Analyst I - Regulatory Oversight (Remote)

Company: Inland Empire Health Plans
Location: Rancho Cucamonga
Posted on: March 17, 2023

Job Description:

Press Tab to Move to Skip to Content Link Under the direction of the Manager of Quality Assurance and Performance Improvement (QAPI), the Analyst I - Regulatory Oversight will provide support in the review, assessment, and development of business processes for Regulatory Oversight department programming. The scope of this role will span across Health Services- which includes BH, CM, UM, Pharmacy, and ECM. This role is critical in providing analytical support to each functional area, including data analysis and reporting, operations, and the integration and development of LEAN methodology within the department. The Analyst I - Regulatory Oversight will work closely with the Special Programs Manager and Analysts of Regulatory Oversight to develop and refine program strategy. The Analyst I - Regulatory Oversight will help assist with development of cross-functional collaborations and assist in development of new program enhancements and various special reports and projects as needed.Major Functions (Duties and Responsibilities)1. Track, trend, develop, and analyze department specific data into operational reports.
2. Assist in the development and analysis of meaningful clinical and operational dashboards for the department.
3. Determine analytical techniques and information-gathering processes and obtains required information and data for analysis and will prepare presentations on analysis findings.
4. Analyze trends and collaborates with the Regulatory Oversight department to recommend process and/or operational improvements.
5. Analyze report requests to determine the needs and objectives of the Regulatory Oversight department. Collaborate with Quality Systems to correctly identify criteria to meet reporting requests and ensure delivery of report is accurate, timely, and formatted appropriately.
6. Provide oversight and monitoring of Health Services data validation.
7. Perform compilation, data analysis and summary report collection for of Health Services performance.
8. Develop systems and processes to support operational strategies that lead to continuous improvement in Health Services performance.
9. Assist in supporting Health Services Managers and Analysts when addressing report needs, issues, barriers.
10. Effectively manage assigned projects and report the status of assigned tasks and/or related problems or issues to Management.
11. Develop and participate in the implementation of department workflows utilizing process improvement tools and techniques.
12. Collaborate with Regulatory Oversight Special Programs Manager and Analysts to support alignment of team metrics, objectives, and projects. -
13. Maintain a comprehensive knowledge of all regulatory and IEHP requirements as related to Health Services oversight responsibilities such as reporting requirements.Experience QualificationsMinimum of two (2) years of experience in a health plan setting, including experience performing an analytic function and building reports.Education QualificationsBachelor's degree in Business Administration, Public Health, Health Policy, or related field from an accredited institution required.Drivers License Required Yes, must have a valid California Driver's License. Knowledge RequirementSQL Programming knowledge is preferred. Knowledge in report writing from data warehouse, application database or specific report writing tools. Must demonstrate a deep interest in research and data analysis, drawing actionable insights from raw data and synthesizing information to drive results.Skills RequirementHigh proficiency in Microsoft Power BI, Excel, Word, PowerPoint, and Outlook required. Excellent writing, interpersonal communication, project management and organizational skills required. Highly analytical and capable of translating analytical insights into action. Strong time management skills.Abilities RequirementAbility to handle multiple projects, data input, strong problem-solving capability. Excellent data collection and systemization abilities. Ability to work and communicate effectively with team members at all levels of organizations. Must have a high degree of patience and attention to detail. Ability to work independently in a deadline-driven environment.Commitment to Team CultureThe IEHP Team environment requires a Team Member to participate in the IEHP Team Culture. A Team Member demonstrates support of the Culture by developing professional and effective working relationships that include elements of respect and cooperation with Team Members, Members and associates outside of our organization.A reasonable salary expectation is between $61,422.40 and $78,312.00, based upon experience and internal equity.Inland Empire Health Plan (IEHP) is the largest not-for-profit Medi-Cal and Medicare health plan in the Inland Empire. We are also one of the largest employers in the region, designated as "Great Place to Work." With a provider network of more than 5,000 and a team of more than 3,000 employees, IEHP provides quality, accessible healthcare services to more than 1.5 million members. And our Mission, Vision, and Values help guide us in the development of innovative programs and the creation of an award-winning workplace. As the healthcare landscape is transformed, we're ready to make a difference today and in the years to come. Join our Team and make a difference with us! IEHP offers a competitive salary and stellar benefit package with a value estimated at 35% of the annual salary, including medical, dental, vision, team bonus, and state pension plan.
Nearest Major Market: Riverside
Nearest Secondary Market: Los Angeles

Keywords: Inland Empire Health Plans, Rancho Cucamonga , Analyst I - Regulatory Oversight (Remote), Professions , Rancho Cucamonga, California