Data Analyst II - Hospital & Ancillary Relations (Hybrid)

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!

Under the direction of department leadership, the Data Analyst II - Hospital & Ancillary Relations supports departmental efforts to utilize clinical analytics to make health/quality management recommendations, as well as implement quality improvement activities based on those analytics that advance IEHP compliance standards, strategic goals, and initiatives. Key activities include leading the development, preparation and presentation of quality studies, analyses and reports focused on hospital & ancillary provider performance.  Manages project deliverables that support key regulatory deliverables including study development, data collection, data analysis, policy interpretation, policy creation and updates. Works closely with leadership teams across the organization and at network facilities in support of quality improvement initiatives and studies. In addition to advanced analytical skills, the Data Analyst II – Hospital & Ancillary Relations displays aptitude at integrating and preparing varied datasets, architecting analytical databases and visualization environments, and communicating results that are compliant with IEHP business rules and reporting requirements.

Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

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
• 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

1. Lead the development, preparation and presentation of reports and analyses to support IEHP’s Hospital & Ancillary Relations quality improvement programs utilizing available analytical tools and quality improvement methods.
2. Develop key studies and reports, data review, design and selection of performance metrics while working closely with internal and external business owners in support of quality standards, strategic goals, and initiatives for hospitals. These activities include understanding the quality compliance standards, internal and external healthcare/hospital and business operations, knowledge of available data sources and systems, and appropriate data analysis criteria.
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. Serve as Lead Analyst in the analysis, interpretation, and translation of complex data, issues, trends, and action plans as it relates to program development, quality studies (e.g., effectiveness studies, satisfaction studies) and department priorities. Responsibilities include requirements gathering, data requests, analysis, interpretation, reasonability checks, and report format development. Collaborate with internal and external partners on methodology to ensure requirements and analysis standards are met.
5. Ensure key studies and reports are delivered accurately, timely, meeting compliance requirements. Responsible for managing assigned projects and effectively communicating with the Hospital & Ancillary Relations leadership team if any project deadlines or other deliverables are at risk.
6. Ensure continuous evaluation of trends related to quality measures, clinical and operational program performance. Participates in performance improvement efforts, as directed.
7. Develop reports, analyses, and other materials for Joint Operations Meetings (JOM) between the Health Plan and hospitals, other providers, or external stakeholders.
8. Develop training materials, communications, and presentations for various levels of management depending on audience and deliverables.
9. Maintain updated knowledge of IEHP business operations for performance and quality improvement studies, action plans and programs.
10. Maintain knowledge of current NCQA Health Plan Accreditation Standards and the ability to interpret NCQA communications and changes. Develop knowledge base on quality measures and relevant metrics that may be utilized to develop, track, and evaluate new and existing programs.
11. Collate data results from various program designs and organize cohesive summaries in presentation formats presented to various audiences including internal and external Committees and stakeholders, The Governing Board, other member, and provider communication methods.
12. Maintain the Hospital & Ancillary Relations department policies including annual reviews and updates. Ensure policies are accurate and in accordance with applicable regulatory requirements.
13. Maintain department relationships and external partnerships to support Hospital & Ancillary Relations’ daily operations.
14. Demonstrate a commitment to support IEHP’s efforts to become a 5-Star Health Plan and incorporate LEAN principles into daily work.
15. Perform any other duties as required to ensure Health Plan operations and department business needs are successful.

Education & Requirements 

• Minimum of four (4) years of experience in study development, writing, and analysis in healthcare required (quality improvement, patient/provider services, healthcare finance, care management or related fields)
• Demonstrated experience working with data systems and data sets
• Experience with electronic medical records, documentation, reporting/analysis preferred
• Bachelor’s degree in Mathematics, Statistics, Computer Science, Healthcare or related field from an accredited institution required
  • Master’s degree from an accredited institution preferred

Key Qualifications

• Significant knowledge of Microsoft Suite is essential. Working knowledge of medical terminology and knowledge of managed care, claims payment processes and insurance terminology preferred
• Significant knowledge of concepts, practices, and procedures within a healthcare setting
• Well-versed in relational database structures and database design
• Demonstrate understanding of department relationships and external partnerships to support Hospital & Ancillary Relations’ daily operations
• Analytical skills with emphasis on healthcare services, regulatory interpretations and problem solving
• Strong verbal and written communication skills
• Strong attention to detail
• Ability to research, analyze data and make sound recommendations

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

This position is on a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga, CA.)