Compliance Data Analyst II – Health Plan, MCO Experience

Job not on LinkedIn

🔥 12 hours ago

🇺🇸 United States – Remote

💵 $72.2k - $115.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📉 Data Analyst

🦅 H1B Visa Sponsor

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Logo of CareSource

CareSource

1001 - 5000 employees

Founded 30+ years

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

CareSource is a health services company focused on providing affordable health insurance and healthcare solutions. It offers a wide range of plans including Medicaid, Marketplace, and Medicare Advantage, targeting low-income adults, families, children, pregnant women, elderly adults, and people with disabilities. Additionally, CareSource provides members with resources for COVID-19 support, dental, vision, and hearing benefits, as well as pharmacy services. The company emphasizes easy access to healthcare management through online platforms and a mobile app.

📋 Description

• Manage ethics and compliance technology • Develop, design, and maintain technology solutions and workflows supporting ethics and compliance processes • Develop routine operational and analytical reports for Compliance management • Work with business areas to identify and implement compliance improvement opportunities through reporting and data • Identify and resolve data quality issues within compliance tools and reporting • Generate graphics that describe, explore, and summarize compliance data • Apply critical thinking and judgment to determine the best course of action for inquiries and problems • Investigate compliance data patterns and significant variations from expected results • Represent the Compliance department in project and other relevant meetings • Perform other duties as requested

🎯 Requirements

• Bachelor’s Degree or equivalent years of relevant work experience is required • Minimum of three (3) years of experience in data analytics • Understanding of database relationships • Advanced MS Excel, Power Query, Power Pivot, and Formula Development skills • SharePoint and Nintex workflow development skills • Knowledge of working with Power BI and ServiceNow • Graphic development/presentation skills • Critical listening and thinking skills • Decision making/problem solving skills • Written and verbal communication skills • Ability to work independently and within a team environment • Healthcare and/or Compliance experience preferred • Knowledge of managed care preferred • Licensure and certification: None

🏖️ Benefits

• Bonus tied to company and individual performance may be available • Comprehensive total rewards package • Employee total well-being support

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