Current jobs related to Analyst II - Rancho Cucamonga, California - Inland Empire Health Plan
-
Compliance Analyst II
3 weeks ago
Rancho Cucamonga, California, United States Inland Empire Health Plans Full timePosition OverviewJoin Inland Empire Health Plans as an Analyst II in Regulatory Affairs. In this pivotal role, you will engage in essential regulatory functions within the Compliance Department. Your primary responsibility will be to ensure that operational practices align with the requirements set forth by regulatory bodies.Key ResponsibilitiesEnsure...
-
Analyst II, Regulatory Compliance
3 weeks ago
Rancho Cucamonga, California, United States Inland Empire Health Plans Full timePosition OverviewJoin Inland Empire Health Plans as an Analyst II in Regulatory Affairs. In this vital role, you will engage in essential regulatory functions within the Compliance Department.Key ResponsibilitiesEnsure that operational practices align with the standards set by regulatory bodies, including Covered California, CMS, DHCS, and DMHC.Foster...
-
Regulatory Affairs Analyst II
3 weeks ago
Rancho Cucamonga, California, United States Inland Empire Health Plans Full timePosition OverviewJoin Inland Empire Health Plans as an Analyst II in Regulatory Affairs. In this pivotal role, you will engage in essential regulatory functions within the Compliance Department, ensuring that our operations align with the requirements set forth by various regulatory bodies.Key ResponsibilitiesConduct thorough assessments to ensure compliance...
-
Senior Management Analyst
3 weeks ago
Rancho Cucamonga, California, United States City of Rancho Cucamonga, CA Full timeSalary: $5,925 - $8,873 Monthly Location: Rancho Cucamonga City Hall, CA Job Type: Full Time Department: Human Resources Join the City of Rancho Cucamonga The City of Rancho Cucamonga is recognized as a premier employer, offering a unique opportunity for individuals seeking to make a significant impact in their community. We are currently seeking qualified...
-
Business Analyst II
1 week ago
Rancho Cucamonga, California, United States Inland Empire Health Plan Full timeAbout the RoleWe are seeking a highly skilled Business Analyst II - Provider Contracting Specialist to join our Contracting Department at Inland Empire Health Plan. As a key member of our team, you will be responsible for conducting statistical analyses, providing analytical support, and developing strategies to improve contracting functions and...
-
Healthcare Data Analyst II
1 week ago
Rancho Cucamonga, California, United States Inland Empire Health Plan Full timeAbout the RoleWe are seeking a highly skilled Healthcare Data Analyst II to join our team at Inland Empire Health Plan. As a key member of our Clinical and Provider departments, you will be responsible for leading various data and analysis efforts to support our quality programs and initiatives.Key Responsibilities**Serve as Technical Lead**: Provide...
-
Senior IT Analyst
3 days ago
Rancho Cordova, California, United States Mindlance Full timeJob DescriptionThe position of Information Technology Applications Analyst Level I/II requires extensive experience in data warehouse development and design using SQL SSAS. The ideal candidate must be able to develop SQL SSAS tabular and multi-dimensional models, as well as proficient in ETL using Python.Key ResponsibilitiesDesign and develop data warehouse...
-
Public Service Management Analyst
3 weeks ago
Rancho Cordova, California, United States City of Rancho Cordova Full timeSalary: $83, $112,590.36 AnnuallyPOSITION OVERVIEWAre you a proactive individual with a knack for innovative problem-solving? The City of Rancho Cordova seeks a skilled and enthusiastic professional to contribute to the development and management of community-focused initiatives. This role requires a blend of creativity, independence, and a passion for...
-
Quality Assurance Specialist II
3 weeks ago
Rancho Cordova, California, United States AMPAC Fine Chemicals Full timeJob OverviewAMPAC Fine Chemicals is a leading provider of custom manufacturing solutions for active pharmaceutical ingredients (APIs) and intermediates, serving clients in the pharmaceutical sector. Our state-of-the-art facilities are dedicated to process innovation, scaling production, and adhering to cGMP standards for manufacturing from small to large...
-
Onsite Systems Analyst II
4 months ago
Rancho Cucamonga, United States VC3 Full timeJob DescriptionJob DescriptionDescriptionLeveraging our standard technologies and process, coupled with our people and corporate structure, we deliver a unique end result for our customers. Our clients will experience increased employee productivity, predictability in capital and operating expenditures, reduced downtime and risk, improved employee morale,...
-
Compliance Technical Analyst II
2 months ago
Rancho Cucamonga, United States Inland Empire Health Plan Full timeOverview: 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 Compliance Technical Analyst II is responsible for managing and supporting the development, implementation, and maintenance of compliance systems,...
-
Analyst II
1 month ago
Rancho Cucamonga, United States Inland Empire Health Plan Full timeOverview: 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 - Provider Contracting is responsible for conducting statistical analyses for projects, initiatives, and strategies at the senior leadership...
-
Business Analyst II
5 days ago
Rancho Cucamonga, California, United States Inland Empire Health Plan Full timeAbout the RoleWe are seeking a highly skilled Business Analyst II to join our team at Inland Empire Health Plan. As a Business Analyst II, you will play a critical role in supporting the development and implementation of business strategies and initiatives.Key ResponsibilitiesPlan and organize complex studies relating to the activities or operations of the...
-
Rancho Cucamonga, United States Inland Empire Health Plan Full timeWhat 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!Under the direction of the Quality Systems Leadership Team, the Healthcare Data Analyst II (HDA II) is responsible for leading various data and analysis...
-
Rancho Cucamonga, United States Inland Empire Health Plan Full timeWhat 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!Under the direction of the Quality Systems Leadership Team, the Healthcare Data Analyst II (HDA II) is responsible for leading various data and analysis efforts...
-
Rancho Cucamonga, United States Inland Empire Health Plan Full timeWhat 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!Under the direction of the Quality Systems Leadership Team, the Healthcare Data Analyst II (HDA II) is responsible for leading various data and analysis efforts...
-
Rancho Cucamonga, CA, United States Inland Empire Health Plan Full timeWhat 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!Under the direction of the Quality Systems Leadership Team, the Healthcare Data Analyst II (HDA II) is responsible for leading various data and analysis efforts...
-
Data Analyst I
2 months ago
Rancho Cordova, United States Turning Point Community Programs Full timeJob DescriptionJob DescriptionGENERAL PURPOSEUnder the general supervision of the Director of Outcomes and Evaluations, this position is responsible for a wide variety of data analysis duties performed in conjunction with and assisting the Data Analyst II and Director of Outcomes and Evaluation.This is an at-will administrative position within the Home...
-
Quality Assurance Analyst II
1 month ago
Rancho Cordova, United States Ampac Fine Chemicals Full timeSK pharmteco is a custom manufacturer of active pharmaceutical ingredients (APIs, Drug Substances) and registered intermediates for customers in the pharmaceutical industry. Our integrated facilities specialize in process development, scale-up, and cGMP compliant production from kilograms to multi-ton quantities. We are looking for a Quality Assurance...
-
Quality Assurance Analyst II
1 month ago
Rancho Cordova, United States AMPAC Fine Chemicals Full time $68,500 - $80,000Job DescriptionJob DescriptionSK pharmteco is a custom manufacturer of active pharmaceutical ingredients (APIs, Drug Substances) and registered intermediates for customers in the pharmaceutical industry. Our integrated facilities specialize in process development, scale-up, and cGMP compliant production from kilograms to multi-ton quantities. We are looking...
-
Insurance Analyst II
4 months ago
Rancho Mirage, United States Eisenhower Health Full timeJob Objective: A brief overview of the position. Performs account review, follow-up and collections to include double recoupment, correspondence and credit balance resolution. Assists leadership with setting and maintaining goals within the department, including redirecting assignments and targeting aged and outstanding issues. Provides guidance and...
-
Behavioral Specialist
7 days ago
Rio Rancho, New Mexico, United States Rio Rancho Public Schools Full timeJob SummaryRio Rancho Public Schools is seeking a highly qualified Behavioral Specialist to join our Special Education team. The successful candidate will provide technical assistance to schools in supporting students with behavioral needs, and will work collaboratively with instructional staff to develop and implement functional behavioral assessments and...
Analyst II
4 months ago
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.
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