Analyst Ii - Utilization Management - Cca

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 Director, Integrated Transitional Care, the Analyst II – Utilization Management - CCA is responsible for providing technical and analytical support to assist with CCA UM Inpatient & Specialty Department, reporting activities and special projects. Responsibilities include developing, maintaining, and updating Departmental reports and special projects. The Analyst II is responsible for managing assigned projects while providing technical based project support to the Covered California Inpatient and Specialty Utilization Management Department. Working knowledge of managed care including HEDIS and CAHPs, CMS, DMHC and NCQA regulations health plan regulations. Well informed of the resources available in the Inland Empire to support Members (community resources, BH programs, waiver, and grant programs). Knowledge of Commercial Managed Care coverage required.

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.
• 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 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 & Experience

• Three (3) years’ experience required in a managed care environment, including extensive use of MS Excel at an expert level and ability to create complex spreadsheets. Experience required in generating reports and preparing charts and graphs.
• Bachelor’s degree in related field 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.
• Extensive knowledge of Microsoft Access, Word and Excel essential. Preferably familiar with Utilization Management activities to include CMS, NCQA and DHCS regulatory requirements. 

Start your journey towards a thriving future with IEHP and apply TODAY!