Senior Reporting Analyst ensuring timely data insights for Customer Care teams at Perk. Driving operational performance and reporting structure while coaching an analyst.
HC
Hybrid Quality and Reporting Analyst – Audit
Posted 2 months ago
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
Job title
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Tech skills
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