Quality and Reporting Analyst

HCSC • Chicago, IL

356d • $39,900 - $88,800 • Hybrid

About The Position

This position is responsible for auditing operations compliance and regulatory requirements in assigned areas. Ensuring compliance across the plans, and State and Federal requirements. Researching and reporting monthly on trends. This will include monthly documented summaries, receipts, and how these impact audit requirements. Recommending and implementing technical and operational solutions as communicated to the management team. Gathering data, analyzing data, and preparing reports including disseminating information from various sources and systems. Supporting projects and initiatives and resolving issues by working with staff within the department or across departments. Schedule: This is a Flex (Hybrid) role: 3 days in office; 2 days remote.

Requirements

• Bachelor's degree and 2 years of insurance experience OR 6 years' insurance experience.
• Knowledge of health care regulatory and legislative process; experience reading and interpreting legislation.
• Knowledge or experience reviewing accreditation standards and evaluating compliance levels.
• Knowledge or experience monitoring compliance and managing evidence documents.
• Experience preparing monthly reports and forecasting.
• Research skills.
• Analytical skills.
• Detail orientation and organizational skills; experience meeting deadlines.
• Ability and willingness to travel, including overnight stays.
• Clear and concise verbal and written communication skills.
• PC proficiency to include Word, Access, Excel, and Cognos.

Nice To Haves

• Audit experience.
• Knowledge or experience in provider networks, credentialing and contracting.
• Knowledge or experience in enterprise PDM business rules.
• Knowledge or experience in NOSD internal systems (Vistar, PPW, CAQH, Salesforce).
• Ability to handle multiple projects in an environment of urgent and shifting deadlines.

Responsibilities

• Auditing operations compliance and regulatory requirements in assigned areas.
• Ensuring compliance across plans and State and Federal requirements.
• Researching and reporting monthly on trends.
• Preparing monthly documented summaries and receipts related to audit requirements.
• Recommending and implementing technical and operational solutions to management.
• Gathering, analyzing, and preparing reports from various sources and systems.
• Supporting projects and initiatives and resolving issues across departments.

Benefits

• Health and wellness benefits
• 401(k) savings plan
• Pension plan
• Paid time off
• Paid parental leave
• Disability insurance
• Supplemental life insurance
• Employee assistance program
• Paid holidays
• Tuition reimbursement
• Annual incentive bonus plan

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees