To develop and implement long-term quantitative analysis strategies to meet NCQA and DHCS
standards for reporting. To perform, and assist in the performance of, duties that ensure the
accuracy, completeness and truthfulness of enterprise wide regulatory reporting including all data,
information and documentation submitted to PHC’s governing agencies. Works collaboratively
with all PHC department subject matter experts (SME) to implement new regulatory reporting
requirements or templates and assist in troubleshooting regulatory reporting issues. To develop
and implement strategies to meet NCQA standards for the oversight of delegate reporting.
Supports the plan-wide Privacy and Fraud, Waste and Abuse (FWA) program by preparing trend
analysis, forecasting reports and managing data collection in EthicsPoint.
Education and Experience | Bachelor’s degree in relevant field; two – three (2-3) years of experience
|
Special Skills, Licenses and Certifications | Highly proficient in applicable business software applications including
|
Performance Based Competencies | Excellent oral and written communications skills. Excellent organization
|
Work Environment And Physical Demands | Ability to use a computer keyboard and other business machines. More
|
All HealthPlan employees are expected to:
HIRING RANGE:
$ 79,273.96 - $ 103,055.85
IMPORTANT DISCLAIMER NOTICE
The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.
Software Powered by iCIMS
www.icims.com