Analyst II - Regulatory Affairs - Medi-Cal

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!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), in addition to collaboration with, inter-departments to ensure member needs are met while simultaneously building strong peer relationships.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.PerksIEHP 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.Hybrid schedule.CalPERS retirement.State of the art fitness center on-site.Medical Insurance with Dental and Vision.Life, short-term, and long-term disability optionsCareer advancement opportunities and professional development.Wellness programs that promote a healthy work-life balance.Flexible Spending Account - Health Care/ChildcareCalPERS retirement457(b) option with a contribution matchPaid life insurance for employeesPet care insuranceEducation & ExperienceTwo (2) years of experience with managed care or other relevant industry experienceExperience 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 MediConnectExperience interacting with regulatory agenciesKnowledge 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 CodeBachelor's degree from an accredited institution requiredKey QualificationsMust 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) pointsKnowledge of Principles and practices of managed carePossess strong interpersonal and presentation skills to communicate with internal departments and external agenciesClearly and effectively convey project objectivesStrong organizational skills and attention to detailEffective communication skills; verbal and writtenMicrosoft Office programs including, but not limited to, Word, Excel, PowerPoint, Outlook, and AccessStart your journey towards a thriving future with IEHP and apply TODAY!

Created: 2025-03-04