Compliance Technical Analyst II

1 month 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

The Compliance Technical Analyst II is responsible for managing and supporting the development, implementation, and maintenance of compliance systems, initiatives, projects, and other key systems and data driven activities within the Compliance department and the organization. The Compliance Technical Analyst II works cross-functionally with departments to deliver strategically designed applications and actionable analyses / results. The position provides technical, analytical, and reporting assistance to programs, systems, and special projects. Individuals in this classification demonstrate independence performing a variety of responsibilities for managing system configurations, project management, technical support, reporting, and end user management to promote and ensure compliance with governmental, regulatory, or organizational mandates.

Key Responsibilities:

1. Evaluate, design, and maintain systems and applications by working collaboratively with the Compliance Technical Analyst III and staff to align functionality with compliance and regulatory needs.
2. Maintain applications and databases to support programs, processes, daily work, reporting, and analysis needs. Including testing, validating, and maintaining data integrity and accuracy.
3. Research and analyze programs, applications, and processes to recommend customizations, efficient procedures, and actions plans. Demonstrate a commitment to incorporate LEAN principles into daily work.
4. Define business requirements, project and system goals, objectives, technical requirements, and resolve systems issues.
5. Monitor and report on the performance of Compliance teams and initiatives by maintaining programs, dashboards, and completing advanced reporting.
6. Maintain a comprehensive understanding of compliance applications features and capabilities to provide technical and analytical support to IEHP departments.
7. Develop system training programs for end users and facilitate hands-on training.
8. Present findings of analyses to various staff levels in formats that are easy to understand and appropriate to the audience.
9. Support testing, debug, and troubleshoot new and existing applications to resolve issues and/or implement enhancements.
10. Evaluate report requests to determine requestors needs and objectives, identifying correct methodology for extracting data including data sources and criteria, and ensuring the delivered report is accurate, timely, and formatted appropriately.
11. Document and ensure assigned project / technical staff document all analysis / reporting projects following established protocols.
12. Establish and maintain effective working relationships with others throughout the organization.
13. Any other duties as required ensuring Health Plan operations are successful.

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

Additional Benefits:

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


Qualifications:

Education & Experience

  • Minimum of four (4) years of experience developing and implementing systems and applications. Experience in managing complex projects and programs utilizing systems, data, workplans, project management tools, developing and managing report and monitoring requirements, comfortable with external and leadership facing presentations, and analytical capabilities. Experience with Managed Care Compliance Programs required.
  • Experience with systems configuration and implementation of Governance, Risk, and Compliance (GRC) software preferred.
  • Bachelors degree in a related field from an accredited institution required.
  • Certification and Super User training course for GRC system required within two (2) years of hire date. Certified in Healthcare Compliance (CHC), Lean Six Sigma Black Belt, Project Management Professional (PMP), or Scrum preferred.

Key Qualifications

  • Strong understanding of systems and processes of the Compliance department and organizational processes, Compliance Program requirements, and healthcare industry, specifically managed care organizations.
  • Advanced understanding of software configuration and implementation.
  • Exceptional computer skills and proficiency with GRC systems.
  • Excellent analytical, problem solving, and statistical analysis skills.
  • Robust organizational skills.
  • Ability to standardize processes, develop flows and operating procedures.
  • Project management skills. Must have excellent written and verbal communication skills.
  • Expert level experience in Microsoft Office applications which includes, but is not limited to, Excel, Power BI, Word, PowerPoint, Outlook, and Visio.
  • Proven ability to:
    • Build trust with internal and external partners with strong rapport.
    • Establish and maintain effective working relationships across departments.
    • Possess strong multitasking capabilities.
    • Be extremely organized, with consistent preparation and follow through.
    • Be self-motivated.

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

Work Model Location:

This position is on a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga, CA)

Pay Range:
USD $43.87 - USD $58.13 /Hr.

  • Compliance Analyst II

    1 week ago

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

    Position 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

    1 week ago

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

    Position 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

    1 week ago

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

    Position 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...

  • Onsite Systems Analyst II

    3 months ago

    Rancho Cucamonga, United States VC3 Full time

    Job 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,...

  • Senior EDD Compliance Analyst

    1 week ago

    Rancho Cucamonga, California, United States Citizens Business Bank Full time

    Compensation OverviewCompensation may vary based on skills, experience, education, and location. This role is also eligible for an annual bonus.POSITION SUMMARYThe selected candidate will possess a comprehensive understanding of BSA-related regulations to assist the EDD Officer and BSA Compliance Manager in addressing all compliance matters related to BSA....

  • Analyst II

    3 weeks 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! The Analyst II - Provider Contracting is responsible for conducting statistical analyses for projects, initiatives, and strategies at the senior leadership...

  • Analyst III

    1 month 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! The Analyst III Compliance Program has expert knowledge and performs key Compliance Program activities of complex difficulty. Team Members in this position...

  • Healthcare Data Analyst II-Health Services Evaluation

    3 days ago

    Rancho Cucamonga, United States Inland Empire Health Plan 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!Under the direction of the Quality Systems Leadership Team, the Healthcare Data Analyst II (HDA II) is responsible for leading various data and analysis...

  • Healthcare Data Analyst II-Health Services Evaluation

    2 days ago

    Rancho Cucamonga, United States Inland Empire Health Plan 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!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...

  • Analyst II

    3 months 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...

  • Healthcare Compliance Analyst

    1 week ago

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

    Position Overview:What You Can Anticipate:Join the Inland Empire Health Plan (IEHP) team, where we are dedicated to uplifting and supporting the well-being of our community. Transition from a mere job opportunity to a meaningful career that makes a difference.In this role, the Healthcare Compliance Analyst will operate under general supervision to conduct...

  • Analyst II

    3 months 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...

  • Analyst II – Regulatory Affairs – Medi-Cal

    3 months 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....

  • Compliance Auditor III

    3 months 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 Compliance Auditor III is responsible to lead and conduct key activities of the IEHP Compliance Audit Program. The Compliance Audit III will oversee...

  • Compliance Auditor III

    1 month 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 Compliance Auditor III is responsible to lead and conduct key activities of the IEHP Compliance Audit Program. The Compliance Audit III will oversee...

  • Diesel Education Specialist

    1 day ago

    Rancho Cucamonga, California, United States Universal Technical Institute Inc. Full time

    About the Role:We are seeking a highly skilled and experienced Diesel Instructor to join our team at Universal Technical Institute Inc. As a Diesel Instructor, you will play a pivotal role in shaping the minds and skills of our students, providing them with the knowledge and expertise needed to succeed in the diesel industry.Key Responsibilities:Teaching and...

  • IAM Business Analyst

    1 week ago

    Rancho Cucamonga, United States Saxon Global Full time

    Job Title IAM Business Analyst Relevant Experience Years 5+ years in Identity and Access Management technologies; 3+ years in SSO, authentication, MFA integration of applications for Customer and Workforce access management use cases Tools •Okta •MS Excel, CSV (Expert) •Perl, Python, PowerShell, Unix/Linux Shell Scripting •User...

  • Senior Management Analyst

    1 week ago

    Rancho Cucamonga, California, United States City of Rancho Cucamonga, CA Full time

    Salary: $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...

  • Compliance Auditor III

    2 months 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 Compliance Auditor III is responsible to lead and conduct key activities of the IEHP Compliance Audit Program. The Compliance Audit III will oversee...

  • Senior Business System Analyst

    3 weeks ago

    Rancho Cucamonga, United States Blue Spire Inc Full time

    Position Title: Business Systems AnalystWorkplace Type: Hybrid (Tuesday, Wednesday and Thursday in office)Work Location: Rancho Cucamonga, CAPosition SummaryIT Business Systems Analyst provides guidance to IT and Business Departments, to resolve technical and project implementation deliverables for medium and complex projects. The IT Business Systems Analyst...