Pulling various claims, to help find cost savings within program integrity
Oversee payment integrity activities, analyze, identify, and recommend improvements to help enhance success metrics
Review reports and mitigate any identified issues for prohibited affiliations monitoring, regulatory reporting, and proactive identification of data aberrancies to prepare for quarterly regulatory reporting cycles
Ability to use SQL along with Power BI to pull data and information, along with running reports
Work closely with cross-functional teams, including finance, compliance, and operations, to ensure alignment on payment integrity and program integrity initiatives.
Requirements
High School Diploma or equivalent is required
Current Rising Junior or Senior in an accredited degree program or graduated within the last 6 months is required
Proficient with Microsoft Office Suite to include Outlook, Word, Excel and PowerPoint
SharePoint skills preferred
Good written and verbal communication skills
Ability to work in a fast-paced environment
Ability to work independently and within a team environment
Effective listening and critical thinking skills
Dependable, flexible and ability to maintain confidential information
Effective problem-solving skills with attention to detail
Tech Stack
SQL
Benefits
The opportunity to work on projects that truly impact the company
Journey-to-the-Job seminars with CareSource leaders to network and learn about their career paths
An assigned mentor and access to former interns who earned full-time positions with CareSource
The satisfaction of working with smart and motivated people while building new skills
Inclusive culture with employee resource groups
Flexible work environment with remote opportunities and paid volunteer hours
Performance and personal growth goals with defined success metrics
Ongoing feedback process with your manager to discuss your progress and identify actions for continued growth
Potential for internal and external training and development programs, stretch assignments, expanded responsibilities and more