Quality and Reporting Analyst

Health Care Service Corporation

. Audit operations for compliance with accreditation and regulatory requirements .

Posted 11/12/2026full-timeRemote • United StatesJuniorMid-Level💰 $47,500 - $86,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in auditing operations for compliance with accreditation and regulatory requirements, including knowledge of NCQA, URAC, and CMS standards. Proficient in data analysis, report preparation, and effective communication with management and stakeholders.

Highest-signal resume keywords

Bachelor DegreeInsurance ExperienceHealth Care Regulatory KnowledgeCompliance MonitoringAnalytical Skills

ATS Keywords

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Applicant Tracking System Keywords

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

Hard Skills

Accreditation Standards ReviewMonthly ReportingData AnalysisResearch SkillsDetail Orientation

Soft Skills

Clear CommunicationOrganizational SkillsCollaboration

Tools & Technologies

Microsoft WordMicrosoft AccessMicrosoft ExcelCognosSalesforce

Industry Keywords

BCBSANCQAURACCMSRegulatory Requirements

Tech Stack

Tools & technologies

Cognos

About the role

Key responsibilities & impact

Audit operations for compliance with accreditation and regulatory requirements
Ensure compliance with Plan, BCBSA, NCQA, and state and federal regulatory requirements
Research and report monthly on trends
Prepare documented summaries, receipts, and analyses of impacts on accreditation requirements
Recommend and implement technical solutions, including Enterprise Appeals Application requirements
Communicate identified needs and gaps to management
Gather and analyze data from various sources and systems
Prepare and disseminate reports
Support projects and initiatives
Resolve issues by collaborating with staff within and across departments

Requirements

What you’ll need

Bachelor degree and 2 years of insurance experience OR 6 years of insurance experience
Knowledge of health care regulatory and legislative process
Experience reading and interpreting legislation
Knowledge or experience reviewing accreditation standards and evaluating compliance
Knowledge or experience monitoring compliance and managing evidence documents
Experience preparing monthly reports and forecasting
Research skills
Analytical skills
Detail orientation and organizational skills
Experience meeting deadlines on time
Ability and willingness to travel, including overnight stays
Clear and concise verbal and written communication skills
PC proficiency including Word, Access, Excel and Cognos
Sponsorship will not be provided
Preferred: experience assisting with or leading projects
Preferred: 1+ years' experience in ongoing audits
Preferred: ability to interact with senior leaders and executives
Preferred: audit tools experience, including PPW and Salesforce
Preferred: knowledge of accreditation, including NCQA, URAC and CMS
Preferred: professional-level MS Suite skills

Benefits

Comp & perks

Curated development plans and professional development
Annual incentive bonus plan
Health and wellness benefits
401(k) savings plan
Pension plan
Paid time off
Paid parental leave
Disability insurance
Supplemental life insurance
Employee assistance program
Paid holidays
Tuition reimbursement
Other incentives