Analyst I - Product & Regulatory Operations

Inland Empire Health Plan•Rancho Cucamonga, CA

9d•$63,898 - $83,075•Hybrid

About The Position

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

Requirements

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
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

Nice To Haves

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

Responsibilities

Support cross functional product implementation projects, which may include but not be limited to projects that support regulatory compliance, system enhancement, process development, and improvement within a single or multiple departments. This includes developing and defining the project scope, goals, and deliverables; developing, monitoring, and maintaining a detailed project plan; managing changes to the scope, schedule, and deliverables; communicating potential risks; ensuring successful relationships between project stakeholders and resources to ensure timely delivery of project outcomes; reporting and escalating project status and barriers to management as needed; and creating and maintaining comprehensive project documentation
Support all IEHP business areas that serve Covered California members to ensure timely and comprehensive assessment or examination of current policies and standard procedures against new regulations for the purpose of identifying the health plan’s state of compliance, regulatory and process gaps, and defining the scope of annual product renewal implementation requirements
Support the planning and management of regulatory templates, materials, and product documents for submission to ensure timely completion of deliverables.
Support the planning and management of cross functional implementation projects that may impact no more than three (3) departments
Support departments in the completion of their system enhancement requests and business requirements by facilitating the development and documentation of operational and regulatory requirements, process flows, standard work, and business requirements
Perform a broad range of analytical activities, using initiative and organizational skills
Perform any other duties as required to ensure Health Plan operations and department business needs are successful