Senior Analyst Business Data

Requisition ID:876607

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, and Target 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 Data Analyst will provide critical insights into the set-up of business configuration network and agreement data. The role will be responsible for designing, executing and supporting routine and ad hoc analysis and projects. The Data Analyst will develop solutions and processes required to meet internal reporting and research needs.

MAJOR DUTIES AND RESPONSIBILITIES

• Serve as a subject matter expert on Provider Network data integrity projects.
• Develop tools to drive quality and continuous improvement into the provider network agreement team's configuration activities.
• Create a database of the provider contracted fee schedules to capture the contract pricing source of truth to be utilized in auditing agreement pricing configuration.
• Develop a comparison tool to evaluate source data against agreement data assigned to the provider.
• Develop a standard Data and Analytics library of reports to move current SQL queries into Business Object reports for Provider Data, Network, and Contract assignment.
• Develop a Contract Agreement Library that can be used to identify values for core contracted services, medical fee schedules, and network schedules.
• Performs complex analytics, data engineering and automation tasks and projects, ensuring standards are met for accuracy, completeness, quality and timely delivery.
• Collaborate with Business Configuration leaders to support data integrity initiatives and resolve issue escalations.
• Identify, prioritize and evaluate opportunities for new projects or capabilities, and continuous improvement of existing projects or capabilities.
• Assist with knowledge management initiatives by understanding, documenting, and maintaining data definitions, reporting requirements and performance standards.
• Provide support for routine and priority tasks and projects as needed.

BASIC QUALIFICATIONS

• Bachelor's Degree in an analytical/technical field, or equivalent work experience
• Experience with health provider and network data elements.
• Experience with Claim adjudication and provider reimbursements.
• 3+ years of experience focused on data analytics
• Experience with cleansing, integrating and analyzing large and complex data sets
• Experience with data visualization development, such as Qlik, Tableau or Power BI
• Proficiency in SQL, Excel and programming in R, Python or SAS
• Strong balance of business, analytics and technology acumen
• Strong communication, critical thinking, teamwork and project management skills
• High level of accountability, motivation, learning agility and attention to detail

PREFERRED QUALIFICATIONS

• Experience with business or health informatics, data architecture and pipeline/ETL
• Experience with Facets in a managed care setting
• Experience with Medicaid and/or Medicare programs and reporting
• Experience with payment integrity data mining and fraud analytics
• Working knowledge of statistics and machine learning/artificial intelligence techniques

Employee pay is determined by multiple factors, including geography, experience, qualifications, skills and local minimum wage requirements. In addition, you may also be offered a competitive bonus and/or commission plan, which complements a first-class total rewards package. Benefits may include health care, retirement savings, paid time off/vacation, and various employee discounts.

Upon request and consistent with applicable laws, EssilorLuxottica 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 EssilorLuxottica SpeakUp Hotline at 844-303-0229 (be sure to provide your name and contact information so that we may follow up in a timely manner) or email HRCompliance@luxotticaretail.com.

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 in the US receive preference in accordance with Tribal Law.