Compliance Reporting Analyst

This is a fully remote position, open to applicants in United States.

📋 Description

• Provide precise and timely reporting to MCO clients as well as Medicare and Medicaid programs.

• Take responsibility for report creation, quality assurance, and tracking submissions.

• Acquire knowledge of data sources, validation requirements, submission workflows, CFR mandates, MCO agreements, and state Medicaid handbooks.

• Accurately execute assigned reports with attention to data entry, quality assurance, and formatting.

• Assume responsibility for recurring reports and ensure timely submissions.

• Convert reporting requirements and issues into precise, actionable tickets for the Data Analytics team.

• Document workflows, pinpoint gaps and inefficiencies, and sustain repeatable processes.

• Manage government and client reporting from start to finish, prioritizing tasks and setting timelines.

• Spearhead optimization and automation of the client-reporting process in collaboration with Data Analytics.

• Conduct prescribed QA checks, uncover discrepancies, broken formulas, and unexplained variances, and escalate risks as necessary.

• Maintain SOPs, field mappings, regulatory research, and decision logs.

• Collaborate with teams in Data Analytics, Product, Operations, and other SafeRide departments.

• Assist in ensuring audit-ready compliance reporting and mitigate reporting risks as the company expands.

⛳️ Requirements

• A minimum of 2 years of experience as a Reporting Analyst, Data Analyst, Business Analyst, or in a related role that involves hands-on data work, including report creation, dataset analysis, and validation of data accuracy.

• At least 1 year of experience in healthcare, healthcare regulatory research, and/or health plan operations, focusing on regulatory analysis and the preparation of regulatory reports.

• Intermediate to advanced skills in Microsoft Excel, including proficiency in formulas, VLOOKUPs, pivot tables, data validation, and data concatenation.

• Excellent accuracy in data entry and adherence to prescribed quality assurance practices.

• Familiarity with SQL, data-query languages, or Python scripting.

• Capacity to effectively communicate with the data analytics team and comprehend technical data flows.

• Experience with Amazon QuickSight, Tableau, or Power BI.

• Ability to apply independent judgment in aligning regulatory requirements with operational constraints and understanding system-wide impacts.

• Proficient in managing multiple deadlines while documenting processes and gaps, ensuring compliance reports and submission records are audit-ready.

• A proactive ownership mindset with an ambition to evolve from data entry roles into process improvement, automation, and strategic initiatives.

• Willingness to travel 2–4 times annually for company or team offsites.

• Legally authorized to work in the US.

• Experience with Medicare/Medicaid reporting, including navigating the CFR, MCO agreements, and state Medicaid handbooks is highly preferred.

• Understanding of health plan operations such as claims processing, utilization management, prior authorizations, and call center operations is highly preferred.

• Strong skills in project and stakeholder management are highly preferred.

• Familiarity with collaboration platforms like Asana, Jira, or similar tools is highly preferred.

• Successful completion of a background check is required.

🏝️ Benefits

• Remote work opportunities.

• Exempt salaried classification.

• Chance to contribute to process automation and optimization.

• Company or team offsites 2–4 times a year.