About this opportunity
IEHP lists this Transformation Analyst III opportunity in rancho cucamonga, California. Review the employer’s description below for duties, qualifications and application requirements.
Job description
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
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!
Pay Range
$104,041.60 USD Annually - $137,841.60 USD Annually
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Worksite address
rancho cucamonga, CA, 91739, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.