• Data Analyst for our Pre/PostPay Edit editing program. • This position will provide the technical component of our Pre/PostPay Edit editing program in development, implementation, production monitoring and maintenance of our internal PrePay edits. • Individual will work with our matrix partners to evaluate edit ideas and use business requirements to develop the technical processes to obtain desired results and support strategic initiatives aimed at improving claim accuracy and operational efficiency. • Act as technical analyst for Proactive Claim Intervention projects and daily tasks for all aspects of our Pre/PostPay Edit editing program. • Develop and maintain editing on regular and ad-hoc basis, primarily using SAS, Microsoft SQL Server and internally developed ARM rule-based claim editing platform. • Responsible for data mining activities and technology integration of Pre/PostPay Correction Program to support our Pre/PostPay Edit editing program. • Evaluates and appropriately utilizes various approaches to data mining to narrow in on trends and drivers that directly impact outcomes. • Makes well-thought-out decisions on complex or ambiguous IT architecture issues. • Participate in all phases of Pre/PostPay Edit program IT architecture process testing and implementation. • Ensures that system improvements are successfully implemented and monitored to increase efficiency. • Works closely with matrix business partners to define data needs, opportunities for improvement and effectively communicates results of analysis and solutions. • Acts as a resource for mentorship, training and guidance for junior staff.