Health Services Evaluator - Quality Systems

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 anauthentic experience!Under the direction of the Manager of Health Services Evaluation, the Health Services Evaluator - Quality Systems will support the development, implementation and evaluation of intermediate to moderate levels of complex technical and analytical research and quality improvement projects to support the quality improvement efforts at IEHP. The Health Services Evaluator - Quality Systems will measure the effectiveness of programs in alignment with the organizational mission, vision, and values. The person in this role will support the design, implementation, and evaluation of programs across departments and provide expertise in designing and developing program evaluation tools, collecting, and analyzing program data, interpreting findings, and recommending program changes. The Health Services Evaluator - Quality Systems will work with a team of evaluators, data analysts, and healthcare informatics specialists to model complex healthcare related problems, discover insights and identify opportunities through the use of statistical, algorithmic, mining and visualization techniques to support business decision-making.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.PerksIEHP 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 salaryState of the art fitness center on-siteMedical Insurance with Dental and VisionLife, short-term, and long-term disability optionsCareer advancement opportunities and professional developmentWellness programs that promote a healthy work-life balanceFlexible Spending Account - Health Care/ChildcareCalPERS retirement457(b) option with a contribution matchPaid life insurance for employeesPet care insuranceEvaluate the effectiveness of programs and service delivery through outcome monitoring and data analysis. Compare desired and actual program outcomes and suggest changes based on findingsDevelop and facilitate new and ongoing processes in all areas of program evaluation, serving as lead evaluator of small- and large-scale projects. Responsible for providing expertise in program design, implementation, and revision, with a focus on evaluating outcomesWork closely with business units across the organization to make data-informed decisions regarding programs. This includes designing and implementing studies, conducting quantitative and qualitative data collection and analysis, performing descriptive and inferential statistics, writing reports, and disseminating findings for multiple audiencesSupport the collaborative work of Quality Systems in a variety of evaluation, data collection, analysis, and reporting tasks, including preparing presentation and written materials for reports, regulatory requirements, Quality Programs, audits, and internal and external stakeholder meetingsMust have advanced analytic skills to contribute to the integration and preparation of large, varied datasets, work in specialized databases and computing environments, and communicate results which are compliant with IEHP business rules and reporting requirementsServe as the project lead on moderately complex analysis/reporting projects and multi-departmental projects assigned to the Health Services Evaluation Unit. Responsible for coordinating and managing all aspects of program evaluation, program effectiveness studies, data analysis, and related support tasks, including the collaborative efforts of multiple teamsModel and frame business scenarios that will have meaningful impact on critical business processes and/or decisions for the health services department and other departments across the organizationAcquire and maintain updated knowledge of the various data sources available within IEHP for reporting, as well as a clear understanding of IEHP business operations, to be able to appropriately apply criteria and methodology to meet requestors’ needsCollaborate with staff at all levels to solve analytics issues, documenting results and methodologiesCoordinate and manage the collection, delivery, entry, verification, analysis, and reporting of data that support Health Services initiativesCollaborate with data teams to ensure that information used follows the organization’s compliance, access management, and control standardsProvide support to the ongoing tracking and monitoring of the performance of decision systems and statistical models that support Health Services initiativesDemonstrate proficiency in use of statistical software to analyze complex data and interpret resultsPlan and coordinate all aspects of major research programs across multiple clinical departments at IEHP. Support inter-disciplinary, inter-institutional, and inter-sectoral research collaborationsApply specialized knowledge and scientific principles to review, critically appraise and interpret published literatureEducation & RequirementMinimum of two (2) years of program evaluation experience with relevant quantitative and qualitative research and analytics experienceExtensive utilization experience in Microsoft Access, SAS, and Excel are essentialExperience in the healthcare field is preferred. Experience in program development, implementation, and/or management is preferredDoctoral degree in Public Health or related field from an accredited institution is requiredOne (1) of the following scenarios will be accepted in lieu of a Doctoral Degree:Candidates with near completion of their Doctoral Degree in the field of Public Health or related field will be required to complete Doctoral Degree within twelve (12) months of hireIn lieu of a Doctorate degree, a minimum of a Master's degree and two (2) years of additional relevant work experience is required for this position. This experience is in addition to the minimum years listed in the Experience Requirements aboveKey Qualifications Proficiency using statistical packages (such as SAS, SPSS, R, Microsoft Access) and in statistical analysis, quantitative and qualitative analytics, forecasting/predictive analytics, multivariate testing, and optimization algorithmsIn-depth knowledge in program and evaluation design and data collection and analysisFamiliarity with and ability to learn ICD-9/ICD-10/CPT/HCPCS/NDC medical coding, medical terminology, and knowledge of managed care, claims payment processes and insurance terminologyCompliance with Healthcare Regulations. Knowledge of HIPAA. Medical Coding and BillingGood communication and interpersonal skills requiredComputer (Microsoft Office)Business AcumenCommunication (Written and Verbal) Data AnalysisInterpersonal NetworkingResearch and StatisticsCritical ThinkingOral PresentationProfessional demeanor for interacting with business units, senior leaders, and external stakeholdersThe ability to inform solutions to loosely defined business problemsDemonstrate ability to think creatively and critically and apply theoretical knowledge into practiceManage multiple projects and requests in a time-sensitive and deadline-driven environmentStrong attention to detail.Start your journey towards a thriving future with IEHP and apply TODAY!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.USD $118,601.60 - USD $157,144.00 /Yr.

Created: 2026-04-08