Healthcare Data Analyst II-Health Services Evaluation

What You Can You Expect!If the following job requirements and experience match your skills, please ensure you apply promptly.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...

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...

OverviewWhat 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 direction of leadership among the Population Health (PH) team, the Analyst II - Population Health (Analyst II - PH) will provide support...

Job SummaryThe Analyst II - Population Health will provide support in the review, assessment, and development of business processes for all Population Health department programming. This role will span across Population Health and its associated programs, providing analytical support to PH programs and initiatives, such as Basic Population Health Management...

Job SummaryWe are seeking a skilled Healthcare Data Analyst I to join our team at Inland Empire Health Plan. As a key member of our Quality Systems department, you will be responsible for providing technical, analytical, and reporting support for our Health Plan Clinical and Provider departments, programs, and quality activities.Key ResponsibilitiesDevelop...

Job SummaryWe are seeking a highly skilled Analyst II - Population Health to join our team at Inland Empire Health Plan. This role will provide support in the review, assessment, and development of business processes for all Population Health department programming.Key ResponsibilitiesSupport the Management Team in the development and implementation of...

Job SummaryThe IT Business Systems Analyst II is a key member of our team, responsible for providing guidance to IT and Business Departments to resolve technical and project implementation deliverables for medium and complex projects. This role requires strong analytical skills, business acumen, and excellent communication skills to work effectively with...

Job SummaryWe are seeking a skilled and detail-oriented Healthcare Claims Analyst to join our team at Inland Empire Health Plan. As a key member of our claims department, you will be responsible for conducting quality audits of claims, analyzing errors, and determining root causes for appropriate classification.Key ResponsibilitiesConduct quality audits of...

OverviewWhat 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 Senior Director of Member Services, the Analyst III will assist in coordinating all regulatory requirements for audits....

The Operations Planning Analyst will be responsible for interpreting Local, State, Federal, contractual and accreditation requirements, conducting gap analysis, developing project scope and initiation, planning resources, identifying risks, and implementing projects. This role will also involve reviewing and maintaining internal and Provider policies to...

Job OverviewCorVel Healthcare Corporation is seeking a skilled Telephonic Case Manager II to join our team. As a Telephonic Case Manager II, you will play a critical role in coordinating resources and creating flexible, cost-effective options for individuals with medical needs.Key Responsibilities:Provide medical case management to individuals through...

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...

Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Responsible for auditing medical bills to ensure that they are appropriate and adhere to the State Fee Schedules, customer guidelines and PPO discounts Position requires knowledge...

Job Summary:As the Manager of Data Integration and Interoperability, you will lead a dynamic team of Integration/Interoperability Engineers in driving system-to-system integrations and real-time interoperability with external EMRs and health systems. Your expertise in ETL and data integration, database technologies, and middleware components will be crucial...

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! This Director is responsible for pricing, performance management, and forecasting for IEHPs Medicare and Commercial (i.e., Covered CA) line of business. This...

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! This Director is responsible for pricing, performance management, and forecasting for IEHPs Medicare and Commercial (i.e., Covered CA) line of business. This...

Maxim Healthcare Services is seeking registered nurses (RNs) and licensed practical nurses (LPNs) to provide high-quality care to adult and pediatric patients in the comfort of their own homes. Our team of experienced nurses, therapists, and home health aides work together to help patients maintain the highest quality of life.Key Benefits:Flexibility in...

We are a growing company with a solid customer base, excellent compensation and benefits, and a collaborative yet flexible work environment.We are looking for a skilled Data Analyst to join our CX solutions team at PTP. The ideal candidate will have a strong background in mathematics, statistics, or a related field, and experience with statistical tools like...

Director of Actuarial ServicesAt Inland Empire Health Plan, we are seeking a highly skilled and experienced Director of Actuarial Services to lead our team in pricing, performance management, and forecasting for our Medicare and Commercial lines of business.Key Responsibilities:Develop and implement pricing strategies for Medicare and Commercial lines of...

About PTPWe are a growing company with a solid customer base and a collaborative work environment.We are looking for a Data Analyst to join our CX solutions team.ResponsibilitiesWork with large amounts of data to find trends and areas for improvement based on business goalsDrive business requirements to improve data analysisPresent findings with clear...