Compliance Data Analyst II (Health Plan/MCO experience)

CareSource is hiring a Compliance Data Analyst II to manage ethics and compliance technology and develop reporting for the compliance organization. The role develops and maintains compliance workflows, produces and analyzes reports, addresses data quality issues, and represents the department in project meetings.

Responsibilities:

• 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

Requirements:

• Bachelor's Degree or equivalent years of relevant work experience is required
• Minimum of three (3) years of experience in data analytics
• 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
• Healthcare and/or Compliance experience is preferred
• Knowledge of managed care preferred