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 Analyst II, Regulatory Affairs has experience with and performs key centralized complex and difficult regulatory activities for the Compliance Department. Team Members in this position ensure plan operations, processes, procedures, policies, etc. are in compliance with regulatory agencies, including but not limited to, Covered California, the Centers for Medicare and Medicaid Services (CMS), the California Department of Health Care Services (DHCS), and the California Department of Managed Health Care (DMHC), in addition to collaboration with, inter-departments to ensure member needs are met while simultaneously building strong peer relationships.
Qualifications
Education & Experience
Two (2) years of experience with managed care or other relevant industry experience.
Experience in health care, health plans, Covered California, Medicaid Managed Care Plans (MCPs), Medicare Advantage, Medicare Part D, Special Needs Plans (SNPs), and/or Medicare-Medicaid Plans (MMPs)/Cal MediConnect. Experience interacting with regulatory agencies.
Bachelor's degree from an accredited university required.
Knowledge of and experience with state and Federal regulatory and other requirements and practices related to Covered California, 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.
Key Qualifications
Ability to work autonomously.
Knowledge of Principles and practices of managed care.
Microsoft Office programs including, but not limited to, Word, Excel, PowerPoint, Outlook, and Access.
Must have a valid California Driver's license and valid automobile insurance. Must qualify and maintain driving record to drive company vehicles based on IEHP insurance standards of no more than three (3) points.
Job Type: Full-time
Pay: $71,572.80 - $93,038.40 per year
Benefits:
401(k)
401(k) matching
Dental insurance
Employee assistance program
Employee discount
Flexible spending account
Health insurance
Health savings account
Life insurance
On-site gym
Paid parental leave
Paid time off
Parental leave
Professional development assistance
Relocation assistance
Retirement plan
Tuition reimbursement
Vision insurance
Experience level:
2 years
Schedule:
8 hour shift
Day shift
Monday to Friday
Education:
Bachelor's (Required)
Experience:
health care regulatory: 2 years (Required)
Ability to Relocate:
Rancho Cucamonga, CA 91730: Relocate before starting work (Required)
Work Location: Hybrid remote in Rancho Cucamonga, CA 91730