California Department of Managed Health Care · 2 days ago

Networks Analyst

California, United States

Contract

Remote

Entry, Mid Level

$5,855/mo - $7,549/mo

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Hospitals and Health Care

Diversity & Inclusion

No H1B

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Responsibilities

Under the direction of the Staff Services Manager I (SSM I) in the Office of Plan Monitoring (OPM), Division of Provider Networks (DPN), the incumbent is assigned program-related responsibilities that ensure effective interpretation and implementation of the Knox-Keene Health Care Service Plan Act of 1975 (Act), the California Code of Regulations, title 28 (Regulations), and program policies and procedures.

The incumbent is responsible for performing complex duties involved in planning, implementation, monitoring and evaluating health program activities with the OPM.

The incumbent reviews and evaluates pending contract termination filings between a health plan and either a provider group or hospital.

The incumbent may serve as a team leader on studies or projects in the program area, and performs a broad range of technical, consultative, and programmatic areas within the OPM.

Qualification

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Health care industry experienceData analysisProject ManagementQuantitative analysisQualitative analysisMicrosoft OutlookMicrosoft PowerPointMicrosoft WordMicrosoft ExcelMicrosoft Access

Required

Experience working in the health care industry and/or experience working on health program related projects

Experience in Project Management or working in a lead capacity

Experience with gathering, analyzing, and organizing data, and formulating recommendations

Strong quantitative and qualitative analysis skills

Ability to plan, organize, and establish simultaneous workload priorities and work under pressure

Exercise a high degree of initiative, independence, flexibility, and confidentiality

Ability to work cooperatively and effectively with others

Ability to professionally communicate both orally and in writing

Ability to reason well and use good judgment

Experience using technical software, including: Microsoft Outlook, PowerPoint, Word, Excel and Access

The position(s) require(s) a Background Investigation be cleared prior to being hired.

Possession of Minimum Qualifications will be verified prior to interview and/or appointment.

If you are using education to meet the minimum qualifications for this position, you must submit a copy of your high school transcripts or college/university transcript(s).

Statement of Qualifications - The Statement of Qualifications (SOQ) is a MANDATORY requirement to apply for this position.