Quality and Reporting Analyst

Job not on LinkedIn

🔥 2 minutes ago

🏈 Alabama, Arizona, +41 more states – Remote

🏈 Alabama – Remote 🌵 Arizona – Remote ⛰️ Colorado – Remote 🦌 Connecticut – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🦞 Maine – Remote 🦬 Montana – Remote 🌾 Nebraska – Remote 🎰 Nevada – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🌶️ New Mexico – Remote 🌲 North Carolina – Remote 🌾 North Dakota – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🌲 Oregon – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote ⚓ Rhode Island – Remote 🌴 South Carolina – Remote 🗿 South Dakota – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote 🍁 Vermont – Remote ⚔️ Virginia – Remote ☕ Washington – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote 🦬 Wyoming – Remote 🍑 Georgia – Remote

💵 $47.5k - $86k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

📚 Business Intelligence Analyst

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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• Just posted.
• Jobs at this company usually fill in 21 days.

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Health Care Service Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Health Care Service Corporation is an independent licensee of the Blue Cross Blue Shield Association, serving nearly 23 million people across the United States with a wide range of health benefit solutions. The company provides health coverage options for various groups, including employers, individuals, families, as well as Medicare and Medicaid plans. In addition to health insurance, HCSC offers services such as pharmacy solutions, life and dental insurance, and health data technology. With nearly a century of experience, HCSC is dedicated to improving access to quality care, enhancing health outcomes, and reducing costs while maintaining a deep commitment to its members and local communities.

📋 Description

• Audit operations for compliance with accreditation and regulatory requirements • Ensure compliance with Plan, BCBSA, NCQA, and state and federal regulatory requirements • Research and report monthly on trends • Prepare documented summaries, receipts, and analyses of impacts on accreditation requirements • Recommend and implement technical solutions, including Enterprise Appeals Application requirements • Communicate identified needs and gaps to management • Gather and analyze data from various sources and systems • Prepare and disseminate reports • Support projects and initiatives • Resolve issues by collaborating with staff within and across departments

🎯 Requirements

• Bachelor degree and 2 years of insurance experience OR 6 years of insurance experience • Knowledge of health care regulatory and legislative process • Experience reading and interpreting legislation • Knowledge or experience reviewing accreditation standards and evaluating compliance • Knowledge or experience monitoring compliance and managing evidence documents • Experience preparing monthly reports and forecasting • Research skills • Analytical skills • Detail orientation and organizational skills • Experience meeting deadlines on time • Ability and willingness to travel, including overnight stays • Clear and concise verbal and written communication skills • PC proficiency including Word, Access, Excel and Cognos • Sponsorship will not be provided • Preferred: experience assisting with or leading projects • Preferred: 1+ years' experience in ongoing audits • Preferred: ability to interact with senior leaders and executives • Preferred: audit tools experience, including PPW and Salesforce • Preferred: knowledge of accreditation, including NCQA, URAC and CMS • Preferred: professional-level MS Suite skills

🏖️ Benefits

• Curated development plans and professional development • Annual incentive bonus plan • Health and wellness benefits • 401(k) savings plan • Pension plan • Paid time off • Paid parental leave • Disability insurance • Supplemental life insurance • Employee assistance program • Paid holidays • Tuition reimbursement • Other incentives

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