Job Description

Job Responsibilities:

• Familiarity with healthcare benefits, pharmacy operations, or health services environments.
• Exposure to data analysis tools such as Excel, SQL, Tableau, Launchpad, Power BI, Copilot, or QuickBase. (not required, but preferred)
• Proficiency in all basic MS Office products including Word, PowerPoint, Excel, SharePoint. Familiarity with Excel pivot tables and VLOOKUP is helpful. Understanding process improvement methodologies (e.g., Lean, Six Sigma).
• Excellent written and verbal communication skills, with the ability to summarize findings clearly. Ability to understand regulatory requirements and articulate them to the business area succinctly and cohesively. Effectively communicate and escalate issues to management business partners as they become identified.
• Strong project management skills and experience in managing multiple projects with varying deadlines, requirements, and priority, simultaneously.
• 1-3 years in Compliance-related function; involvement with external regulatory agencies is preferred.

Skills:

• Strong PM experience - managing multiple projects and deadlines simultaneously with strong follow-through on timelines and deliverables
• Excellent communications and collaboration skills - both verbal and written, across departments and stakeholders
• Flexibility and adaptability - the role may occasionally require last minute work or late hours due to dependencies on business partners, Reliability and willingness to pivot quickly are essential.

Education/Experience:

• Bachelor’s degree or relevant coursework or experience in areas such as compliance, quality assurance, regulatory reporting/filings, or internal review, internal audit, business (unit) compliance (e.g., BCO/BUCO) particularly within insurance, regulatory reporting in healthcare services or of healthcare benefits. Commercial healthcare experience preferred.

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