Transformation Analyst III

🔥 15 hours ago

🏄 California – Remote

🏄 California – Remote

💵 $104k - $137.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

👻 Ghost score 5%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

IEHP

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1995

🛡️ Insurance

💼 Consulting

📦 Logistics

💰 Grant on 2021-02

Insurance • Consulting • Logistics

IEHP is a health plan dedicated to serving low-income individuals and families in Riverside and San Bernardino counties. They offer a variety of programs including Medi-Cal, DualChoice, and Covered California, providing healthcare coverage for residents who may not otherwise have access to necessary medical services. With a focus on holistic health and community wellness, IEHP partners with local doctors and facilities to ensure comprehensive care for their members, supporting them with resources in mental health, fitness classes, and wellness education.

📋 Description

• Lead cross-departmental efforts using financial and/or clinical analytics to make strategic transformation, health, and quality management recommendations • Implement quality improvement activities based on analytics to support IEHP compliance standards, strategic goals, and initiatives • Engage stakeholders to develop and execute technical analyses • Evaluate existing data sources • Create visualization tools • Recommend strategic business unit decisions and action plans • Lead projects involving study development, data collection, data analysis, policy interpretation, and policy creation and updates • Act as the main liaison supporting operations, quality improvement initiatives, and studies with leadership teams across the organization and, if applicable, hospital and ancillary providers • Integrate and prepare varied datasets • Architect analytical databases and visualization environments • Communicate results in compliance with IEHP business rules and reporting requirements • Incorporate IEHP Quality Program goals, including HEDIS, CAHPS, and NCQA Accreditation

🎯 Requirements

• Six (6) or more years of experience in study development, writing and analysis in healthcare (quality improvement, patient/provider services, healthcare finance, care management or related fields) required • Demonstrated experience working with complex data systems and data sets • Experience with electronic medical records, documentation, reporting/analysis required • Master’s degree in mathematics, statistics, computer science, information systems, business administration, healthcare or related field from an accredited institution required • In lieu of the required master’s degree, a bachelor’s degree in mathematics, statistics, computer science, information systems, business administration, healthcare or related field from an accredited institution and a minimum of two (2) years of hospital or health plan experience is required; this experience is in addition to the minimum years listed in the Experience Requirements above • PMP, Lean Six Sigma, certified professional in Healthcare Quality, or other relevant certification preferred • Valid California Driver’s License preferred • Advanced knowledge of quality compliance standards and internal and external healthcare/hospital and business operations • Knowledge of available data sources, data systems, and appropriate data analysis criteria • Knowledge of statistical methods, data analysis, and study methodology • Knowledge of relational database structures and database design • Knowledge of department relationships and external partnerships to support daily operations • Concepts, practices, and procedures within a healthcare setting preferred • Working knowledge of medical terminology and knowledge of managed care, claims payment processes and insurance terminology required • Advanced analytical skills with emphasis on healthcare services, finance, regulatory interpretations, and problem solving • Ability to research, analyze data and make sound recommendations • Excellent verbal and written communication skills • Advanced skills in utilizing Microsoft Suite applications • Strong attention to detail • Ability to demonstrate a commitment to support IEHP’s efforts to become a 5-Star Health Plan and incorporate LEAN principles into daily work

🏖️ Benefits

• 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