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.