Compliance Data Analyst II (Health Plan/MCO experience)

Job Summary:

The Compliance Data Analyst II is responsible for managing ethics and compliance technology and develop reporting to meet the information needs of the compliance organization.

Essential Functions:

Develop, design, and maintain technology solutions and workflows to support ethics and compliance processes

Develop routine operational/analytical reports for management of Compliance processes and functions as needed

Work with business areas to identify and implement opportunities for improvement that impact compliance through the delivery of appropriate reporting and data

Identify and resolve data quality issues within compliance tools and reporting

Generate graphics that effectively describe, explore and summarize compliance data

Incorporate critical thinking skills and judgment in the process to determine best course of action for each inquiry/problem

Investigation of compliance data that shows a pattern or indicates a significant variation from expected

Represent the compliance department in project meetings and other meetings that require subject matter knowledge and input

Perform any other job duties as requested

Education and Experience:

Bachelor’s Degree or equivalent years of relevant work experience is required

Minimum of three (3) years of experience in data analytics

Healthcare and/or Compliance experience is preferred

Competencies, Knowledge and Skills:

Understanding of database relationships

Advanced MS Excel, Power Query, Power Pivot, 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

Communication skills both written and verbal

Ability to work independently and within a team environment

Knowledge of managed care preferred

Licensure and Certification:

None

Working Conditions:

General office environment; may be required to sit or stand for extended periods of time

$72,200.00 - $115,500.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Salary

Organization Level Competencies

- Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

#LI-SD1