Support the design, execution, and reporting of delegated clinical auditing and monitoring activities across all Lines of Business.
Ensure that delegated entities operate in compliance with all regulatory requirements.
Provide advanced data analysis, audit support, and performance reporting.
Maintain, configure, and optimize the delegation audit platform and associated software systems.
Ensure data integrity and maintain audit workflows.
Prepare datasets and summary reports for internal review, regulatory submissions, and executive dashboards.
Conduct root cause and trend analyses of audit results.
Provide analytical support for strategic initiatives led by management.
Identify areas where technical solutions would improve business performance.

Requirements

Bachelor's Degree in Public Health or Related Field
At least 4 years of experience in data analysis in healthcare compliance, managed care operations, delegation oversight or clinical auditing.
Experience maintaining, configuring, and optimizing audit management software or data tracking systems.
Strong quantitative and qualitative analysis skills with the ability to interpret complex datasets and translate findings into actionable insights.
Strong statistical and analytical skills, including multivariate analyses, regression, and control charts to identify drivers of operational, clinical, and financial performance.
Knowledge of version control (Git, GitHub) and collaborative development workflows, including peer review, continuous integration, and reproducible analytic practices.
Ability to develop and maintain reusable analytic frameworks, templates, and processes that support recurring reporting and performance monitoring.
Proficiency in data validation, reconciliation, and adherence to governance standards, including data lineage tracking and quality control.
Working knowledge of DHCS, DMHC, and CMS oversight requirements for clinical delegation and managed care operations.
Knowledge of SQL queries, relational databases, and system integration concepts.
Advanced proficiency in tools such as Power BI, Tableau, or Smartsheet for building dashboards and visual reports.
Excellent written and verbal communication skills.
Ability to respond resourcefully to change and ambiguity, generate and champion ideas and initiatives, and thoughtfully identify the connections within the organization to effectively integrate efforts across units and functions.

Benefits

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

data analysisquantitative analysisqualitative analysisstatistical analysismultivariate analysisregressioncontrol chartsdata validationSQLrelational databases

Soft Skills

communication skillsanalytical skillsproblem-solvingadaptabilitycollaborationinitiativeorganizational skillsattention to detailcritical thinkingresourcefulness