Analyze audit findings and vendor performance data to identify trends, risks, and improvement opportunities.
Data extraction & Analysis
Regulatory Reporting & KPI Development
Serve as a liaison between vendors and providers to resolve issues and improve service delivery.
Track and evaluate vendor performance using KPIs and SLAs.
Conduct regular vendor reviews and audits to ensure compliance and quality standards.
Evaluate vendor adherence to Business Associate Agreements (BAAs), SLAs, and quality standards.
Recommend enhancements to vendor audit frameworks, tools, and documentation practices.
Contribute to the development of policies and procedures for vendor oversight and governance.
Support continuous improvement initiatives in vendor lifecycle management.
Maintain documentation of audit procedures, findings, and follow-up actions.
Contribute to the development of vendor audit policies and workflows.

Requirements

Bachelor's Degree (Required)
3+ years of relevant experience in business analysis, data reporting, or analytics (Required)
Must have 3+ years of experience in business analysis, auditing, claims, vendor management, or compliance.
Knowledge of business intelligence (BI) tools, SQL querying, and reporting software.
Required to have experience working with health insurance, claims data, and auditing claims data.

Benefits

Medical, Dental, Vision plans
Adoption, Fertility and Surrogacy Reimbursement up to $10,000
Paid Time Off and Sick Leave
Paid Parental & Family Caregiver Leave
Emergency Backup Care
Long-Term, Short-Term Disability, and Critical Illness plans
Life Insurance
401k/403B with Employer Match
Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
Student Debt Pay Down – $10,000
Reimbursement for certifications and free access to complete CEUs and professional development
Pet Insurance
Legal Resources Plan
Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.

Applicant Tracking System Keywords

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

Hard Skills & Tools

data extractiondata analysisregulatory reportingKPI developmentvendor performance evaluationauditingbusiness analysisSQL queryingreporting softwarecompliance

Soft Skills

communicationproblem-solvinganalytical thinkingcollaborationorganizational skillsattention to detailcontinuous improvement

Certifications

Bachelor's Degree