Specific Skills Needed:
Top 3-5 mandatory and/or minimum requirements
• Experience in Claims or Data processing / testing.
• Intermediate Level knowledge of PCs and spreadsheet applications.
• Working knowledge of Claims Adjudication, Payments/Billing, and Data Reporting systems.
• Strong communication, problem solving, teamwork and organization skills.
• Strong analytical skills and critical thinking.
• Ability to work cross functionally.
• Ability to multitask and manage project timelines.

Work hours: 7 to 3:30 or 8 to 4:30 pm

Top 3-5 desirable attributes/qualifications?
• Analysis experience.
• Knowledge of Oracle SQL and/or Business Objects/EDW.
• Knowledge of Facets
• Knowledge of SAP
• Highly motivated self-starter.

Required levels/ Years of Experience education – discuss whether there is flexibility Flexible
**This the max amount authorized to be billed to Lux, not resources pay rate**
Reason for request Required to support multiple Medicaid implementations in parallel. Responsibilities to include creating test claims, validating results and working cross-functionally to ensure testing deliverables are met.

GENERAL FUNCTION

Validation of base data in test environment to ensure setup complete prior to commencement of testing efforts. Claims creation and validation for client testing requests and new client implementation. The Analyst will be the liaison to the Senior Analysts and Manager of the Claims Testing team to identify claims processing discrepancies due to system setup issues that require cross functional partnership and retesting.

MAJOR DUTIES AND RESPONSIBILITIES

• Work with cross functional departments to ensure system is ready for testing scenarios to be keyed.
• Validate the integrity of claims data in the EyeMed claims and payments UAT systems.
• Track all testing defects and the status of the defect resolution through re-testing.
• Analyze and document clear and concise testing results so there is a smooth transition to EyeMed claims and payments production systems.
• Maintain effective, on-going communication within Claims Testing Team and other key departments.

BASIC QUALIFICATIONS

• Experience in Claims or Data processing / testing.
• Intermediate Level knowledge of PCs and spreadsheet applications.
• Working knowledge of Claims Adjudication, Payments/Billing, and Data Reporting systems.
• Strong communication, problem solving, teamwork and organization skills.
• Strong analytical skills and critical thinking.
• Ability to work cross functionally.
• Ability to multitask and manage project timelines.

PREFERRED QUALIFICATIONS

• Analysis experience.
• Knowledge of Oracle SQL and/or Business Objects/EDW.
• Knowledge of Facets
• Knowledge of SAP
• Highly motivated self-starter.