Health Plan Reporting Analyst

24Hr HomeCare, LLC; El Segundo (CA); Hybrid; USD 70,000 - 82,000; Full time

Benefits offered by this job

Hybrid work arrangement

Job summary

24 Hour Home Care is seeking a Health Plan Reporting Analyst to manage the preparation, validation, and submission of health plan contracts and regulatory reports required by plans and regulators. This role ensures accuracy and on-time delivery while coordinating with cross-functional teams in a hybrid El Segundo setting.

The candidate should have healthcare reporting experience, strong Excel skills, and knowledge of HIPAA.

Qualifications

• Bachelor’s degree in Healthcare Administration or related field.
• 2+ years of healthcare reporting or data operations experience.
• Advanced Excel skills (formulas, lookups, data reconciliation).
• Experience with secure portals, SFTP, and recurring templates.
• Knowledge of HIPAA and PHI handling.

Responsibilities

• Compile and submit recurring health plan reports and related files.
• Prepare reports per templates, formats, and submission requirements.
• Validate and reconcile reporting data for accuracy before submission.
• Maintain reporting calendars, trackers, and documentation.
• Monitor changes to reporting requirements and resolve data issues.
• Coordinate with Payor Relations, Operations, Compliance, Finance, and IT data owners.
• Maintain procedures, checklists, and data definitions to improve quality.

Skills

Health plan reporting

Data validation

Microsoft Excel

Reporting calendar

Quality assurance

Documentation

Cross-functional coordination

Written and verbal communication

Confidentiality

Attention to detail

Education

Bachelor’s degree in Healthcare Administration or related field

Tools

SFTP

Job description

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 you’re 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.

You are a passionate and performance-driven team player, eager to take on a key role in our company’s growth. You embody Team 24’s 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 interesting? Read 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

• Bachelor’s 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 Care's 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 hire’s 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.

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:

$70,000 - $82,000 USD