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Compliance and Reporting Analyst (State Based Exchange)

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Regulatory
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Insurance and Safety Fire Commissioner, Office of - OCI

Under general supervision, the Compliance and Reporting Analyst coordinates the rollout of new or updated reporting requirements and mechanisms across the Exchange and with division staff to collect and aggregate data while supporting annual programmatic and financial audits.

Implement the defined process for collecting and presenting data from division staff to monitor program compliance and Key Performance Indicators (KPI) for the Exchange.

Develop and implement federal compliance reporting processes, including collating enrollment metrics, performance monitoring data, financial reports, and accounting records.

Coordinate with relevant division staff to prepare annual and ad hoc reports, including enrollment metrics, financial reports, and accounting records.

Coordinate with division staff to collect required Centers for Medicare and Medicaid Services (CMS) required financial and programmatic audit materials.

Ensure compliance with state and federal reporting regulations.

Identify potential areas of compliance vulnerability and risk; develop and implement corrective action plans.

Prepare and present detailed reports on compliance status, audit findings, and corrective actions to management.

Collaborate with internal and external stakeholders to ensure proactive risk management and compliance.

Perform other duties as assigned.

Associate degree from an accredited college or university and five (5) years of job-related experience; or one (1) year of experience required at the lower level Compliance Business Analyst 2 (RCP031) or position equivalent.

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