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Systems Analyst- Compliance

Date: Apr 3, 2021

Location: Rancho Cucamonga, CA, US

Company: Inland Empire Health Plans

Job Requisition ID: 4784 

 

Position Summary/Position

 

Under the direction of the Manager of Compliance Program Oversight, the Compliance Analyst - Systems is responsible for the support functions related to the implementation, configuration, and on-going maintenance of Compliance Department application programs. The Compliance Analyst – Systems is responsible for research and analysis of application programs, coordination of user training, project management, user support, application testing, problem solving, dashboards, and reporting integrity.

Major Functions (Duties and Responsibilities)

 

1. Responsible for supporting the Compliance Program in the development, implementation, and usage of compliance business systems, including but not limited to, system processes, special projects, process improvement, and operations.
2. Responsible for creating and maintaining well documented dashboards, demonstrating department and organizational compliance.
3. Work cooperatively with the Compliance Department staff to develop, maintain, and update systems to ensure effective and appropriate usage. Identify changes and/or concerns in system functionality, conduct analysis to resolve issues, and recommend improvements.
4. Develop a comprehensive understanding of compliance application features and capabilities to provide technical and analytical support to Compliance Department. 
5. Provide support to ensure the Compliance Program Policies and Procedures are effectively managed utilizing compliance systems.
6. Provide support to manage reported incidents/issues in the compliance application software as well as any and all other uses of the system, including but not limited to compliance workspace, compliance related assessments, and auditing functionality to the Compliance Department and the organization as necessary.
7. Effectively manage assigned projects and tasks. Monitor special projects and create performance reports as needed.
8. Responsible to maintain data integrity within the compliance software and perform all related reporting and analysis functions.  
9. Create departmental workflow diagrams as they relate to the application program. Aid in the redesign of business processes and identify new business rules.
10. Develop and maintains all necessary documentation to ensure thorough and complete documentation of systems configuration, policies and procedures, and desktop procedures.
11. Develop end-user training curriculum and train users on compliance application usage.
12. Thoroughly document inconsistencies/ issues/ concerns for follow-up and /or resolution by the software vendor.
13. Be familiar with Federal and State regulatory requirements and respond timely to resolve issues.

Supervisory Responsibilities

Leading: Self

Experience Qualifications

 

Demonstrated experience, at a professional level, in a technical or project management function. Minimum of three (3) years of experience required in an office environment, including extensive use of MS Excel at an expert level and ability to create complex spreadsheets. Experience required with MS Visio at a proficient level. Experience in generating reports and preparing charts and graphs. Experience in implementation and maintaining software applications.

Preferred Experience

 

Experience in overseeing the design, development, and implementation of software and hardware solutions, systems, or products preferred. Health care experience strongly preferred. Experience preferred in basic project management, such as tracking progress and follow-up with others.

Education Qualifications

 

Bachelor’s degree in related field from an accredited institution required. 

Preferred Education

Professional Certification

Professional Licenses

Drivers License Required

No

Knowledge Requirement

 

Working knowledge of network and PC operating systems, including software and enterprise applications. Requires strong microcomputer application knowledge; including spreadsheets and databases.  Knowledge of managed care industry operations, practices, and standards preferred. Knowledge of compliance program practices and elements preferred.

Skills Requirement

 

Excellent interpersonal and communication skills. Effective communication skills. Strong verbal and written communication skills required.

Abilities Requirement

 

Ability to establish and maintain effective working relationships with all levels of the organization. Ability to research and analyze data and make sound recommendations. Resourcefulness and independent in solving problems; strong attention to detail. Willingness to provide department support on a wide range of technical and operational activities. Ability to manage multiple projects with competing deadlines and changing priorities. Ability to work independently with little direction on recurring tasks. 

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

 

Word processing involving computer keyboard and screen, copying and filing of records and/or correspondence.

Physical Requirements

 

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