Transformation Analyst III

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!

Reporting to department leadership, the Transformation Analyst III leads cross-departmental efforts to utilize financial and/or clinical analytics to make strategic transformation recommendations and/or health/quality management recommendations, as well as implement quality improvement activities based on those analytics that revolutionize IEHP compliance standards, strategic goals, and initiatives. Key activities include engaging with stakeholders to develop and execute technical analyses, evaluating existing data sources, creating visualization tools, and recommending strategic business unit decisions and action plans. This position leads projects supporting key deliverables including study development, data collection, data analysis, policy interpretation, and policy creation and updates. The incumbent acts as the main liaison to support operations, quality improvement initiatives, and studies with leadership teams across the organization and, if applicable, hospital and ancillary providers. In addition to advanced analytical skills, the Transformation Analyst III displays expertise at integrating and preparing varied datasets, architecting analytical databases and visualization environments, and communicating results that are compliant with IEHP business rules and reporting requirements.

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.

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

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

Six (6) or more years of experience in study development, writing and analysis in healthcare (quality improvement, patient/provider services, healthcare finance, care management or related fields) required

Demonstrated experience working with complex data systems and data sets

Experience with electronic medical records, documentation, reporting/analysis required

Master’s degree in mathematics, statistics, computer science, information systems, business administration, healthcare or related field from an accredited institution required

In lieu of the required master’s degree, a bachelor’s degree in mathematics, statistics, computer science, information systems, business administration, healthcare or related field from an accredited institution and a minimum of two (2) years of hospital or health plan experience is required for this position

This experience is in addition to the minimum years listed in the Experience Requirements above

PMP, Lean Six Sigma, certified professional in Healthcare Quality, or other relevant certification preferred

Key Qualifications

Valid California Driver’s License preferred

Advanced knowledge and deep understanding of: Quality compliance standards, internal and external healthcare/hospital and business operations

Available data sources and data systems, and appropriate data analysis criteria

Statistical methods, data analysis, and study methodology

Relational database structures and database design

Department relationships and external partnerships to support daily operations

Concepts, practices, and procedures within a healthcare setting preferred.

Working knowledge of Medical terminology and knowledge of managed care, claims payment processes and insurance terminology required

Advanced analytical skills with emphasis on healthcare services, finance, regulatory interpretations, and problem solving

Ability to research, analyze data and make sound recommendations. Excellent verbal and written communication skills

Advanced skills in utilizing Microsoft Suite applications

Strong attention to detail. Ability to demonstrate a commitment to support IEHP’s efforts to become a 5-Star Health Plan and incorporate LEAN principles into daily work

Start your journey towards a thriving future with IEHP and apply TODAY !