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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong analytical skills and regulatory knowledge to support organizational initiatives and compliance. Capable of managing projects, mentoring team members, and facilitating process improvements within a healthcare environment.
Highest-signal resume keywords
Regulatory ComplianceAnalytical SkillsProject ManagementHealthcare ExperienceCommunication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data AnalysisBusiness Process ImprovementAudit CoordinationBudget ReportingRequirements Specification
Soft Skills
MentoringCollaborationProblem SolvingVerbal CommunicationWritten Communication
Tools & Technologies
LEAN ConceptsA3 ThinkingProject Management Tools
Industry Keywords
Managed CareNCQACMSRegulatory RequirementsHealthcare Analyst
About the role
Key responsibilities & impact- Assist in coordinating all regulatory requirements for audits
- Perform complex assignments delegated by management in terms of objectives
- Support the Senior Director of Member Services in required or directed activities
- Understand business issues and data challenges within the organization and industry
- Identify departmental strengths and weaknesses and suggest improvements
- Review and edit requirements, specifications, business processes, and solution recommendations
- Assist with project deadlines and schedules
- Conduct organizational analysis, planning, and scoping of initiatives
- Manage strategic and departmental projects and organizational programs
- Mentor fellow Business Analysts and coordinate BA work on projects
- Collaborate with team members, peers, and senior management to resolve issues and deliver results
- Review project deliverables and deadlines with project teams
- Coordinate department functions and act as liaison with other IEHP departments
- Prepare special reports and develop department reporting needs
- Coordinate and participate in RIE Events for Member Experience Transformation Work
- Facilitate LEAN initiatives and manage operational projects using A3 thinking and lean concepts
- Coordinate and prepare audit documentation
- Compile, analyze, and prepare annual budget reports
- Manage Professional Service Agreements, amendments, RFQs, and RFPs
- Prepare Governing Board Staff Reports and Recommendations
- Assist in developing internal and external policies and procedures
- Track and analyze regulation changes and prepare for NCQA, CMS, and other audits
- Write and enhance training materials with team members and subject matter experts
- Compile and analyze data and information
- Develop systems and processes supporting operational strategies
- Analyze requirements for custom reports and operational processes
- Participate in Team Member Engagement projects and activities
Requirements
What you’ll need- Three (3) or more years of experience as an Analyst required
- Bachelor’s degree from an accredited institution required
- Strong verbal and written communication skills
- Analytical skills with emphasis on regulatory interpretations and problem solving
- Three (3) or more years experience as an Analyst in health care preferred
- Prior office experience or experience in a managed care environment preferred
- Requires general knowledge of concepts, practices, and procedures within a specified field
- Commitment to understand and adhere to Regulatory requirements as they relate to the business unit(s)
Benefits
Comp & perks- Competitive salary
- Hybrid schedule
- CalPERS retirement
- 457(b) option with a contribution match
- Generous paid time off- vacation, holidays, sick
- State of the art fitness center on-site
- Medical Insurance with Dental and Vision
- Paid life insurance for employees with additional options
- Short-term, and long-term disability options
- Pet care insurance
- Flexible Spending Account – Health Care/Childcare
- Wellness programs that promote a healthy work-life balance
- Career advancement opportunities and professional development
- Competitive salary with annual merit increase
- Team bonus opportunities