Top 2550818 Sr Analyst, Program Jobs

Engineer III - EDI
Inland Empire Health Plan —Rancho Cucamonga, CA
- $118,601.60 - $157,144.00 a year
- Full-time
- Hybrid work
- Microsoft Excel
- 6 years
- HIPAA
- Paid holidays
- Disability insurance
Willdan Energy new York management
lit light design —Brooklyn, NY
- $93,829.56 - $112,999.04 a year
- Contract
- Management
- Mid-level
- Contracts
- Flexible schedule
- Referral program
Quick Apply
MH Quality/Clinical Informatics Program Manager
Memorial Community Health Inc. —Aurora, NE
- Full-time
- Computer science
- Nursing
- Microsoft Excel
- Disability insurance
- Health insurance
Quick Apply
Data Analyst/Instructor (Kaiserslautern, Germany)
JANSON —Fairfax, VA
- Full-time
- Computer science
- Computer Science
- 3 years
Quick Apply
Grants Administrator
Association of Alaska School Boards —Juneau, AK
- From $75,000 a year
- Weekends as needed
- Hybrid work
- Google Workspace
- Computer literacy
- Writing skills
- Health insurance
- Paid time off
Quick Apply
SOF Enterprise Analyst (SEA)
Streamline Defense —Tampa, FL
- $110,000 a year
- Full-time
- Background check
- Research
- Mid-level
- Health savings account
- Health insurance
Quick Apply
PSM Coordinator / Refrigeration Planner
Perdue Farms, Inc. —Milford, DE
- From $32.25 an hour
- Full-time
- 5 years
- Forklift
- High school diploma or GED
- Health insurance
- 401(k)
12d
Stability Coordinator I
Norwich Pharmaceuticals Inc —Norwich, NY
- $62,354 a year
- Full-time
- Computer literacy
- Organizational skills
- 1 year
- Wellness program
- Health savings account
Quick Apply
Hydrogeologist
Carroll Engineering —Warrington, PA
- $90,000 - $110,000 a year
- Full-time
- Bachelor of Science
- Office
- Business development experience
- Health savings account
- Health insurance
Quick Apply
Meteorologist/Reporter
Deltavision Media LLC —Pocatello, ID
- From $33,000 a year
- Email
- Mid-level
- Presentation skills
- Computer skills
- Health insurance
- Dental insurance
Quick Apply
Renew Nebraska Program Manager
Nebraska Conservation Voters —Lexington, NE
- $60,000 - $70,000 a year
- Weekends as needed
- Research
- Mid-level
- Driver's License
- Relocation assistance
- Health insurance
Quick Apply
5d
Renew Nebraska Program Manager
Nebraska Conservation Voters —Broken Bow, NE
- $60,000 - $70,000 a year
- Weekends as needed
- Research
- Mid-level
- Driver's License
- Relocation assistance
- Health insurance
Quick Apply
5d
Coding and Compliance Auditor
South Shore Health —Weymouth, MA
- $73,000 - $104,400 a year
- Full-time
- Hybrid work
- 5 years
- Mid-level
- Acute care experience
Nursing Quality/Stroke & Sepsis Data Analyst
St. Joseph's/Candler —Savannah, GA
- $67,100 - $103,604 a year
- Full-time
- Nursing
- Mid-level
- Master's degree
- Health savings account
- Health insurance
Quick Apply
Project Controls Specialist
KeyLogic Systems —Oak Ridge, TN
- Background check
- Bachelor of Science
- Mid-level
Quick Apply
13d
Environmental Engineer III
STANLEY ELECTRIC US CO INC —London, OH
- $85,000 - $100,000 a year
- Overtime
- Office
- Analysis skills
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Defense Fuels Program Manager
EX FIS US, INC —Durham, NH
- $40,000 - $50,000 a year
- Full-time
- Military
- Office
- Project management
Quick Apply
Sales Data Administrator
GC America Inc. —Alsip, IL
- $85,000 - $100,000 a year
- Full-time
- Background check
- Mid-level
- Bachelor's degree
- Health savings account
- Health insurance
Quick Apply
Principal Planner: Environmental Coordinator
Town of Westerly —Westerly, RI
- $65,000 - $75,000 a year
- Email
- Mid-level
- Driver's License
- Bachelor's degree
- Wellness program
- Health savings account
Quick Apply
7d
Sr. Operations Analyst (ICHRA) (Hybrid)
NFP Corp —Norwell, MA
- $60,000 - $85,000 a year
- Full-time
- Hybrid work
- Background check
- Bachelor of Science
- Mid-level
- Health savings account
- Paid holidays
Quick Apply

I want to receive the latest job alert for Sr Analyst, Program

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

Sr Analyst, Program jobs near

Engineer III - EDI

Inland Empire Health Plan -
Rancho Cucamonga, CA

Apply Now

Job Details

Full-time
$118,601.60 - $157,144.00 a year

Benefits

457(b)
Paid holidays
Disability insurance
Health insurance
On-site gym
Dental insurance
Flexible spending account
Paid time off
Vision insurance
Opportunities for advancement
Life insurance

Qualifications

Microsoft Excel
Visio
SQL
Bachelor's degree
Data-driven problem-solving
Managing projects
Productivity software
Excel data analysis

Full Job Description

Overview:

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 the Encounters & EDI Leadership Team, the Engineer III is responsible for analysis of new DHCS/CMS requirements and providing recommendations for new rules implementation, submissions tracking, remediating submission errors, responding to regulatory changes, and monitoring encounter submissions to DHCS and CMS, and acceptance compliance. The Engineer III also is responsible for BRDs creation and communication with Trading Partners. The Engineer III must be able to work independently, often working directly with business users and IT groups to understand and document requirements. The Engineer III will work cross-functionally with department leaders to deliver actionable analyses / results.

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.

Additional Benefits:

Perks

IEHP is not only committed to healing and inspiring the human spirit of our Members; we also aim to match our Team Members with the same energy by providing prime benefits and more.

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

Key Responsibilities:

Present findings of analyses to various staff levels. Present results in formats that are easy to understand and appropriate to the audience.
Provide recommendations for necessary changes in existing EDI processes.
Monitor and Track quality and completeness of data submitted to CMS and DHCS.
Analyze rejections and provide recommendations for remediation.
Guiding team members on topics related to encounters submissions to IEHP’s regulatory bodies, remediating submission errors.
Communicate with Trading Partners/ CMS/DHCS on needed basis
Create BRDs
Clear understanding of IEHP business operations
Responsible for managing assigned projects and effectively communicating project team to ensure project deliverables and deadlines are met.
Document and ensure assigned project / technical staff document all analysis / reporting projects following established protocols, ensuring replication of results by an independent reviewer.
Demonstrate a commitment to incorporate LEAN principles into daily work.
Establish and maintain effective working relationships with others throughout the organization.
Any other duties as required to ensure the Health Plan operations are successful.
Ensure the privacy and security of PHI (Protected Health Information) as outlined in IEHP’s policies and procedures relating to HIPAA compliance.

Qualifications:

Education & Experience

Six (6) years of relevant work experience
Bachelor's degree from an accredited institution required
- Master's degree in Data Science, Informatics, Public Health, Epidemiology, or a related field from an accredited institution preferred

Key Qualifications

In depth knowledge of Healthcare HIPAA requirements and CA State and CMS regulations and X12 formats
Expertise in SQL, SSRS. Knowledge of EDIFECS or similar tools is a plus
Extensive knowledge of Microsoft Office (Excel, Word, Visio, and Power Point) is essential
Working knowledge of medical terminology, knowledge of managed care, eligibility and/or pharmacy processes, and insurance terminology preferred
Must be able to handle multiple projects, prioritize to meet deadlines, and develop effective working relationships
Strong problem-solving capability, excellent interpersonal, and communication skills
Ability to explain complex data analyses and findings in a way that is easy to understand and appropriate to the audience. Strong attention to detail

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

Work Model Location:

This position is on a hybrid work schedule. (Monday & Friday - remote, Tuesday – Thursday onsite in Rancho Cucamonga, CA.)
Position is eligible for Hybrid work location upon completing the necessary steps and receiving HR approval. All IEHP positions approved for telecommute or hybrid work locations may periodically be required to report to IEHP’s main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership.

Pay Range: USD $118,601.60 - USD $157,144.00 /Yr.

Apply Now

Refine Your Search

Sr Analyst, Program jobs

Engineer III - EDI

Willdan Energy new York management

MH Quality/Clinical Informatics Program Manager

Data Analyst/Instructor (Kaiserslautern, Germany)

Grants Administrator

SOF Enterprise Analyst (SEA)

PSM Coordinator / Refrigeration Planner

Stability Coordinator I

Hydrogeologist

Meteorologist/Reporter

Renew Nebraska Program Manager

Renew Nebraska Program Manager

Coding and Compliance Auditor

Nursing Quality/Stroke & Sepsis Data Analyst

Project Controls Specialist

Environmental Engineer III

Defense Fuels Program Manager

Sales Data Administrator

Principal Planner: Environmental Coordinator

Sr. Operations Analyst (ICHRA) (Hybrid)

I want to receive the latest job alert for Sr Analyst, Program

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected