Analyst II - Policy & Regulatory Operations

IEHP•Rancho Cucamonga, CA

49d•Hybrid

About The Position

Under the Policy & Regulatory Operations Manager's general supervision, the Analyst II - Policy & Regulatory Operations helps ensure Health Services, Quality Systems, Provider Services, and Member Services remain in compliance with Local, State, Federal, contractual and accreditation requirements and supports these departments' operational strategies by completing compliance assessments, regulatory reviews and auditârelated submissions; managing crossâfunctional regulatory implementation, operational and system enhancement projects. The Analyst II - Policy & Regulatory Operations is responsible for Local, State, Federal, contractual and accreditation requirements interpretation, gap analysis, project scope develop and initiation, resource planning, risk identification and project implementation, as well as timely comprehensive review and maintenance of internal and Provider policies. for the purpose of gap analysis, project scope development and initiation, resource planning, risk identification, and project implementation, as well as timely and comprehensive review of internal and Provider policies. To do these effectively, the Analyst II - Policy & Regulatory Operations must have a clear understanding of IEHP business operations and the responsibilities of various departments in Health Services, Quality Systems, Provider Services, and Member Services, and demonstrated ability to effectively and consistently manage multiple projects and priorities concurrently. Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Requirements

At least three (3) years of experience providing analytical and/or project implementation support, including but not limited to regulatory review and analysis in a healthcare setting
Bachelor's degree from an accredited institution required
Must have a valid California Driver's license
Must have strong organizational skills
Must have strong critical thinking, research, 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 manage multiple projects with competing deadlines and changing priorities
Must have the ability to work well in a team environment and build effective relationships with Team Members at all levels
Must be detail oriented
Exceptional followâthrough to track all outstanding tasks and ensure these are completed timely
While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and lift or move up to 25 pounds
Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus

Nice To Haves

Working knowledge of project management software such as Workfront, MS Project or equivalent
Knowledge of managed care industry practices and standards including Local, Federal, State and/or accreditation standards, is preferred