Sr Data Specialist

Government Employees Health Association•Summit, NJ

5h•Remote

About The Position

Government Employees Health Association, Inc. (G.E.H.A) is a nonprofit member association that provides health and dental benefits that millions of federal employees and retirees, military retirees and their families have counted on since 1937. Offering one of the largest health and dental benefit provider networks available to federal employees in the United States, G.E.H.A empowers health and wellness by meeting its members where they are, when they need care. G.E.H.A has one mission: To empower federal workers to be healthy and well. Manages leased partner network data integration into I-Network (Network Data Management and Exchange System). Creates requirement documents for GEHA Solutions Inc. projects and enhancements. Manages Quality Assurance review of projects and enhancements, providing sign-off for production. Collaborates with external I-Network developers and external project management team to meet client contractual requirements and delivery of customer products. Manages Data Quality of products delivered to client’s internal claims systems and to file with state regulatory agencies. Supports SFTP site for client use. Act as a backup for network analysis for the Marketing Specialist. Provides daily support to Business Development and National Accounts to maintain current customer accounts and assist with acquiring new accounts. Assists manager with project management.

Requirements

Requires a Bachelor’s degree in Business Administration or related field.
Requires 5+ years of relevant technical or business work experience with demonstrated experience within healthcare industry or data integration.
Requires experience analyzing or reporting provider data or related data.
Requires analytical, conceptual and problem solving abilities.
Requires ability to work and communicate effectively with both technical and business audiences.
Requires effective verbal, written and interpersonal skills and the ability to effectively prioritize and execute tasks in a high-pressure environment.
Requires expert knowledge of Microsoft Office applications including Excel and Access.
Must have the ability to provide a non-cellular High Speed Internet Service such as Fiber, DSL, or cable Modems for a home office.
A minimum standard speed for optimal performance of 30x5 (30mpbs download x 5mpbs upload) is required.
Latency (ping) response time lower than 80 ms
Hotspots, satellite and wireless internet service is NOT allowed for this role.
A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Responsibilities

Manages Leased Network data integration with I-Network, maintaining network data and system stability to meet contractual delivery requirements.
Manages the CDFLEX and Connection Dental network product creation and delivery.
Works in conjunction with GEHA Operations to direct data transfer protocols are met and build product delivery jobs.
Responsible for data quality of products delivered to maintain external clients’ internal claims systems and to file with state regulatory agencies.
Works closely with key stakeholders for clients systems teams to ensure delivery of products and SFTP site access.
Responsible for the development of analytical insights for all client and prospective clients.
Maintains a strong product knowledge, functions as I-Network subject matter expert.
Creates data requirements and maintains documents for projects and enhancements.
Collaborates with I-Network developers and project management team to meet client requirements and delivery of customer products
Creates and oversees completion of service tickets for change control management.
Completes Quality Assurance review of projects and enhancements.
Responsible for Data Cleansing of the leased partners network data.
Collaborates directly with network partners to resolve any data discrepancies.
Participates in development of standards, design and implementation of proactive processes to collect and report data.
Mentors team on use of I-Network
Responsible for working service issue tickets assisting National Accounts.
Acts as a backup for network reporting requests

Benefits

Competitive pay/salary ranges
Incentive plan
Health/Vision/Dental benefits effective day one
401(k) retirement plan: company match – dollar for dollar up to 4% employee contribution (pretax or Roth options) plus a 6% annual company contribution
Robust employee well-being program
Paid Time Off
Personal Community Enrichment Time
Company-provided Basic Life and AD&D
Company-provided Short-Term & Long-Term Disability
Tuition Assistance Program