OverviewWhat 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 Policy & Regulatory Operations Manager's general supervision, the Analyst II – Policy & Regulatory Operations helps ensure Health Services, Quality Systems, Provider Services, and Member Services remain in compliance with Local, State, Federal, contractual and accreditation requirements and supports these departments' operational strategies by completing compliance assessments, regulatory reviews, audit‑related submissions, managing cross‑functional regulatory implementation, operational and system enhancement projects.The Analyst II – Policy & Regulatory Operations is responsible for interpreting Local, State, Federal, contractual and accreditation requirements, performing gap analysis, developing project scope and initiating project implementation, planning resources, identifying risks, and maintaining internal and Provider policies. To do these effectively, the Analyst II must have a clear understanding of IEHP business operations and the responsibilities of various departments in Health Services, Quality Systems, Provider Services, and Member Services, and demonstrate ability to effectively manage multiple projects and priorities concurrently.Commitment to Quality: The IEHP Team is committed to incorporating IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.Additional BenefitsCompetitive salaryState of the art fitness center on‑siteMedical Insurance with Dental and VisionLife, short‑term, and long‑term disability optionsCareer advancement opportunities and professional developmentWellness programs that promote a healthy work‑life balanceFlexible Spending Account – Health Care/ChildcareCalPERS retirement457(b) option with a contribution matchPaid life insurance for employeesPet care insuranceKey ResponsibilitiesResponsible for planning and managing cross‑functional projects, which may include regulatory compliance, system enhancement, process development, and improvement within Health Services, Quality Systems, Provider Services, and Member Services. This includes developing project scope, goals, deliverables, monitoring the plan, managing changes, communicating risks, ensuring stakeholder relationships, and reporting status.In collaboration with department policy owners, review, update and manage internal and Provider policies to ensure they remain current, accurate and in accordance with applicable regulatory and accreditation requirements. This includes supporting the publication of the IEHP Provider Manual of Policies and Procedures, electronic Data Interchange Manual, and internal department manuals.Facilitate the timely and comprehensive assessment of current policies against new regulations to identify compliance gaps and action plans.Gather, develop, and document evidence or narratives for regulatory and audit‑related submissions.Facilitate cross‑functional implementation projects that support compliance with Local, State, Federal, contractual and accreditation requirements, including interpretation, gap analysis, project scope, resource planning, risk identification, and implementation of compliance monitoring.Support departments in completing system enhancement and process development requests by facilitating process flow documentation, testing and validating system enhancements prior to implementation.Serve as the primary analyst reviewer and support for assigned departments, preparing draft work for quality assurance review.Perform a broad range of project management and research activities, using analytical and critical thinking skills.Support departments to make Lean business decisions by identifying opportunities for process improvements.QualificationsEducation & RequirementsAt least three (3) years of experience providing analytical and/or project implementation support, including regulatory review and analysis in a healthcare setting.Bachelor's degree from an accredited institution required.Key QualificationsWorking knowledge of project management software such as Workfront, MS Project or equivalent.Knowledge of managed care industry practices and standards including Local, Federal, State and/or accreditation standards, is preferred.Strong organizational, critical thinking, research, verbal and written communication skills. Proficiency in Microsoft Office products: Word, Excel, Visio, and Power Point.Ability to manage multiple projects with competing deadlines and changing priorities. Ability to work well in a team environment and build effective relationships with Team Members at all levels. Detail oriented and exceptional follow‑through.Work Model LocationThis position is on a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga, CA.)Pay RangeUSD $80,059.20 - USD $106,059.20 /Yr.#J-18808-Ljbffr