Senior Reporting Analyst, Government Programs

Abarca Health

Consulting & Strategy

Healthcare Confidential
1 month ago

Job Summary

As our Senior Reporting Analyst for Government Programs, you will be responsible for supporting our compliance program effectiveness through data analysis to identify risks and trends using data visualization and dashboards. This may include generating ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. You will become a subject matter expert, proactively identifying the applicable regulation changes for Abarca, generating, and disseminating the data needed for analysis, as well as supporting the Regulatory Compliance Team and department leadership in making key policy decisions aimed at proactively mitigating risk and potential audit concerns.

  • Minimum Qualification:Degree
  • Experience Level:Senior level
  • Experience Length:5 years

Job Description/Requirements

The fundamentals for the job…

  • Understand data sources and the data to complete the reports and analyze the data with management.
  • Transform raw data, using SQL and other querying languages, into automated reporting.
  • Execute departmental reports at the required frequency with implemented quality check workflows.
  • Analyze and review data on a regular basis to ensure compliance and consistency.
  • Communicate data outliers to business owners (internal and external), leadership and Government Programs management.
  • Complete ad hoc reporting/queries as needed as part of external audits.
  • Develop working understanding of organizational structure to enhance our regulatory compliance program.
  • Work with business areas to discuss identified changes in regulation, define required actions, and ensure requirements are implemented as appropriate.
  • Perform data analysis and validation to ensure required accuracy and specifications.
  • Participate in the Regulatory Change Management (RCM) Committee meetings, presenting regulatory updates and engaging participation of subject matter experts (SME’s).
  • Perform research and review guidance to provide timely responses to regulatory questions from clients and business areas.
  • Lead conversations with clients around regulatory requirements and any impact to the organization, including any potential audit concerns.
  • Support HIPAA investigations, specifically review and keep track of applicable federal and state requirements, including State Medicaid requirements and Client Business Associate Agreements.

What we expect of you:

The bold requirements…

  • Bachelor’s degree in business, healthcare, or related field (In lieu of a degree, equivalent relevant work experience may be considered.) 
  • 5+ years’ experience in the healthcare industry
  • Strong SQL query skills
  • Strong understanding of industry processes, PBM Operations and Medicaid regulations
  • Excellent oral and written communication skills.
  • Experience with/ability to learn wide range of reporting tools (e.g., Reporting Services, Tableau

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