Manager, Clinical Programs

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 an authentic experience!

The Manager, Clinical Programs designs and implements clinical programs, initiatives, and pilots to strategically advance IEHP strategic priorities and goals to improve quality to members, providers, and hospital partners.

In this role, the Manager, Clinical Programs provides oversight of identified initiatives, including planning, organizing, and collaborating with key internal and external stakeholders.  In this role, the individual also ensures the programs are in line with IEHP strategic quality goals and objectives and are conducted and executed effectively. This position provides support to all hospitals and ancillary services, ensuring that the Joint Operation Meetings are running smoothly, mitigating issues, finding resolution, managing daily operations of the work groups and activities of the team, and working with internal and external stakeholders to leverage their part of the program.

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.

Perks

IEHP 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 salary
• Hybrid schedule
• CalPERS retirement
• State of the art fitness center on-site
• Medical Insurance with Dental and Vision
• Life, short-term, and long-term disability options
• Career advancement opportunities and professional development
• Wellness programs that promote a healthy work-life balance
• Flexible Spending Account – Health Care/Childcare
• CalPERS retirement
• 457(b) option with a contribution match
• Paid life insurance for employees
• Pet care insurance

1. Guide others at a strategic business level to ensure initiatives, programs, or pilots are in line with IEHP strategic goals that foster clinical care transformation.
2. Develop innovative solutions and optimize services in collaboration with internal and external stakeholders (i.e., Hospital Partners, SNFs, PCPs, etc.) that are efficient and effective that better serve Members.
3. Oversee all aspects of program operations: initiation, planning, development, and monitoring.
4. Participate in the research and selection process of vendors.
5. Track contract expectations, communication, budgets, performance metrics and timelines.
6. Prepare, oversee, and review documents that are related to assigned clinical projects.
7. Consult with all levels of senior management, make recommendations, and influence decision making that may involve the creation of new projects or programs to mitigate challenges being experienced.
8. Evaluate the availability of necessary resources for the execution of hospital-related and ancillary-related clinical projects.
9. Leverage cross functional relationships with vendors, hospital partners, external consultants, and IEHP Team Members to review and create programs and services.
10. Collaborate closely with Quality and Compliance for alignment with data reporting and project compliance.
11. Determine key business issues including resolution; take part in procedure/process improvement initiatives and mitigate enterprise risk.
12. Demonstrate thought leadership and cross functional collaboration within the IEHP environment.
13. Hire, train, and manage support staff, while monitoring and evaluating outcomes. Conduct performance reviews of each Team Member within IEHP guidelines.
14. Perform any other duties as required to ensure Health Plan operations and department business needs are successful.

Education & Requirements 

• Minimum of at least five (5) years of prior relevant experience
• Requires at least three (3) years of experience in health plan or hospital setting
• Experience in Quality improvement and utilization management
• Writing clinical procedures and other clinical documents is preferred
• Bachelor’s degree in any Science or Health Related field from an accredited institution required
  • Master’s degree in any Science or Health related field from an accredited institution preferred
• PMP Certification Preferred
• Possession of an active, unrestricted, and unencumbered license issued by appropriate California state board required:
  • LVN
  • RN
  • LCSW/LMFT
  • Other active, unrestricted, and unencumbered related licenses (PT, OT, ST, etc.)
  • In lieu of a professional clinical license, five (5) additional years of hospital operations experience will be accepted (ten (10) years of experience in total including the minimum experience requirements listed above)

Key Qualifications

• Knowledge of:
  • Health Plan or Hospital Federal, State and Accreditation Requirements
  • Care Coordination and Transition Management processes
  • Principles of performance improvement and program design
  • Risks and liabilities, as well as budget and performance metrics
• Good problem-solving, organizational, and leadership skills are required
• Proficient user of basic computer applications for the execution of daily project operations
• Must possess excellent communication skills so as to be able to effectively convey messages across to both study team members and other external parties like vendors and external consultants
• Ability to organize and motivate other members in the project team.
• Must be able to work as part of a team.
• Attention to detail at all times.
• Must be able to work within a dynamic environment, including managing multiple projects, and pivot or change direction as needed.

Start your journey towards a thriving future with IEHP and apply TODAY!

This position is on a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga, CA)