Analyst II - Regulatory Affairs

Inland Empire Health Plans; Rancho Cucamonga (CA); On-site; USD 68,000 - 90,000; Full time

Benefits offered by this job

Competitive salary

On-site fitness center

Medical insurance with dental and vis

Life, disability options

Career development

Wellness programs

Flexible Spending Account – Health/Dep

CalPERS retirement

457(b) with matching

Life insurance

Pet care insurance

Job summary

IEHP in Rancho Cucamonga, CA seeks an Analyst II, Regulatory Affairs to perform centralized regulatory activities ensuring plan operations comply with CMS, DHCS, DMHC, and Covered California. The role supports regulatory submissions, inter-department coordination, and adherence to quality goals.

Two years of experience in managed care or related industry plus a bachelor’s degree are required. Strong communication, organization, and ability to manage multiple projects are essential.

Qualifications

• Experience in health care or health plans preferred.
• Experience with regulatory agencies and health program compliance.
• Bachelor’s degree required and two years in managed care or related field.

Skills

Valid CA driver’s license

Auto insurance

Driving record management

Managed care knowledge

Interpersonal and presentation skills

Communicate project objectives

Organizational skills

Verbal and written communication

Microsoft Office (Word, Excel, PowerPt

Independent and collaborative work

Multi-project management

California travel awareness

Attention to detail

Adaptability to changing priorities

Education

Bachelor’s degree from an accredited institution

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!

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