Analyst II

Found in: beBee S US - 2 weeks ago

Rancho Cucamonga, United States Inland Empire Health Plan Full time
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 direction of the Supervisor of Product System Configuration, the Analyst II – Product System Configuration is responsible for managing the more complex system configurations within the Business System. The primary functions of this position include but are not limited to, accurate interpretation of state, federal, and contractual guidelines related to benefits, fee schedules, contracts, division of financial responsibility (DOFR), codification of services, and business requirements and translating them into configurable parameters within the Business Systems. The Analyst II – Product System Configuration is independent and acts as a subject matter expert for the business areas by helping to drive decisions related to system configuration. The incumbent will develop and maintain comprehensive documentation of business and technical specification requirements utilizing best practice configuration guidelines developed by the Application Architects within the unit. The Analyst II – Product System Configuration will facilitate communication and formally report findings to various department heads and staff in a manner that is appropriate to the skill level and technical expertise of the audience. This position will be required to train and help educate other team members within the unit as necessary.

Perks

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

CalPERS retirement
457(b) option with a contribution match
Generous paid time off- vacation, holidays, sick
State of the art fitness center on-site
Medical Insurance with Dental and Vision
Paid life insurance for employees with additional options
Short-term, and long-term disability options
Pet care insurance
Flexible Spending Account – Health Care/Childcare
Wellness programs that promote a healthy work-life balance
Career advancement opportunities and professional development
Competitive salary with annual merit increase
Team bonus opportunities

Education & Experience

Four (4) years of experience with the development and remediation of moderately complex system configurations, including capitated provider agreement configurations
Bachelor’s degree from an accredited institution required
In lieu of the required degree, a minimum of four (4) years of additional relevant work experience is required for this position
two (2) years of general healthcare experience plus two (2) years of configuration experience is required

Key Qualifications

Knowledge of Medicare and Medi-Cal fee schedules and benefit structure, and regulatory billing guidelines required
Knowledge of CMS, DHCS, DMHC, NCQA rules and regulations preferred
Extensive knowledge of CPT, HCPCS, Revenue, ICD10 coding rules and guidelines preferred
Extensive knowledge of general managed care operations required; delegated plan model preferred
Basic knowledge of relational database structure
Advanced knowledge of Product System algorithms and processes preferred
Familiar with basic medical product processing preferred

  • Analyst II

    1 week ago

    Rancho Cucamonga, United States Inland Empire Health Plan Full time

    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 direction of the Supervisor of Product System Configuration, the Analyst II – Product System Configuration is responsible for managing the more...

  • Analyst II

    1 week ago

    Rancho Cucamonga, United States Inland Empire Health Plan Full time

    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 direction of the Supervisor of Product System Configuration, the Analyst II – Product System Configuration is responsible for managing the more...

  • Analyst II

    1 week ago

    Rancho Cucamonga, United States Inland Empire Health Plan Full time

    Overview: 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 direction of the Manager, Health Access Operations, the Analyst II - Health Access position is fully competent to perform responsible and difficult...

  • Analyst II

    2 weeks ago

    Rancho Cucamonga, United States Inland Empire Health Plan Full time

    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!The Analyst II - Actuarial Services is responsible for performing actuarial analytic support to the department that helps drive IEHP key initiatives. Supports...

  • Analyst II

    Found in: Resume Library US A2 - 1 week ago

    Rancho Cucamonga, California, United States Inland Empire Health Plan Full time

    Overview: 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 direction of the Manager, Health Access Operations, the Analyst II - Health Access position is fully competent to perform...

  • Analyst II

    Found in: Appcast Linkedin GBL C2 - 1 week ago

    Rancho Cucamonga, United States IEHP Full time

    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!The Analyst II, Regulatory Affairs has experience with and performs key centralized complex and difficult regulatory activities for the Compliance Department....

  • Analyst II

    1 hour ago

    Rancho Cucamonga, United States IEHP Full time

    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!The Analyst II, Regulatory Affairs has experience with and performs key centralized complex and difficult regulatory activities for the Compliance Department....

  • Analyst II – Policy

    1 week ago

    Rancho Cucamonga, United States Inland Empire Health Plan Full time

    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!The Analyst II - Policy & Regulatory Operations is responsible for Local, State, Federal, contractual and accreditation requirements interpretation, gap...

  • Analyst II – Policy

    1 week ago

    Rancho Cucamonga, United States Inland Empire Health Plan Full time

    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!The Analyst II - Policy & Regulatory Operations is responsible for Local, State, Federal, contractual and accreditation requirements interpretation, gap...

  • Analyst II – Regulatory Affairs – Medi-Cal

    1 week ago

    Rancho Cucamonga, United States Inland Empire Health Plan Full time

    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!The Analyst II, Regulatory Affairs has experience with and performs key centralized complex and difficult regulatory activities for the Compliance Department....

  • Analyst II – Regulatory Affairs – Medi-Cal

    1 week ago

    Rancho Cucamonga, United States Inland Empire Health Plan Full time

    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!The Analyst II, Regulatory Affairs has experience with and performs key centralized complex and difficult regulatory activities for the Compliance Department....

  • Analyst II

    7 days ago

    Rancho Cucamonga, United States Inland Empire Health Plans Full time

    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! The Analyst II, Regulatory Affairs has experience with and performs key centralized complex and difficult regulatory activities for the Compliance...

  • Analyst II – Regulatory Affairs – Medi-Cal

    2 days ago

    Rancho Cucamonga, United States Inland Empire Health Plan Full time

    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!The Analyst II, Regulatory Affairs has experience with and performs key centralized complex and difficult regulatory activities for the Compliance Department....

  • ANALYST II

    Found in: Careerbuilder One Red US C2 - 6 hours ago

    Rancho Cucamonga, CA 91730, USA, United States IEHP Full time

    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!The Analyst II, Regulatory Affairs has experience with and performs key centralized complex and difficult regulatory activities for the Compliance Department. Team Members...

  • Healthcare Data Analyst II

    2 days ago

    Rancho Cucamonga, United States CareerBuilder Full time

    What You Can You 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! Spearhead analysis and reporting for Health Plans elite teams. Mastermind of relational databases, strategic magic, and impactful presentations. From decoding...