Compliance Technical Analyst II - Inland Empire Health Plan

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 requestor’s 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 IEHP’s 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.
• Bachelor’s 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.