Hybrid Quality and Reporting Analyst – Audit

at Health Care Service Corporation

• Job title: Quality and Reporting Analyst – Audit
• Job type: Full Time
• Experience level: Junior, Mid level
• Salary: $40,900 - $91,000 per year
• Degree requirement: Bachelor's Degree
• Tech skills: Cognos
• Location requirements: Hybrid, Chicago, United States

About the role

• Auditing operations compliance with accreditation and regulatory requirements for HCSC. Researching and reporting on trends, preparing monthly summaries, and implementing technical solutions.

Responsibilities

• Responsible for auditing operations compliance with accreditation and regulatory requirements in assigned areas.
• Ensuring compliance with Plan, BCBSA, NCQA and State and Federal requirements.
• Researching and reporting monthly on trends.
• This will include monthly documented summaries, receipts, and how these impact accreditation requirements.
• Recommending and implementing technical solutions and communicating to the management team of the need/gap.
• Gathering data, analyzing data, and preparing reports including disseminating information from various sources and systems.
• Supporting projects and initiatives and resolving issues by working with staff within the department or across departments.

Requirements

• Bachelor’s degree and 2 years of insurance experience OR 6 years’ insurance experience.
• Knowledge of health care regulatory and legislative process; experience reading and interpreting legislation.
• Knowledge or experience reviewing accreditation standards and evaluating level of compliance, identifying challenges and proposing solutions.
• Knowledge or experience monitoring compliance and managing evidence documents.
• Experience preparing monthly reports and forecasting.
• Research and analytical skills.
• Detail orientation and organizational skills; experience meeting deadlines on time.
• Clear and concise verbal and written communication skills.
• PC proficiency to include Word, Access, Excel and Cognos.

Benefits

• 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