Analyst I - Product & Regulatory Operations

Inland Empire Health Plan
  • Rancho Cucamonga, CA
    16 days ago

    Job Description

    What you can expect!

    Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience!

    Under the general supervision of the Director, Product Implementation, the Analyst I - Product & Regulatory Operations ensures that the Covered California line of business is administered in alignment with all compliance and operational requirements. The role helps ensure that all functional areas supporting Covered California products maintain compliance with Local, State, Federal, and contractual requirements, and provides cross‑functional support for the annual Covered California product renewal and implementation cycle, as well as operational and system enhancement projects.

    This role also supports product and project implementation and conducts quality assurance reviews for product‑owned regulatory templates, member‑facing materials, and other product documentation to ensure accuracy.

    To perform these responsibilities effectively, the Analyst I - Product & Regulatory Operations must have a strong understanding of IEHP business operations and all functional areas supporting Covered California members, along with a demonstrated ability to consistently manage multiple projects and priorities.

    Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

    Perks

    IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.

    • Competitive salary.
    • Hybrid schedule.
    • CalPERS retirement.
    • State of the art fitness center on-site.
    • Medical Insurance with Dental and Vision.
    • Life, short-term, and long-term disability options
    • Career advancement opportunities and professional development.
    • Wellness programs that promote a healthy work-life balance.
    • Flexible Spending Account - Health Care/Childcare
    • CalPERS retirement
    • 457(b) option with a contribution match
    • Paid life insurance for employees
    • Pet care insurance

    Education & Requirements

    Required:

    • A minimum of four (4) years of experience providing analytical and/or project implementation support within a healthcare environment, preferably in support of Covered California products or regulatory operation
    • High school diploma or GED

    Preferred:

    • Experience with health plan product filings and regulatory submissions
    • Knowledge of CMS, DHCS, and Covered California requirements
    • Experience with benefit design, enrollment operations, or healthcare analytics

    Key Qualifications

    • Working knowledge of project management software such as Workfront, MS Project or equivalent is preferred
    • Must have strong organizational skills. Must have strong critical thinking, verbal and written communication skills. Demonstrated proficiency in Microsoft Office products: Word, Excel, Visio, and Power Point, sufficient for use in all aspects of an office environment
    • Must have the ability to establish and maintain effective working relationships both within and outside of the division. Must have the ability to work well in a team environment and build effective relations with Team Members at all levels. Must be detail oriented. Exceptional follow‐through to track all outstanding tasks and ensure these are completed timely

    Start your journey towards a thriving future with IEHP and apply TODAY!

    Numbers & Facts

    LocationRancho Cucamonga, CA

    Skills

    • Analysis Skillsunmatched
    • Animal Careunmatched
    • Business Operationsunmatched
    • California Public Employees Retirement System (CalPERS)unmatched
    • Childcareunmatched
    • Communication Skillsunmatched
    • Consumer Assessment of Healthcare Providers and Systems (CAHPS)unmatched
    • Content Management Systems (CMS)unmatched
    • Contract Requirementsunmatched
    • Dental Insuranceunmatched
    • Detail Orientedunmatched
    • Federal Contractsunmatched
    • Fitnessunmatched
    • Flexible Spending Accountsunmatched
    • Follow Throughunmatched
    • Health Insuranceunmatched
    • Health Planunmatched
    • Healthcareunmatched
    • Healthcare Effectiveness Data and Information Set (HEDIS)unmatched
    • High School Diplomaunmatched
    • Insuranceunmatched
    • Maintain Complianceunmatched
    • Microsoft Excelunmatched
    • Microsoft Officeunmatched
    • Microsoft PowerPointunmatched
    • Microsoft Product Familyunmatched
    • Microsoft Projectunmatched
    • Microsoft Visiounmatched
    • Microsoft Wordunmatched
    • Multitaskingunmatched
    • National Committee for Quality Assurance (NCQA)unmatched
    • Organizational Skillsunmatched
    • Presentation/Verbal Skillsunmatched
    • Product Documentationunmatched
    • Product Planningunmatched
    • Product Reviewsunmatched
    • Product Supportunmatched
    • Project Management Softwareunmatched
    • Project/Program Managementunmatched
    • Quality Assuranceunmatched
    • Regulationsunmatched
    • Regulatory Complianceunmatched
    • Regulatory Submissionsunmatched
    • Sales/Support Engineering (SE)unmatched
    • Team Playerunmatched
    • Time Managementunmatched
    • Writing Skillsunmatched

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