Analyst II - Regulatory Affairs (hybrid)

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!

Under the direction of the Manager, Regulatory Affairs, 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).

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

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

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

Bachelor's degree from an accredited institution required

Key Qualifications

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

Knowledge of Principles and practices of managed care

Possess strong interpersonal and presentation skills to communicate with internal departments and external agencies

Clearly and effectively convey project objectives

Strong organizational skills and attention to detail

Effective communication skills; verbal and written

Microsoft Office programs including, but not limited to, Word, Excel, PowerPoint, Outlook, and Access

Ability to apply knowledge and address situations appropriately without extensive guidance

Demonstrated ability to establish relationships of trust and respect with Team Members at all levels

Ability to manage multiple projects with competing deadlines and changing priorities

Ability to work independently and collaboratively within a team environment.

Minimal travel within California

Minimal physical activity; may include standing and repetitive motion

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