment. Facilitates and manages changes to configuration baselines and understands the unique issues around release and change management. Oversees the modification and/or implementation of new configurations to Facets and surround systems in support of the Medical health plan administration. Recommends and coordinates the implementation of configuration changes to improve the overall efficiency of system processing. Plays a lead role in configuring/re-configuring Facets to process more efficiently so as to increase claims first pass rate and reduce administrative costs. Works as an integral part of a team in order to increase processing efficiencies and reduce negative Service impacts. Serves as a consultative liaison with various Operations area to ensure optimization of the Facets system. Understands the Corporate strategic vision and ensures that changes to the system and business process align with future needs. Provides insight, functional expertise, technical expertise and knowledge of business operations, strategies and priorities to support the technical direction of the business. Maintains a high level of knowledge in data management tools and reporting/decision support tools in order to provide Corporate awareness and oversight of the current environment in order to offer recommendations enabling CareFirst to maintain a competitive edge in the marketplace. Operational Readiness: Ensure organizational readiness to assume business responsibility and ownership when the corporate program effort is completed for all implementations. Leadership/Staff Development: Provides leadership to team members including: hiring, setting goals, salary adjustments within budget and corporate guidelines, performance management, staff development and advancement, performance plans for team members and performance feedback, training sessions related to process/system knowledge, answering questions, providing coaching and counseling, helping to set deadlines, setting an example of how to accomplish tasks in an effective manner. Qualifications Required:  Bachelors degree in Computer Science, Business, Engineering or an equivalent work experience required. Must have a minimum of 5-7+ years high level Facets Product configuration experience Previous management and delivery experience in a dynamic high-technology environment is a key to success in this position. Thorough knowledge of the Facets product configuration end to end and the ability to understands impacts of product configuration design Thorough knowledge of Provider, Benefits, Claims, Enrollment, and Customer Service inter-relationships and interdependencies Solid teamwork and interpersonal skills Strong analytical, problem solving and conceptual skills; a tactical thinker Multiple, successful program and project management experiences delivering large-scale, complex systems that are mission critical to an organization Experience with writing requirements and utilizing technology to resolve business problems An acute understanding of the relationship between Business Operations, IT, Finance, Audit and PMO in order to ensure the successful delivery of corporate initiatives from inception through the SDLC to day-to-day operations Proven ability to partner with strategic vendors to ensure their product strategies and CareFirst’s corporate strategy have alignment; partnering with vendors at the C-suite level Must be capable of developing partnerships and relationships with peers, clients and vendors to ensure that milestones and deadlines are met within budgetary constraints People-developer capability to ensure direct reports and other subordinates have opportunity to develop and grow within CareFirst Excellent analytical skills and proven experience with methodologies/processes Strong consultative skills aimed at connecting IT and Business leaders and facilitating the definition and shaping of strategic and tactical priorities Excellent negotiation and problem solving skills, excellent written and oral communication skills, presentation and organizational skills Abilities/Skills: Excellent written and oral communication and interpersonal skills Must possess strategic thinking, analytical, organizational, and planning skills Strong ability to lead others (direct and indirect) - motivate, negotiate, and persuade others Ability to identify and manage numerous shifting priorities, deadlines and resource issues to achieve results

BusinessJustification:

Resource will serve as the Facets end-to-end expert in support of all day to day and corporate initiatives. PCN has been approved for conversion]