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Job Title


Analyst III - Regulatory Affairs


Company : Inland Empire Health Plan


Location : Rancho Cucamonga, CA


Created : 2024-05-07


Job Type : Full Time


Job Description

*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!*The Analyst III – Policy & Regulatory Operations is responsible for Local, State, Federal, contractual and accreditation requirements interpretation, gap analysis, project scope development and initiation, resource planning, risk identification and mitigation, and project implementation, as well as timely comprehensive development, review and maintenance of internal and Provider policies, and other regulatory documents. To do these effectively, the Analyst III – Policy & Regulatory Operations must have a demonstrated understanding of IEHP business operations and responsibilities of various departments in Health Services, Quality Systems, Provider Services, and Member Services; subject matter expertise of these departments’ policies and procedures and the regulations that drive their business operations and demonstrated ability to effectively and consistently manage multiple projects and priorities concurrently.*Perks!*IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.* Competitive salary.* Hybrid schedule.* CalPERS retirement.* State of the art fitness center on-site.* Medical Insurance with Dental and Vision.* Life, short-term, and long-term disability options* Career advancement opportunities and professional development.* Wellness programs that promote a healthy work-life balance.* Flexible Spending Account – Health Care/Childcare* CalPERS retirement* 457(b) option with a contribution match* Paid life insurance for employees* Pet care insurance*Education & Requirements** Five (5) or more years of experience providing complex 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.*Key Qualifications** Demonstrated proficiency in Microsoft Office products: Word, Excel, Visio, and Power Point, sufficient for use in all aspects of an office environment.* 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 required.*Start your journey towards a thriving future with IEHP and apply!*Job Type: Full-timePay: $80,059.20 - $106,059.20 per yearApplication Question(s):* Do you have knowledge of and experience with state and Federal regulatory and other requirements and practices related to Medicare and Medi-Cal (Medicaid), Title 19 (USC)/Title 29 (USC and CCR), Title 22 (CCR), Title 28 (CCR), Title 42 (USC and CFR) , CA Welfare and Institutions Code, and CA Health and Safety Code? This is required.* Do you have experience providing health care regulatory research?. This is required!Education:* Bachelor's (Required)Experience:* managed care: 4 years (Required)Ability to Relocate:* Rancho Cucamonga, CA 91730: Relocate before starting work (Required)Work Location: Hybrid remote in Rancho Cucamonga, CA 91730