Northwest Administrators, Inc

Database Administrator

• Oracle database administration including installation, configuration and maintenance.
• Manage database backup and recovery procedures ensuring data integrity and availability.
• Create & manage user accounts, define access controls and adhere to security best practices.
• Troubleshoot performance issues and bottlenecks and implement optimization techniques.
• Collaborate with developers to optimize queries and enhance database performance.
• Maintain understanding of clustering technologies and data encryption.
• Create knowledge base of topics such as backup/restore procedures, performance tuning and security best practices.
• Participate in knowledge transfer and document best practices, procedures and solutions.

Oracle Database Administrator

Auditor

• Perform internal audits of our Health and Welfare Claims Processors' work
• Design and implement training plans for Claims Processors
• Conduct training sessions for groups of new Claims Processors
• Train and cross-train on plan, system and procedural changes
• Respond to day-to-day referral questions
• Perform random and large dollar claims audits
• Prepare written claim processing guideline materials
• Coordinate vendor interaction with specific PPOs and benefit providers

Medical Claims Auditor

• Review the work completed by the Health and Welfare Medical, Dental, Vision, Time Loss and Life Claims Processors
• Perform internal audits of our Health and Welfare Claims Processors' work
• Design and implement training plans for Claims Processors
• Conduct training sessions for groups of new Claims Processors
• Train and cross-train on plan, system and procedural changes
• Respond to day-to-day referral questions
• Perform random and large dollar claims audits
• Prepare written claim processing guideline materials
• Coordinate vendor interaction with specific PPOs and benefit providers