Health Plan Analyst Jobs in Riverside, CA (NOW HIRING)

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 anauthentic experience!

Under the direction of the Quality Systems Leadership Team, the Healthcare Data Analyst II (HDA) is responsible for leading various data and analysis efforts for the Health Plan’s Clinical and Provider departments, programs, and quality activities. The HDA must have significant experience in designing relational databases, complex query logic and statistical analysis. In addition to technical data concepts, the HDA will utilize sound research methods and statistical concepts in designing reliable studies/analyses, and payment algorithms supporting IEHP’s quality programs. The HDA presents study/analysis results to various audiences throughout the organization, including the leadership team.

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 employeesPet care insurance

• Serve as technical lead in analysis and reporting efforts that support the Health Plan’s Clinical and Provider teams, programs, and quality activities.
• Significant participation in analysis, interpretation, and translating of complex health plan data, issues, trends, and relationships into effective strategies and action plans.
• Present findings of analyses to various staff levels including executive team, leadership team and staff levels. Present results in formats that are easy to understand and appropriate to the audience.
• Use analytical skills to determine solutions and resolve problems.
• Exercises timely and accurate data mining techniques and develops new or modifies existing reports that ensure consistent and congruent conclusions to data analysis.
• Applies statistical modeling methodologies when appropriate in the development of health plan, provider, and member analysis.
• Develop and prepare reports to support IEHP’s clinical and provider units utilizing available analytics and data mining tools, including but not limited to: Microsoft Applications (including MS Access and MS PowerBI), SAS, SQL, system-specific reporting tools (or other related reporting software).
• Responsible for evaluating report requests to determine requestor’s needs and objectives, identifying correct methodology for extracting data including data sources and criteria, and ensuring the delivered report is accurate, timely, and formatted appropriately.
• Responsible for understanding the various data sources available within IEHP for reporting and analysis, as well as a clear understanding of IEHP business operations to be able to appropriately guide the development of quality program activities, including analysis and reporting.
• Responsible for managing assigned projects and effectively communicating with the QS leadership team any project deadlines that may be in jeopardy of being met, well in advance of the due date.
• Document all analysis / reporting projects following established protocols, ensuring replication of results by an independent reviewer.
• Designs and enhances databases to support reporting and analysis needs, including testing, validating, and maintaining data integrity and accuracy, across multiple databases.
• Demonstrate a commitment to incorporate LEAN principles into daily work.
• Establish and maintain effective working relationships with others throughout the organization.

Education & Requirements

• Three (3) years of relevant work experience
• Demonstrated experience working with large data sets and relational database structures
• Master’s degree from an accredited institution required
  • In lieu of a Master's degree, a minimum of a Bachelor’s degree and two (2) years of additional relevant work experience is required for this position
  • This experience is in addition to the minimum years listed in the Experience Requirements above

Key Qualifications

• Understanding of statistical methods and experience applying statistical methods to answer data questions
• Working knowledge of data analysis, study methodology, and preparing professional documents
• Data analysis, data presentation, spread sheet and database capabilities
• Proficient in of Microsoft Access, MS PowerBI, SAS, SQL, or other statistical applications are essential
• Excellent interpersonal/ communication skills
• Proficiency in Microsoft Excel, Word and Power Point required
• Strong attention to detail
• Ability to present reports / data analysis findings in group settings
• Strong problem-solving capability
• Ability to manage multiple projects with time-sensitive deadlines a must

This position is on a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga, CA)