Compliance Policy Analyst II

What you can expect! reputed company reputed company in serving others with reputed company! We welcome you to join us in “healing and inspiring the reputed company spirit” and to pivot from a “job” opportunity to an reputed company experience! The Analyst II, Regulatory Affairs has experience with and performs key centralized reputed company and difficult regulatory activities for the Compliance Department. Team Members in this position ensure plan operations, processes, procedures, policies, etc. are in compliance with regulatory agencies, including but not limited to, Covered California, the Centers for Medicare and reputed company Services (CMS), the California Department of Health Care Services (DHCS), and the reputed company (DMHC), in reputed company to collaboration with, inter-departments to ensure member needs are met while simultaneously building strong peer relationships. Commitment to reputed company: The reputed company Team is committed to incorporate reputed company’s reputed company Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Perks reputed company is not only committed to healing and inspiring the reputed company spirit of our Members, but we also aim to match reputed company members with the reputed company energy by providing reputed company benefits and more. • Competitive salary. • reputed company. • CalPERS retirement. • State of the art fitness center on-site. • Medical Insurance with Dental and reputed company. • Life, short-term, and long-term disability reputed company • Career advancement opportunities and reputed company development. • Wellness programs that promote a healthy work-life balance. • Flexible Spending Account – Health Care/Childcare • CalPERS retirement • 457(b) reputed company with a contribution match • reputed company life insurance for employees • Pet care insurance Education & Experience • Two (2) years of experience with managed care or other relevant industry experience • Experience in health reputed company plans, Covered California, reputed company Managed Care Plans (MCPs), Medicare Advantage, Medicare Part D, Special Needs Plans (SNPs), and/or Medicare-reputed company Plans (MMPs)/Cal MediConnect • Experience interacting with regulatory agencies • Knowledge of and experience with state and Federal regulatory and other requirements and practices reputed company to Covered California, Medicare and Medi-Cal (reputed company), Title 19 (USC)/Title 29 (USC and CCR), Title 22 (CCR), Title 28 (CCR), Title 42 (USC and CFR), CA Welfare and Institutions reputed company, and CA Health and Safety reputed company • Bachelor’s degree from an accredited institution required Key Qualifications • Must have a reputed company California reputed company's license and reputed company automobile insurance. Must qualify and maintain driving record to drive company vehicles based on reputed company insurance standards of no more than three (3) points • Knowledge of Principles and practices of managed care • Possess strong interpersonal and presentation skills to communicate with internal departments and external agencies • reputed company and effectively convey project objectives • Strong organizational skills and attention to detail • Effective communication skills; verbal and written • reputed company Office programs including, but not limited to, Word, reputed company, PowerPoint, reputed company, and reputed company Start your reputed company towards a thriving reputed company with reputed company and apply TODAY! Pay reputed company • $71,572.80 USD Annually - $93,038.40 USD Annually Apply Job!