Benefit Management Analyst I

Responsibilities

• The Benefit Management Analyst I supports the analysis and monitoring of provider behavior to promote appropriate care to members while controlling costs for our clients, measuring provider data and maintains appropriate documentation for tracking activity and results for the department. Collaborates with other areas including client experience team, clinical, provider relations and developers
• Maintain all internal information in an organized manner, document and track results of all departmental activity
• Analyze provider data to identify outlier provider performance. Provide in-depth analysis of data/provider payments to determine potential outliers or data trends. Assist with identifying root cause issue and communicate findings to appropriate staff
• Ensure all cases are properly documented for reference and review
• Develop and recommend action plans for enhancing benefit outcomes to members while controlling costs
• Develop and maintain processes and all relevant documentation used to take corrective actions with providers
• Follow company guidelines for changing provider behavior and/or removing outlier providers, when abnormal behavior is identified
• Create and regularly review standard benchmarks for each market regarding network performance
• Coordinate targeted provider’s random chart audits to ensure standards are met and appropriate peer committee reviews
• Utilize internal systems to generate information and analyze using system reports

Preferred

• Familiarity with Power BI is preferred but not mandatory
• Bachelor's degree in math/stats/finance/accounting or a related field of study is preferred

Benefits

• This is a permanently remote position
• Flexible daytime hours, Monday through Friday. Core availability between 9:00 AM and 3:00 PM CST is required, with flexibility around those hours.
• Dental and vision benefits management and administration software and services.
• Menomonee Falls, Wisconsin, USA
• https://skygenusa.com/
• Late Stage
• Leadership Team
• Craig Kasten
• CEO and Managing Partner
• Steven J. Berryman
• Chief Executive Officer
• Recent News
• PR Newswire
• Rectangle Health Advances Healthcare Payments Modernization with Award‑Winning Solutions, Strategic Partnerships, and Executive Hires
• 2026-01-07
• SKYGEN appoints Steve Berryman as new CEO
• 2022-03-08
• Company data provided by
• AI Tools
• Customize Your Resume
• Maximize your interview chances
• Build Cover Letter
• Make your application stand out
• Analyze How Well You Fit
• Understand your strength & weakness

Qualifications

• SQL experience is required
• Associates Degree/Two Year Degree in math/stats/finance/accounting or a related field of study is required
• 1-3 years of job related experience
• Intermediate knowledge of Excel, Word and PowerPoint
• Intermediate knowledge of email
• Able to remain organized with multiple interruptions
• High attention to detail
• Analytical skills that assist in ability to solve routine problems
• Excellent time management skills
• Good oral communication skills
• Ability to work well with a variety of individuals
• Ability to work well independently
• Familiarity with Power BI is preferred but not mandatory
• Bachelor's degree in math/stats/finance/accounting or a related field of study is preferred

Required skills

• Microsoft PowerPoint, Power BI, SQL

Preferred skills

• Familiarity with Power BI is preferred but not mandatory

Experience

• 1-3 years