Analyst II - Product System Configuration

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!

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.

Perks

• Competitive salary
• Telecommute schedule
• 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 & Requirements

• Four (4) years of experience with the development and remediation of moderately complex system configurations, including capitated provider agreement configurations
• Experience in major managed care system migration/implementation preferred
• Bachelor’s degree from an accredited institution required
• In lieu of the required degree, a minimum of four (4) years of additional relevant work experience is required for this position: two (2) years of general healthcare experience plus two (2) years of configuration experience is required

Key Qualifications

• Knowledge of Medicare and Medi-Cal fee schedules and benefit structure, and regulatory billing guidelines required
• Knowledge of CMS, DHCS, DMHC, NCQA rules and regulations preferred
• Extensive knowledge of CPT, HCPCS, Revenue, ICD10 coding rules and guidelines preferred
• Extensive knowledge of general managed care operations required; delegated plan model preferred
• Basic knowledge of relational database structure
• Advanced knowledge of Product System algorithms and processes preferred
• Familiar with basic medical product processing preferred
• Skilled in the use of Microsoft Excel and Access preferred
• Exceptional problem solving and critical thinking skills
• Strong presentation and written communication skills
• Ability to work independently and solve complex problems with little to no assistance
• Ability to effectively manage multiple competing priorities

Pay Range

$80,059.20 USD Annually - $106,059.20 USD Annually