Senior Data Analyst

hace 4 semanas


San Juan, San Juan, Puerto Rico abarca health A tiempo completo
Job Title: Senior Data Analyst - Government Programs

At Abarca Health, we're revolutionizing pharmacy benefits with smarter technology. We're seeking a highly skilled Senior Data Analyst to join our team and drive the standardization and creation of Data Metrics reports using raw data to supply updates for audits, predictive models, and identify potential operational and clinical opportunities for both internal and external use.

Key Responsibilities:
  • Support our compliance program effectiveness through data analysis to identify risks and trends using data visualization and dashboards.
  • Generate ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts.
  • Proactively identify applicable regulation changes for Abarca, generate, and disseminate the data needed for analysis.
  • Support the Regulatory Compliance Team and department leadership in making key policy decisions aimed at proactively mitigating risk and potential audit concerns.
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 healthcare compliance and/or regulatory role.
  • Strong understanding of industry processes, PBM Operations, and Medicaid regulations.
  • Excellent oral and written communication skills.
Preferred Qualifications:
  • 3+ years' experience with Medicaid or Medicare regulations is a plus.
  • Certified in Healthcare Compliance (CHC), and/or Certified Fraud Examiner (CFE), and/or Certified Internal Auditor (CIA) is a plus.
  • Proficiency with at least one of the Microsoft Business Intelligence stack tools: MS SQL Database, is a plus.
What We're Looking For:
  • Analytical
  • Strategic
  • Planner
  • Communicator
Physical Requirements:
  • Must be able to access and navigate each department at the organization's facilities.
  • Sedentary work that primarily involves sitting/standing.

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