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

IEHP

Data Governance Analyst

Rancho Cucamonga, CA · On-site

... Data Governance Analyst to enhance their data governance framework. This role is crucial in ... With a mission to heal and inspire the human spirit, Inland Empire Health Plan (IEHP) is one of the ...

Alignment Health

Sr. Tax Analyst

Orange, CA · On-site

$123K - $124K/yr

Join a fast-growing, mission-driven Medicare Advantage health plan where your tax expertise will directly support the financial strength and regulatory integrity of the organization. As a Senior Tax ...

Alignment Healthcare

Sr. Tax Analyst

Orange, CA

$123K - $124K/yr

Join a fast-growing, mission-driven Medicare Advantage health plan where your tax expertise will directly support the financial strength and regulatory integrity of the organization. As a Senior Tax ...

Alignment Healthcare

Sr. Tax Analyst

Orange, CA · On-site

$123K - $124K/yr

Join a fast-growing, mission-driven Medicare Advantage health plan where your tax expertise will directly support the financial strength and regulatory integrity of the organization. As a Senior Tax ...

Inland Empire Health Plan

Analyst III

Rancho Cucamonga, CA · On-site

$80K - $106K/yr

The Analyst III is responsible for leading cross-functional, advanced analytical work requiring ... Perform any other duties as required to ensure Health Plan operations and department business needs ...

Alignment Healthcare USA, LLC

Sr. Tax Analyst

Orange, CA · On-site

$123K - $124K/yr

Join a fast-growing, mission-driven Medicare Advantage health plan where your tax expertise will directly support the financial strength and regulatory integrity of the organization. As a Senior Tax ...

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All JobsHealth Plan Analyst JobsHealth Plan Analyst Jobs in Riverside, CA

Health Plan Analyst information

What is a health plan analyst?

Health Plan Analysts are professionals who evaluate, design, and manage health insurance plans for organizations or insurance companies. They analyze data related to healthcare costs, utilization, and plan performance to ensure that health plans are cost-effective and compliant with regulations. Their work often involves collaborating with actuaries, benefits managers, and healthcare providers to optimize plan offerings and improve member satisfaction. Health Plan Analysts also help identify trends, forecast future needs, and recommend changes to existing plans based on their analysis.

What are the key skills and qualifications needed to thrive as a health plan analyst, and why are they important?

To thrive as a Health Plan Analyst, you need strong analytical skills, knowledge of healthcare regulations, and a background in statistics, economics, or public health, often supported by a relevant bachelor’s degree. Familiarity with data analysis tools such as Excel, SQL, and healthcare-specific software like SAS or Tableau, as well as understanding HIPAA compliance, is typically required. Excellent communication, problem-solving, and attention to detail help analysts interpret data and convey insights to stakeholders. These skills are vital for optimizing health plan performance, ensuring regulatory compliance, and supporting data-driven decision-making in healthcare organizations.

What are some common challenges health plan analysts face when interpreting healthcare data, and how can they overcome them?

Health Plan Analysts often encounter challenges such as inconsistent data sources, complex regulatory requirements, and rapidly changing healthcare policies. To overcome these, analysts must develop strong analytical skills, stay current with industry guidelines, and maintain close collaboration with cross-functional teams like IT, compliance, and clinical departments. Leveraging data visualization tools and ongoing professional development can also help ensure accurate analysis and effective communication of findings.

What cities near Riverside, CA are hiring for Health Plan Analyst jobs?

Cities near Riverside, CA with the most Health Plan Analyst job openings:

Infographic showing various Health Plan Analyst job openings in Riverside, CA as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 18% Part Time, and 6% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution.

Developer I - BI & Analytics

Rancho Cucamonga, CA • On-site

Inland-Empire-Health-Plan-
See more jobs at Inland-Empire-Health-Plan-external

$91K/yr

Other

Medical, Dental, Vision, Life, Retirement

Posted 17 days ago

Job description

Overview

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 Supervisor, Bi & Analytics, the Developer I - Bi & Analytics is responsible for creating, maintaining and updating IEHP enterprise reports and dashboard. The position also serves as the technical support for all reporting projects within the Bi & Analytics team. The role is expected to design and develop scalable solutions using AI tools and machine-learning models; utilize big data computation and storage tools to create prototypes and datasets. Proficient with multiple AI tools such as Python, Java, or R and machine learning frameworks like Spark, TensorFlow, or Sciket-learn.

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.

Additional Benefits

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
Key Responsibilities
  • Model and support enterprise data warehouse, data marts and cubes in the creation of a modern, highly effective enterprise reporting platform at IEHP following industry best practices and patterns.
  • Contribute to the technical development of reporting and analytical solutions for IEHP business stakeholders that provide critical insight into business performance.
  • Collaborate with other IEHP departments and data stewards to assess and prioritize needs, and assist with developing strategies, plans, policies and procedures related to providing effective reporting solutions.
  • Identify, analyze and interpret trends or patterns in complex data sets, draw meaningful business insight and translate them to a self-service report.
  • Identify and communicate issues and risks to management in a timely manner.
  • Contribute to reporting security requirements, architecture, design and implementation, including the definition of comprehensive security controls to enforce the IEHP security strategy.
  • Participate in the development and enforcement of IEHP reporting standards.
  • Gather, select, compile and analyze health plan data, with emphasis on data maintained with data warehouse.
  • Perform any other duties as required to ensure Health Plan operations and department business needs are successful.
Qualifications

Education & Requirements

  • One (1) or more years in analytics, data science and business intelligence
  • Experience in developing reporting using Business Intelligence tools (such as Tableau, Microsoft Power BI, MicroStrategy)
  • Experience in report writing and analysis, including experience working with large data sets that have complex relational designs and with unstructured data sets
  • Experience in database design, query development, table joins and report development and creation
  • Data analysis experience in the areas of medical or health services is preferred
  • Bachelor’s degree in a quantitative field from an accredited institution required

Key Qualifications

  • Working knowledge of diagnosis and procedure coding, medical terminology, knowledge of managed care, claims payment processes, and insurance terminology required
  • Knowledge of data visualization and Business Intelligence tools is required (such as Tableau, Microsoft Power BI, MicroStrategy).
  • Strong data analysis, data presentation, spreadsheet, and database capabilities
  • Strong expertise in the Microsoft platform for business intelligence and reporting: Microsoft SQL Server, SSAS, Power BI, SSRS, Access and Excel
  • Strong analysis and critical thinking skills. Excellent interpersonal/ communication skills
  • Proven ability to:
    • Multi-task while maintaining careful attention-to-detail
    • Handle multiple projects, data input, and strong problem-solving capability
    • Be an independent self-starter who is driven to success, takes great pride in accomplishments and works with a sense of urgency to meet deadlines and address competing priorities
    • Be a team player
    • Establish and maintain effective working relationships with others throughout the IEHP organization
  • Schedule may adjust based on business need which may include evenings, holidays, and weekends
Work Model Location

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

Pay Range

USD $91,249.60 - USD $120,910.40 /Yr.

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