Data and Analytics Consultant – Medicaid Coordination of Benefits & Healthcare Information Management

About arenaflex

Welcome to arenaflex, where we are fundamentally transforming the landscape of healthcare delivery in America. As a leading force in the health insurance industry, we are committed to bringing a human-centered approach to healthcare that is more personal, accessible, and affordable for everyone. Our mission goes beyond simply providing insurance coverage – we are dedicated to improving the overall well-being of individuals and communities across the nation by delivering innovative solutions that make healthcare simpler to navigate.

At arenaflex, we believe that our people are our greatest asset. The dedication, compassion, and expertise of our team members enable us to fulfill our purpose of caring for people at every moment of their health journey. We foster a workplace culture that values diversity, inclusion, and continuous growth, where every employee is empowered to make a meaningful difference in the lives of those we serve.

Join us in our commitment to transforming healthcare and discover a rewarding career path where your skills and passion can truly impact the future of American healthcare.

Position Overview

Are you a detail-oriented professional with a passion for healthcare data and analytics? arenaflex is currently seeking a talented Data and Analytics Consultant to join our Medicaid Coordination of Benefits (COB) team. This critical role supports the accuracy and integrity of insurance information across multiple carriers while contributing to the operational excellence of our coordination of benefits functions.

As a Data and Analytics Consultant at arenaflex, you will play a vital role in ensuring that our members receive the maximum benefits they are entitled to by accurately identifying and coordinating primary insurance coverage. Your analytical expertise will help streamline processes, resolve complex billing issues, and improve overall service quality within our Medicaid program operations.

This position offers an excellent opportunity to grow your career in healthcare data management while working with cutting-edge technology systems in a collaborative team environment. If you thrive on solving complex problems and have a genuine desire to make healthcare more efficient and accessible, we invite you to explore this exciting opportunity with arenaflex.

Key Responsibilities

• Data Analysis and Verification: Analyze and verify the accuracy of primary insurance carrier information for Medicaid beneficiaries, ensuring proper coordination of benefits across multiple insurance plans.


• Claims Coordination Support: Assist in the effective functioning of the Coordination of Benefits team by performing detailed data analysis and identifying opportunities for process improvement.


• System Utilization: Utilize QNXT platform and SQL Server Management Studio to extract, manipulate, and analyze large datasets related to insurance coverage and claims information.


• Data Integrity Maintenance: Maintain high standards of data integrity by conducting regular audits and implementing corrective measures when discrepancies are identified.


• Cross-Functional Collaboration: Work closely with internal teams, including claims processing, provider services, and member services, to resolve complex coordination of benefits issues.


• Regulatory Compliance: Ensure all data handling activities comply with healthcare regulations and company policies regarding privacy and data security.


• Reporting and Documentation: Create and maintain comprehensive documentation of data analysis processes, findings, and recommendations for continuous improvement initiatives.


• Problem Resolution: Investigate and resolve escalated issues related to insurance coordination, providing timely and accurate responses to complex inquiries.


• Quality Assurance: Participate in quality assurance activities to identify trends, improve accuracy rates, and enhance overall team performance.


• Process Improvement: Identify and recommend process improvements that increase efficiency and accuracy in coordination of benefits operations.

Required Qualifications and Skills

Education and Experience

• Bachelor's degree in a relevant field such as Healthcare Administration, Business Analytics, Information Technology, or related discipline required.


• High school diploma or GED equivalent with equivalent relevant experience may be considered in lieu of a bachelor's degree.


• Strong foundation in analytical thinking and technical problem-solving capabilities.


• Understanding of Medicaid Coordination of Benefits concepts and terminology preferred.

Technical Proficiency

• Proficiency in QNXT platform – must have hands-on experience or demonstrated ability to quickly learn this healthcare management system.


• Strong skills in SQL Server Management Studio for database queries, data extraction, and analysis.


• Advanced Microsoft Excel skills including pivot tables, VLOOKUP, and data visualization.


• Comfortable working with large datasets and performing data validation activities.


• Basic understanding of healthcare claims processing and insurance terminology.

Core Competencies

• Analytical Thinking: Strong ability to analyze complex data sets, identify patterns, and draw meaningful conclusions to support business decisions.


• Independent Work Ethic: Capable of working autonomously with minimal supervision while maintaining high standards of accuracy and productivity.


• Communication Skills: Excellent written and verbal communication skills with the ability to clearly present technical information to non-technical stakeholders.


• Organizational Abilities: Strong organizational skills with the capacity to manage multiple priorities and meet deadlines in a fast-paced environment.


• Interpersonal Skills: Collaborative approach with the ability to work effectively as part of a team and build positive relationships with colleagues.


• Attention to Detail: Meticulous attention to detail with a commitment to maintaining data accuracy and quality.


• Problem-Solving: Creative thinking and resourcefulness in resolving complex issues and finding innovative solutions.

Preferred Qualifications

• 2-3 years of prior claims processing experience in a healthcare or insurance setting preferred.


• Experience working with Medicaid or Medicare claims data.


• Familiarity with multiple insurance coordination processes and tertiary billing procedures.


• Previous experience in a data analytics or reporting role within the healthcare industry.


• Knowledge of state-specific Medicaid regulations and requirements.


• Experience with data visualization tools such as Tableau or Power BI.


• Understanding of HIPAA compliance and data privacy requirements in healthcare settings.

Compensation and Benefits

At arenaflex, we recognize that our employees are the foundation of our success. We are committed to providing competitive compensation and comprehensive benefits that support your professional growth and personal well-being.

Competitive Pay Range

The annual salary range for this position is $70,000 - $80,000, depending on experience, education, and geographic location within California. This position is eligible for our performance-based incentive program, which allows you to earn additional compensation based on individual and company performance.

Comprehensive Health Benefits

• Full medical, dental, and vision coverage for employees and their families.


• Wellness programs designed to support your physical and mental health.


• Access to employee assistance programs and mental health resources.

Financial Security

• 401(k) retirement savings plan with company match to help you build your future.


• Employee Stock Purchase Plan allowing you to invest in arenaflex's growth.


• Fully paid term life insurance for peace of mind.


• Short-term and long-term disability benefits to protect your income.

Work-Life Balance

• Generous Paid Time Off (PTO) policy that allows you to recharge and recharge.


• Paid holidays throughout the calendar year.


• Sick leave and other time off consistent with California state laws and company policies.


• Flexible work arrangements where possible to support your lifestyle.

Professional Development

• Access to free development courses and training programs.


• Education assistance to support your continued learning.


• Career advancement opportunities within the organization.


• Mentorship programs to help you grow professionally.

Additional Perks

• Exclusive employee discounts on arenaflex products and services.


• Discount programs with participating community partners.


• Volunteer opportunities to give back to your community.

Work Environment and Culture

At arenaflex, we are dedicated to creating an inclusive workplace where every team member feels valued, respected, and empowered to contribute their best work. Our culture is built on the foundation of putting people first – both our employees and the members we serve.

We believe in fostering an environment that encourages collaboration, innovation, and continuous learning. As part of our team, you will have the opportunity to work with diverse colleagues who share your commitment to making a positive impact in healthcare. We value open communication, mutual respect, and a supportive approach to problem-solving.

arenaflex is committed to providing equal employment opportunities to individuals with disabilities. We strive to ensure that our application process is accessible, and we welcome candidates to request reasonable accommodations that enable them to fully participate in the recruitment process. If you need assistance or accommodation, please reach out to our Human Resources team.

Career Growth Opportunities

Joining arenaflex means becoming part of an organization that invests in your future. We are committed to helping our employees develop their careers and reach their full potential. As a Data and Analytics Consultant, you will have access to:

• Clear pathways for advancement into senior analytical roles.


• Cross-functional training opportunities to expand your skill set.


• Leadership development programs for those interested in management positions.


• Exposure to different areas of the business including claims, provider relations, and program management.


• Mentorship from experienced professionals in the healthcare industry.


• Regular performance reviews and career development discussions.

How to Apply

Ready to take the next step in your career? We invite you to join the arenaflex team and help us transform healthcare for millions of Americans.

To apply for this Data and Analytics Consultant position, please follow these steps:

1. Review the official job posting carefully on our careers website.


2. Complete the online application form with your current contact information and employment history.


3. Attach your updated resume along with any required documents, including:
   
   
   
   • Qualifications certificate with mark sheets or transcripts.
   
   
   • Passport-sized photograph.
   
   
   • Signed application confirmation.
   
   
   
   


4. Submit your application and await further communication from our recruiting team.

For detailed information about available positions and to apply, please visit our official careers portal. We encourage you to apply at your earliest convenience as positions may close once we have identified qualified candidates.

Interview Process

Our interview process is designed to help us get to know you better and assess how your skills and experience align with this role. The process typically includes:

• Initial phone or video screening to discuss your background and interest in the position.


• In-depth behavioral and situational interviews with the hiring manager and team members.


• Technical assessment to evaluate your analytical and system proficiency.


• Final interview with senior leadership.

We value transparency and will keep you informed at each stage of the process.

Join Our Team Today

arenaflex is more than just a workplace – it's a place where you can build a meaningful career while making a real difference in people's lives. If you are passionate about healthcare, excel at data analysis, and want to be part of an organization that truly cares about its employees and members, we encourage you to apply for this exciting opportunity.

Take the first step toward a rewarding career with arenaflex. We look forward to receiving your application and potentially welcoming you to our team!