Analyst III - Member Services

Inland Empire Health Plan•Rancho Cucamonga, CA

14d•Hybrid

About The Position

Under the general supervision of the Senior Director of Member Services, the Analyst III coordinates regulatory audit requirements and handles complex assignments delegated by management based on objectives rather than detailed instructions. The role supports the Senior Director in required and directed activities and contributes to IEHP’s Quality Program goals, including HEDIS, CAHPS, and NCQA Accreditation. The Analyst III manages strategic and departmental projects and organizational programs, supports operational strategies through analysis and process development, and coordinates department functions. The position also contributes to audit preparation, regulatory tracking, reporting, policy and procedure development, training materials, budget reporting, agreements, and procurement requests. The position follows a hybrid schedule: remote on Mondays and Fridays and onsite Tuesday through Thursday in Rancho Cucamonga, California.

Requirements

At least three years of experience as an Analyst.
Bachelor’s degree from an accredited institution.
Strong verbal and written communication skills.
Analytical skills, with an emphasis on regulatory interpretation and problem solving.

Nice To Haves

At least three years of experience as an Analyst in health care.
Prior office experience or experience in a managed care environment.

Responsibilities

Understand business issues and data challenges affecting the organization and industry.
Identify department strengths and weaknesses and suggest areas for improvement.
Review and edit requirements, specifications, business processes, and recommendations related to proposed solutions.
Assist with enforcing project deadlines and schedules, applying feedback from the Senior Director accurately.
Conduct organizational analysis, including planning and scoping initiatives, and assist the Senior Director in prioritizing and approaching initiatives.
Manage strategic and department-focused projects and organizational programs.
Mentor fellow Business Analysts and coordinate their work on specific projects.
Collaborate with team members and peers; communicate ideas to senior management and others; initiate projects; manage resources; resolve issues; and hold self and team accountable for results.
Meet regularly with project teams to review deliverables and deadlines.
Coordinate department functions and serve as a liaison between Member Services and other IEHP departments.
Prepare special reports and develop department reporting needs.
Coordinate and participate in RIE Events for Member Experience Transformation Work (Simpler).
Facilitate and assist with LEAN initiatives and manage operational projects using A3 thinking and lean concepts.
Coordinate and prepare documentation for audits; track and analyze regulatory changes and prepare for NCQA, CMS, and other audits.
Compile, analyze, and prepare annual budget reports and Governing Board Staff Reports and Recommendations (Write-ups).
Manage Professional Service Agreements and amendments, and manage RFQs and RFPs.
Assist in developing internal and external policies and procedures.
Write training materials and collaborate with team members and subject matter experts to develop new materials and improve existing resources.
Compile and analyze data and information; develop systems and processes that support operational strategies.
Analyze requirements for custom reports and operational processes.
Understand and adhere to regulatory requirements related to the business unit or units.
Participate in projects, tasks, and activities that promote Team Member engagement.