Quality Systems Analyst l - Rancho Cucamonga, United States - Inland Empire Health Plan

Inland Empire Health Plan Rancho Cucamonga, United States

3 weeks ago

Description

Overview:

What You Can You 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

The Quality Systems Analyst I, under the guidance of the Quality Systems Leadership Team, brings excitement to IEHPs Medical Services through advanced analytics and reporting. Using tools like Tableau and SAS, they design reports, analyze data trends, and ensure timely, accurate project completion. This analyst collaborates across departments, understanding business operations and regulatory requirements, to deliver meaningful insights. With a commitment to LEAN principles, the Quality Systems Analyst I establish effective relationships and contributes to IEHPs data-driven success.

Key Responsibilities

1. Development and design of reports and analyses to support IEHPs Medical Services departments needs utilizing available tools, including but not limited to: Microsoft applications MS Access, SSRS, SAS, SPSS, Tableau, Crystal Reports, ArcGIS, system-specific reporting tools, or other related reporting software.
2. Responsible for analyzing report requests to determine users needs and objectives, working with Information Technology resources to correctly identify criteria to meet reporting request and ensure the delivered report is accurate, timely, and formatted appropriately.
3. Develop timely and accurate data mining techniques to apply to new or existing standardized and ad-hoc reports that ensure consistent conclusions to data analysis.
4. Acquire and maintain updated knowledge of the various data sources available within IEHP for reporting, as well as a clear understanding of IEHP business operations to be able to appropriately apply criteria and methodology to meet requestors needs.
5. Manage assigned projects and effectively communicate project deadline issues with the QS Management team in a timely manner. Document all reporting projects and database objects within a project consistently, as instructed by the QS Management team.
6. Understanding of regulatory reporting requirements that are supported by the Quality Systems department and facilitate business processes to support those reporting requirements.
7. Ability to interpret data trends and data analysis to model and frame business scenarios that will have meaningful impact on critical business processes and/or decisions of QS and IEHP as a whole.
8. Collaborate with staff at all levels to solve analytics issues, documenting results and methodologies.
9. Collaborate with the data steward to ensure that the information used follows the compliance, access management, and control policies and verify it meets the qualification and assurance requirements of IEHP.
10. Serve as facilitator between business units and Information Technology departments to ensure data accuracy, validity, and reliability in support of analytics and reporting needs.
11. Research and prepare clear and concise summary reports, narratives, and gap analyses on key topics, as directed.
12. Demonstrate a commitment to incorporate LEAN principles into daily work.
13. Establish and maintain effective working relationships with others throughout the organization.

Commitment to Quality: The IEHP Team is committed to incorporate IEHPs 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.
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

Qualifications:

Education & Requirements

Minimum of two (2) years of experience and working knowledge of large datasets, creating queries, and developing reports for end users.
Bachelors degree from an accredited institution required.

Key Qualifications

Well-versed in relational database structures and database design. Working knowledge of ICD-10/CPT/HCPCS/NDC coding, strongly desired.
Proficient in use of analytical tools such as: MS Access, SAS, Tableau or MS Excel is essential.
Will accept extensive knowledge of ArcGIS in lieu of SAS and MS Access.
Ability to understand query design and data interpretation.

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

Pay Range:
USD $ USD $50.99 /Hr.

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