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

Compensation Range:

$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.

Compensation Type (hourly/salary):

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.

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About Us

The CareSource mission is known as our heartbeat. Just as we support our members to be the best version of themselves, our employees are driven by our mission to create a better world for members, stakeholders and providers.

We are difference-makers who combine compassionate hearts with our unique business expertise to make every opportunity count. Each claim, each phone call, each consumer-centric decision is a chance to change the world for one member, and our employees look for ways to do that every day.

The challenge is, there is no one right way to be the difference and we’re looking for people like you that will rewrite that definition every day. We do what it takes to form creative solutions that make our community and the world just a little better. Discover what it means to be #UniquelyCareSource.