HEALTH CARE ANALYST

The County of Riverside is searching for a Health Care Analyst. The Analyst will be an integral part of the set up of Exclusive Care's Eligibility and Claims System. The ideal candidate will have strong quantitative and analytical skills, an understanding of managed care systems, and the ability to excel under time-sensitive situation. Exclusive Care was created, in 1999, by the County of Riverside as a high value health plan option whose members (over 10,000) pay substantially less than other health plans, in premium and co-payments. Our insurance plan provides nationwide coverage and focuses on health and wellness, disease prevention, and ensuring that excellent hospitals and doctors are available to its members. Exclusive Care offers Retiree Plans, Senior Plans and Out-of-Area Dependent Plans. In Riverside County, the future is bright. With thousands of upcoming job opportunities with the County, there are as many places to take your profession as there are stars in our sky. The County of Riverside is the largest employer in the area, but there's more than a great career to draw you here: with room to grow, a thriving, diverse, and progressive community, and excellent higher education, the opportunities for your life here are equally exciting. Come work in the heart of inland California, and see how great the view is when opportunity is on the horizon.The County of Riverside is committed to promoting the health, well being, safety, economic, and career growth of its many talented and hard-working employees that soars beyond your expectations. The County offers its employees competitive salaries and comprehensive benefits, including one of the very best defined benefit pension plans anywhere. Employees are delighted by our educational support, flex schedules, and a career ladder that promotes professional growth. The Human Resources Department fosters a culture of openness, fairness, innovation and participation, valuing employees' opinions and encouraging their input through a variety of ways including our special employee portal communication web site www.workforceexchange.net , and through formal labor-management committees. SALARY RANGE:Health Care Analyst: $54,269.90 - $72,561.01 - annually Examples Of Duties: The Health Care Analyst Position:* Plan and coordinate quarterly inventory for audit mechanisms, assist with fiscal operations, including preparation of reports and reconciliations. * Research and prepare reports regarding claims, members, medical conditions, and medical provider panel directory. * Research and participate in the evaluation of available health information management systems and implementation of the system. * Analyze and reconcile data concerning health care plan expenses and resources for the purpose of determining necessary actions to reduce cost and enhance the plan. * Integrate, analyze, and compile health care plan budgetary data and departmental reports to assist in the reconciliation and creation of various reports. * Review administrative and operational policies and procedures as needed. * Direct the preparation of, or prepare, reports, studies, and educational materials relating to health insurance benefits. * Facilitate and participate in project management team's to research, investigate, and propose cost-effective means of enhancing the Plan's service, effectiveness and efficiency in administration, service provision and claims management. Typical Qualifications: EDUCATION:Graduation from a recognized college with a Bachelor's degree. EXPERIENCE:Two years of experience in professional managed care or health care system work which must have included as a primary responsibility one or more of the following: health care analysis and research, basic accounting, and balancing and reconciling health care expenses and resources. Supplemental Information: TO APPLY: Email a detailed resume for immediate consideration to Tyrone LaRose at tlarose@rc-hr.com or mail to: Riverside County Human Resources Department Attn: Tyrone La Rose 3403 Tenth Street, Suite 620 Post Office Box 1569 Riverside, CA 92501 Questions? Call Tyrone La Rose (951) 955-5341 Read and follow special application instructions on this posting. If available, click the 'Apply' link located on this page. For instructions on the application process, examinations, Veteran's preference, special accommodation or other employment questions, go back to our Employment page and see our Frequently Asked Questions. All employment offers are contingent upon successful completion of both a pre-employment physical exam, including a drug/alcohol test, and a criminal background investigation, which involves fingerprinting. (A felony or misdemeanor conviction may disqualify the applicant from County employment). For further information regarding this posting, contact: Tyrone LaRose at 951/955-3500 or send an email to TLAROSE@rc-hr.com . For more information, please visit our website at: www.rc-hr.com. EOE.