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Join arenaflex: Transforming Healthcare Through Data-Driven Excellence
Are you ready to be part of a mission-driven organization that is reshaping the future of healthcare? At arenaflex, we believe that every moment of your health matters, and we're committed to delivering human-centered healthcare solutions for a rapidly changing world. Our purpose is simple yet profound: to carry our heart to every moment of your health. This mission guides everything we do, from how we serve our members to how we support our team members.
We're looking for a talented Data and Analytics Consultant to join our Medicaid Coordination of Benefits (COB) team. In this critical role, you'll be the backbone of our healthcare operations, ensuring the accuracy of vital insurance information and supporting the seamless functioning of our coordination of benefits processes through rigorous data analysis. If you're passionate about healthcare, excel at working with complex data, and want to make a meaningful difference in people's lives, this is the opportunity you've been waiting for.
Why arenaflex?
At arenaflex, we know that our greatest asset is our people. That's why we've cultivated a workplace culture that empowers every team member to play a transformative role in changing lives and accelerating our ability to deliver solutions that make healthcare more personal, convenient, and affordable. Our Heart At Work Behaviors™ define how we operate: we lead with empathy, embrace innovation, and treat every interaction with the same care we'd give to our own families.
When you join arenaflex, you become part of something bigger than yourself. You'll work alongside dedicated professionals who share your commitment to excellence and your passion for helping others. We invest heavily in your growth, offering comprehensive development programs, wellness initiatives, and a rewards program that recognizes your contributions.
Position Overview
As a Data and Analytics Consultant on our Medicaid Coordination of Benefits team, you will play a pivotal role in ensuring the accuracy and integrity of critical insurance information. Your work will directly impact our ability to coordinate benefits effectively, ensuring that our members receive the coverage they deserve while optimizing the healthcare reimbursement process.
This position is ideal for a detail-oriented professional who thrives in a data-driven environment and enjoys solving complex problems. You'll be responsible for maintaining the precision of other primary insurance carrier information and supporting the functions of the coordination of benefits team through comprehensive data analysis. Your analytical expertise will help streamline operations and improve outcomes for the communities we serve.
Key Responsibilities
- Data Accuracy & Validation: Ensure the accuracy and integrity of other primary insurance carrier information within our systems. Perform regular audits and quality checks to identify and resolve discrepancies.
- Data Analysis: Conduct thorough data analysis to support coordination of benefits functions. Identify trends, patterns, and anomalies that impact operational efficiency.
- System Management: Utilize QNXT and SQL Server Management Studio to manage, query, and manipulate data. Develop and maintain databases that support COB operations.
- Process Improvement: Collaborate with cross-functional teams to identify opportunities for process improvements. Recommend and implement solutions to enhance data quality and operational workflows.
- Medicaid COB Expertise: Apply in-depth knowledge of Medicaid Coordination of Benefits to resolve complex cases. Stay current with regulatory requirements and industry best practices.
- Documentation: Maintain comprehensive documentation of processes, procedures, and data configurations. Ensure compliance with internal policies and external regulations.
- Communication: Effectively communicate findings and recommendations to stakeholders. Present complex data in clear, actionable formats.
- Problem Resolution: Exercise independent thinking to resolve escalated issues. Develop creative solutions to unique challenges encountered in the COB process.
Required Qualifications
- Educational Background: Bachelor's degree in a relevant field such as Healthcare Administration, Information Technology, Data Science, or equivalent experience.
- Analytical & Technical Skills: Strong analytical abilities with a keen eye for detail. Proficiency in data analysis, interpretation, and reporting.
- Medicaid COB Knowledge: Solid understanding of Medicaid Coordination of Benefits principles and practices.
- Technical Proficiency: Demonstrated proficiency in QNXT and SQL Server Management Studio. Ability to write complex queries and manipulate large datasets.
- Independent Thinking: Strong problem-solving skills with the ability to work autonomously and make sound decisions.
- Communication Skills: Excellent verbal and written communication skills. Ability to effectively collaborate with cross-functional teams.
- Organizational Skills: Strong organizational and time-management abilities. Capacity to manage multiple priorities in a fast-paced environment.
- Interpersonal Skills: Strong interpersonal skills with the ability to build positive relationships with colleagues and stakeholders.
Preferred Qualifications
- 2-3 years of claims processing experience in a healthcare or insurance setting.
- High School Diploma/G.E.D. (in addition to relevant work experience).
- Previous experience with Medicaid or Medicare claims.
- Familiarity with additional healthcare informatics platforms.
- Knowledge of healthcare industry regulations and compliance requirements.
- Experience with data visualization tools such as Tableau or Power BI.
Skills & Competencies for Success
To thrive in this role at arenaflex, you'll need a unique blend of technical expertise and interpersonal capabilities:
- Analytical Thinking: The ability to dissect complex problems, identify root causes, and develop effective solutions is essential. You'll be working with large datasets that require meticulous attention to detail.
- Technical Acumen: Proficiency in SQL and experience with QNXT are non-negotiable. You should be comfortable navigating database systems and extracting meaningful insights.
- Healthcare Knowledge: Understanding of Medicaid COB processes, insurance billing, and claims processing will give you a significant advantage.
- Adaptability: The healthcare landscape is constantly evolving. You must be willing to learn new systems, adapt to changing regulations, and embrace innovation.
- Collaboration: While independent thinking is valued, this role also requires strong teamwork and the ability to collaborate effectively with diverse stakeholders.
- Communication: Translating complex data into clear, actionable insights is crucial. Your communication skills will determine how effectively you can drive positive outcomes.
- Integrity: Working with sensitive healthcare data requires the highest standards of accuracy, confidentiality, and ethical conduct.
Career Growth & Development Opportunities
At arenaflex, your career journey is just beginning. We are deeply committed to helping our team members grow, develop, and advance in their careers. Here's what you can expect:
- Professional Development: Access to free development courses, training programs, and certification support. We invest in your continuous learning.
- Career Advancement: Our internal mobility program offers opportunities to explore different roles and departments as you progress in your career.
- Mentorship: Work alongside experienced professionals who can guide you, share insights, and help you navigate your career path.
- Industry Exposure: Gain invaluable experience in the healthcare industry, with exposure to complex regulatory environments and cutting-edge technology.
- Skills Expansion: Develop expertise in multiple systems and platforms, making you a more versatile and valuable professional.
Work Environment & Culture
You'll find more than just a job at arenaflex—you'll find a community. Our culture is built on the foundation of putting our heart into caring for our team members and our communities. We believe in work-life balance, supportive leadership, and creating an environment where everyone can thrive.
Our California-based team enjoys the benefits of working with a nationally recognized organization while being part of a collaborative, innovative team. You'll have access to the tools and resources you need to succeed, along with the flexibility to grow and develop in your role.
Compensation & Benefits
We recognize that exceptional talent deserves exceptional rewards. The average compensation range for this position is $70,000 - $80,000 annually. Your actual base compensation will depend on various factors including experience, education, geography, and other relevant factors.
In addition to competitive pay, you'll be eligible for:
- Annual Bonus: Performance-based incentive programs.
- Health & Wellness: Comprehensive medical, dental, and vision benefits.
- Retirement Savings: 401(k) retirement plan with company match.
- Stock Purchase Plan: Employee Stock Purchase Plan available for qualified employees.
- Life Insurance: Fully paid term life insurance for qualified employees.
- Disability Coverage: Short-term and long-term disability benefits.
- Wellness Programs: Access to numerous wellness programs and resources.
- Education Assistance: Tuition assistance and free development courses.
- Employee Discounts: CVS store discounts and partner discount programs.
- Paid Time Off: Generous PTO or vacation pay, plus paid holidays throughout the calendar year.
- Sick Leave: Paid sick time consistent with state laws and company policies.
For detailed information about our comprehensive benefits package, please visit arenaflex.com/benefits.
Vaccination Requirements
Arenaflex is committed to the health and safety of our team members. This position requires all employees to be fully vaccinated against COVID-19 (including any booster shots if required), where appropriate under the law, unless they are approved for a reasonable accommodation based on disability, illness, religious belief, or other legally recognized reasons.
Equal Opportunity Employer
Arenaflex is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. We provide equal access to the benefits and privileges of employment, including the provision of reasonable accommodations to perform essential job functions. If you require a reasonable accommodation, please contact [email protected].
Ready to Make a Difference?
If you're ready to join a team that values your skills, invests in your growth, and makes a meaningful impact on healthcare delivery, we encourage you to apply for this exciting opportunity. At arenaflex, you'll find more than a career—you'll find a purpose.
Take the first step toward an rewarding career in healthcare data and analytics. Apply today and become part of our mission to transform healthcare for the better.
Apply now and carry your heart to work with arenaflex!