Health Plan Reporting Analyst
Job Location:
El Segundo, CA - USA
Yearly Salary:
Posted:
Application Deadline:
Vacancies:
Job Summary
Build a Career That Changes Lives - Including Your Own
24 Hour Home Care is a leading provider of home care and community-based services focused on helping individuals live safely and independently. As part of TEAM Services Group a private equity-backed healthcare services organization we combine a mission-driven culture with a commitment to innovation growth and operational excellence.
Here the work you do matters. Whether youre supporting clients directly or helping drive our business forward every role contributes to improving lives and strengthening the communities we serve.
Grow with purpose. Lead with heart. Make a difference every day.
Watch this short video to see the heart behind our work and the impact our teams create every day.
Who You Are:
You are apassionate and performance-driventeam player eager to take on a key role in our companys growth. You embody Team 24s Care & Compete Principles and Competencies:
In the spirit ofOwn(ing) It With Courage we encourage you to check out our Glassdoor Page to learn more about 24 Hour Home Care and to leave a review about your experience:24 Hour Home Care: Glassdoor Page
Sound interestingRead on for more details!
The Role:
The Health Plan Reporting Analyst manages the preparation validation and submission of medical and operational reports required by health plan contracts and regulatory requirements. This role ensures reporting deliverables are accurate complete and submitted on time while coordinating across teams to resolve data discrepancies and maintain compliance with contractual requirements.
Primary Responsibilities
- Compile and submit recurring health plan reports including Referral Tracking Files (RTFs) authorization files capacity reports and other required deliverables.
- Prepare reports according to health plan-specific templates file formats reporting periods naming conventions and submission requirements.
- Validate and reconcile authorization referral service member and other reporting data to ensure accuracy and completeness before submission.
- Maintain reporting calendars trackers submission confirmations health plan requirements templates contacts and supporting documentation.
- Monitor changes to health plan reporting requirements and coordinate resolution of missing conflicting or rejected data and files.
- Partner with Payor Relations Operations Compliance Finance and IT data owners to resolve reporting exceptions and communicate deadlines risks and corrective actions.
- Maintain reporting procedures checklists data definitions and work instructions while identifying opportunities to improve data quality and reporting efficiency.
This is a hybrid position coming into the El Segundo office 1x per month.
Please note that this is a temporary position.
What You Bring to the Table:
Qualifications
- Bachelors degree in Healthcare Administration Health Information Management Business Analytics or a related field; equivalent relevant experience may be considered.
- 2 years of experience in healthcare reporting managed care reporting regulatory reporting data operations or a related function preferred.
- Advanced proficiency in Microsoft Excel including formulas lookups filtering data validation and data reconciliation.
- Experience working with secure portals SFTP structured reporting templates and recurring submission deadlines preferred.
- Knowledge of HIPAA and appropriate handling of protected health information preferred.
Skills
- Healthcare and managed care reporting
- Data validation and reconciliation
- Microsoft Excel
- Reporting calendar and deadline management
- Quality assurance and exception tracking
- Process documentation
- Cross-functional coordination
- Written and verbal communication
- Confidentiality and compliance
- Attention to detail and organization
What We Bring to the Table:
Learn more about 24 Hour Home Cares benefits for temporary employees here!
24 Hour Home Care is an Equal Opportunity Employer that is proud of its culture of diversity and inclusion. Individuals seeking employment are considered without regards to race color religion national origin age sex marital status ancestry physical or mental disability veteran status gender identity or sexual orientation. Additionally 24 Hour Home Care will consider qualified candidates with criminal histories in a manner consistent with the law.
Qualified applicants with criminal history will be considered for employment in accordance with California Fair Chance Act and the Los Angeles County Fair Chance Ordinance for Employers ensuring individuals with criminal history have fair and equitable access to opportunities for gainful employment in the unincorporated areas of LA County.
Upon review should criminal history have a direct adverse and negative relationship 24 Hour Home Care will conduct an Individualized Assessment and provide a Preliminary Notice of Adverse Action; specifying the laws or regulations that impose such restrictions. At which point 24 Hour Home Care will review the prospective hires written response and mitigating circumstances before making a final decision. Should withdrawal of a conditional offer of employment be determined 24 Hour Home Care will provide a copy of the Second Individualized Assessment.
Individuals have the right to reach out to the LA County Department of Business and Consumer Affairs to file a complaint or if you require additional information.
- By Email:
- By Web: Phone:
For California applicants: by applying for this position you acknowledge and consent to the collection use and disclosure of your personal information in accordance with our privacy policy and the California Consumer Privacy Act (CCPA).
The expected California Pay Range for this position:
$70000 - $82000 USD
Required Experience:
IC
