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Job summary
Compunnel, Inc. is seeking a Technical Analyst to support regulatory and operational reporting needs in Long Beach, California. The position focuses on developing and submitting Medical Management compliance reports while ensuring adherence to regulatory standards. Candidates should have 5+ years of experience in the healthcare payer domain, hands-on experience with compliance reporting (ODAG, CDAG), and strong SQL skills. This role involves collaboration with multiple teams to ensure accurate reporting and compliance readiness.
Qualifications
5+ years of experience in the healthcare payer domain, preferably in Medicare Advantage.
Hands-on experience with Medical Management compliance reporting.
Strong understanding of Utilization Management and Care Management workflows.
Responsibilities
Develop, enhance, and maintain Medical Management compliance reports.
Analyze regulatory requirements and translate into technical specifications.
Perform data validation, reconciliation, and audit support.
Skills
Healthcare compliance reporting
SQL
Data analysis
Problem-solving
Communication skills
Tools
MHK (MedHOK)
QNXT
Facets
ODAG
CDAG
Job description
Compunnel, Inc. is seeking a Technical Analyst to support regulatory and operational reporting needs in Long Beach, California. The position focuses on developing and submitting Medical Management compliance reports while ensuring adherence to regulatory standards. Candidates should have 5+ years of experience in the healthcare payer domain, hands-on experience with compliance reporting (ODAG, CDAG), and strong SQL skills. This role involves collaboration with multiple teams to ensure accurate reporting and compliance readiness.