Regulatory Affairs Analyst II – Compliance & Health Plans

Inland Empire Health Plan; Rancho Cucamonga (CA); On-site; USD 65,000 - 95,000; Full time

Benefits offered by this job

Competitive salary

State of the art fitness center on‑sit

Medical Insurance with Dental and V is

Life, short-term, and long-term(dis)

Career advancement opportunities and专业

Wellness programs that promote a健康工作生活

Flexible Spending Account – HealthCare

CalPERS retirement

457(b) option with a contribution

Paid life insurance for employees

Pet care insurance

Job summary

Inland Empire Health Plan (IEHP) in Rancho Cucamonga, CA, invites you to join our Regulatory Affairs team as Analyst II. You will manage centralized regulatory activities to ensure compliance with CMS, DHCS, DMHC, and Covered California, contributing to high-quality health plan operations.

You’ll collaborate with internal teams and regulatory agencies, support quality initiatives like HEDIS and NCQA accreditation, and help implement state and federal requirements while maintaining IEHP’s

Qualifications

• Two years of experience with managed care or other relevant industry experience.
• Experience in health care, health plans, Covered California, Medicaid MCPs, Medicare Advantage, SNPs, and/or Medicare-Medicaid Plans (MMPs)/Cal MediConnect.
• Experience interacting with regulatory agencies.
• Knowledge of state and Federal regulatory requirements and practices related to Covered California, Medicare, and Medi-Cal (Medicaid).
• Bachelor's degree from an accredited institution required.

Responsibilities

• Perform centralized regulatory activities for the Compliance Department.
• Ensure Plan operations, processes, procedures, policies comply with CMS, DMHC, DMHC and Covered California.
• Interact with regulatory agencies to support compliance.
• Support IEHP Quality Program goals (HEDIS, CAHPS, NCQA Accreditation) and regulatory documentation.

Skills

Regulatory knowledge

Interpersonal skills

Communication skills

Project management

Microsoft Office

Education

Bachelor's degree

Tools

Microsoft Office

Job description

Inland Empire Health Plan (IEHP) in Rancho Cucamonga, CA, invites you to join our Regulatory Affairs team as Analyst II. You will manage centralized regulatory activities to ensure compliance with CMS, DHCS, DMHC, and Covered California, contributing to high-quality health plan operations.

You’ll collaborate with internal teams and regulatory agencies, support quality initiatives like HEDIS and NCQA accreditation, and help implement state and federal requirements while maintaining IEHP’s