Network Adequacy and Access Analyst
Community Health Group · chgsd.com
Chula Vista
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The job in short
Healthcare network adequacy analysis.
Details
- Found
- 5 d ago · posted 2026-10-20
- Location as listed
- Chula Vista, CA, USA
- Role
- Specialist / Analyst (other)
- Source
- The company’s own careers site
Full description
Job Details: Job Location: Corporate Headquarters - Chula Vista, CA, Position Type: Full Time, Salary Range: $24.96 - $27.46Hourly, POSITION SUMMARY
This position will work with other departments and providers in order to comply with Timely Access standards and regulatory reports requirements. The Analyst will ensure adherence to regulations by overlooking Timely Access Plan activities and reporting outcomes to the Director of Customer Experience.
COMPLIANCE WITH REGULATIONS:
Works closely with all departments necessary to ensure that the processes, programs, and deliverables are accomplished in a timely and efficient manner in accordance with CHG policies and procedures and in compliance with applicable state and federal regulations including CMS, DHCS and DMHC. Implements key quality strategies, which may include but are not limited to initiation and management of providers and corrective action plans.
RESPONSIBILITIES
DMHC- Execution of Timely Access and Availability Program. Conducts
Year over Year analysis and lessons learned (annual)
Conducts PAAS ensuring all steps of the DMHC methodology are followed
Updates Provider Contact Information for PAAS
DHCS 274 File- Execution of Timely Access and Availability Program (quarterly)
Pre-Natal- Execution of Timely Access and Availability Program (annual)
Includes secret shopping
Responsible for CAP follow-ups and re-measurement of non-compliant and trending providers
Owner of Timely Access policies and procedures
Timely Access BPG Updates
Facilitates Timely Access Work Group meetings
Point of Contact for Third-Party Vendor activities (e.g. contract renewal, validation, file uploads)
Responsible for Narrative for Contact Lists
Responsible for Narrative for ANPRs
Oversees Progress and Completion of Timely Access Report
Deliverables and Ensures Accuracy
Grievance Template
Contact Lists
External Vendor Validation Report
Communicates and works with Compliance Department to research, investigate, or implement any Timely Access updates/communication from Regulators
Analyzes and Trends Access Related Grievances
Analyzes and Trends Access Related Inquiries; identifies opportunities for provider re-training
Analyzes referral patterns to identify opportunities to optimize distribution
Identifies opportunities to add PCPs, Specialists, Ancillary, NPMH Providers
Provider Newsletter Articles- Timely Access Standards & other reminders
Member Newsletter Articles- Timely Access Standards & other reminders
Conducts onboarding and ongoing training of staff and providers in regards to appointment availability standards
Qualifications: Education:
Bachelors Degree
Experience:
Knowledge of DMHC and DHCS Access and Availability Standards and methodology
Experience with CAP monitoring and follow-up activities
Experience with Regulatory Audits and meeting deadlines
Extensive experience working with providers; management and executive staff
Skills:
Excellent verbal and written communication skills
Strong interpersonal skills
Knowledge of regulatory processes and expectations
Ability to manage multiple projects at any given time
Ability to deal with sudden and upcoming changes and deadlines
Physical Requirements
Prolonged periods of (up to 100%) sitting while performing duties
Periodic (up to 25%) standing and walking
Occasional traveling
May be required to work evenings and/or weekends.
The above statements describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.
All qualified applicants will receive consideration for employment based on merit, without regard to race, color, religion, sex, national origin, disability, protected Veteran Status, or any other characteristic protected by applicable federal, state, or local law.
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