Data Analyst I

About the Role

Responsible for analytic data needs of the business unit. This role supports CMS data integrity and external audit activities by assisting with data validation, reconciliation, reporting, and issue investigation efforts. The analyst will collaborate with business, compliance, operational, and technology partners to help ensure the accuracy, completeness, and quality of data used in regulatory and audit-related processes.

Key Responsibilities

• Manage multiple, variable tasks and data review processes, as well as mass data entry, maintenance, and update projects.
• Complete data audits and evaluations within core systems.
• Identify and resolve complex issues, including mass change updates, reconciliation projects, and the operationalization of data from various sources.
• Analyze and advise management of workflow issues and data integrity problems and offer recommendations on resolution.
• Develop and submit internal and external status reports.
• Create report and data reconciliation through Access, Excel, Business Objects and other reporting tools, to include provider data, claims data, membership data.

Requirements & Tech Stack

• Experience using SQL to query, validate, reconcile, and analyze data.
• Experience supporting data quality, audit, compliance, regulatory reporting, or operational reporting initiatives.
• Experience partnering with business stakeholders to investigate issues, validate findings, and support data-driven decision making.
• Strong attention to detail and ability to manage multiple priorities in a deadline-driven environment.
• Healthcare, Medicare, Medicaid, regulatory, audit, or compliance experience.
• Experience with Business Intelligence and SQL tools preferred.

Qualifications

• Bachelor’s degree in related field or equivalent experience.
• 0-2 years of statistical analysis or data analysis experience.