Analyst II - Core Business Systems

Date: Sep 4, 2021

Location: Rancho Cucamonga, CA, US

Company: Inland Empire Health Plans

Job Requisition ID: 4837 

 

Position Summary/Position

 

Under the general supervision of the Core Business Systems Management, the Analyst II will assist in coordinating all regulatory requirements for audits. The position will also be responsible for variety of complex assignments that are delegated by management in terms of objectives rather than specific instructions. The Analyst II is responsible for supporting the Core Business Systems Management team in all required or directed activities.

Major Functions (Duties and Responsibilities)

 

1. Act as an Analyst for the Business Systems Management as follows:
   a. Coordinate all department functions as requested
   b. Act as liaison between the department and other IEHP departments
  c. Coordinate and facilitate LEAN initiatives in alignment with IEHP Process Improvement efforts.
2. Gather and analyze requirements for and develop reports and operational processes.
3. Utilize Workfront system and processes to support operational strategies and reporting.
4. Facilitate and manage strategic and departmental focused projects.
5. Demonstrate a commitment to understand and adhere to the Regulatory requirements as they relate to the business unit(s).
6. Manage Professional Service Agreements and amendments, RFQs and RFPs
7. Responsible for the compilation, analyses, and preparation of Governing Board Staff Reports and Recommendations (Write-ups).
8. Develop policies and procedures related to job functions, procedures, and technical guidelines.
9. Track and analyze regulation changes and prepare for audits (NCQA, CMS, DMHC, DHCS)
10. Develop systems and processes to support operational strategies.
11. Demonstrate a commitment to support IEHP’s strategic priorities to become a 5-Star Health Plan.
12. Demonstrate commitment to Team Member Engagement by participating in projects/tasks/activities that promote Team Member excitement and enthusiasm for their role, increased work effort, and commitment to the organization.

Experience Qualifications

 

3 - 5 years relevant experience.

Experience working with Medicare/Medicaid government programs - Required

Experience successfully managing business relationships with stakeholders - Required 

Preferred Experience

 

Workfront reporting experience - Preferred

Participated in the implementation and/or migration of a core claims system - Preferred

Education Qualifications

 

Bachelor's degree from an accredited institution required.

Preferred Education

 

Master’s degree in Finance, Accounting, Business Administration, or IT from an accredited institution preferred.

Knowledge Requirement

 

Knowledge of Managed Care systems and client/server applications - Required

Knowledge of health plan business operations - Required

Principles and methods of systems analysis for data processing - Required

Principles of sound testing methodologies – Preferred

Skills Requirement

 

Proficient in Microsoft Office Suite programs including Visio - Required

Project management understanding skills - Required

Excellent written, and oral communication skills - Required

Must be detail-oriented with strong organizational skills - Required

Abilities Requirement

 

Strong work ethic and highly self-motivating and directing - Required

Successful working in a team oriented, collaborative, and changing environment - Required

Willingness and ability to learn – Required

Sound research techniques - Required

Proven analytical and problem-solving capabilities - Required

Ability to work independently, under pressure, balances multiple projects and deadline driven - Required

Ability follow-through and track all outstanding tasks and coordinate with assigned owners to ensure tasks are completed timely - Required

Ability to grasp new ideas and concepts quickly - Required

Ability to successfully present ideas in an audience-oriented manner – Required

Ability to manage multiple projects of varying complexity, priority levels and deadlines - Required

Commitment to Team Culture

 

The 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.

Working Conditions

 

Makes necessary adjustments to work shift to ensure completion of projects and to meet deadlines, e.g., system releases, critical milestones.

 

Starting Salary: $66,040.00  - $84,219.20  

Pay rate will commensurate with experience

 

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. With a provider network of more than 6,000 and a team of more than 2,000 employees, IEHP provides quality, accessible healthcare services to more than 1.2 million members. And our mission and core 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 a benefit package with a value estimated at 35% of the annual salary, including medical, dental, vision, team bonus, and retirement plan.

 


Nearest Major Market: Riverside
Nearest Secondary Market: Los Angeles