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Location US-CA-Riverside
ID 2024-2996
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!    Under the general direction of the Community Resource Center (CRC) Leadership team, the Fitness Coach will lead a variety of fitness classes, such as Zumba, Yoga, and meditation for IEHP Members and surrounding community to participate in. The Community Resource Center (CRC) Fitness Coach will also provide one-on-one training for Community Resource Center participants regarding one-on-one support of movements and forms, regimens, and fitness and performance goals and will include coordinating group activities onsite.The Community Resource Center (CRC) Fitness Coach will be responsible to report any required maintenance or repairs to CRC leadership while adhering to safety policies and if needed, will provide certified CPR/First Aid.  
Category
Health Services
Position Type
Regular Part-Time
Work Model
On-site
Location US-CA-Victorville
ID 2024-2991
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!    Under the direction of the Community Resource Center (CRC) Leadership team, the Community Resource Center (CRC) Nutrition Coach will lead a variety of nutrition classes consisting of food demonstrations, nutrition education and other nutrition resources, for IEHP Members and surrounding community. The Community Resource Center (CRC) Nutrition Coach will provide one-on-one training for CRC participants by providing personalized support, accountability, encouragement, and celebration on wellness journey to a diverse community and lifestyles.    The Community Resource Center (CRC) Nutrition Coach will coordinate group activities and will teach preset curriculum, implement teaching strategies, monitor, and evaluate student progress and keep accurate student records. The Community Resource Center (CRC) Nutrition Coach will be responsible to report any required maintenance or repairs to CRC leadership while adhering to safety policies and if needed, will provide certified CPR/First Aid.
Category
Health Services
Position Type
Regular Part-Time
Work Model
On-site
Location US-CA-San Bernardino
ID 2024-2990
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!    Under the direction of the Community Resource Center (CRC) Leadership team, the Community Resource Center (CRC) Nutrition Coach will lead a variety of nutrition classes consisting of food demonstrations, nutrition education and other nutrition resources, for IEHP Members and surrounding community. The Community Resource Center (CRC) Nutrition Coach will provide one-on-one training for CRC participants by providing personalized support, accountability, encouragement, and celebration on wellness journey to a diverse community and lifestyles.    The Community Resource Center (CRC) Nutrition Coach will coordinate group activities and will teach preset curriculum, implement teaching strategies, monitor, and evaluate student progress and keep accurate student records. The Community Resource Center (CRC) Nutrition Coach will be responsible to report any required maintenance or repairs to CRC leadership while adhering to safety policies and if needed, will provide certified CPR/First Aid.
Category
Health Services
Position Type
Regular Part-Time
Work Model
On-site
Location US-CA-Rancho Cucamonga
ID 2024-2922
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!   Under the direction of the Application Development Manager, the “Developer II - Applications Development” is responsible for development, modification, and implementation of Inland Empire Health Plan’s internal/external applications.
Category
Information Technology
Position Type
Regular Full-Time
Work Model
Hybrid
Location US-CA-Rancho Cucamonga
ID 2024-2876
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!    Excitingly lead as the Medical Director of Hospital & Ancillary Relations, Steering clinical leadership towards operational and quality improvement. Drive strategic initiative with a dynamic approach, fostering collaboration with health plan and provider leaders. From identifying clinical opportunities to promoting best practices, you’ll enhance care delivery, educate clinicians, and influence legislative impact. In addition to, collaboration with inter-departments to ensure member needs are met while simultaneously building strong peer relationships.  Be at the forefront of quality improvement, ensuring optimal care goals and innovative approaches.
Category
operations
Position Type
Regular Full-Time
Work Model
Hybrid
Location US-CA-Rancho Cucamonga
ID 2024-2874
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 Compensation Analyst is responsible for assisting with the development, evaluation, integrity and overall support of IEHP’s Compensation Administration program and competitive pay practices. Works closely with the Compensation team to effectively administer compensation programs: performance merit increases, internal and external compensation offers, internal equity analysis and any other Team Member compensation changes.  Participates in industry-wide compensation surveys to ensure IEHP’s compensation programs are market competitive and meet plan objectives. Provides guidance and assistance on compensation administration policies and procedures. Ensures compliance with the Fair Labor Standards Act and other applicable laws.
Category
Human Resources
Position Type
Regular Full-Time
Work Model
On-site
Location US-CA-Rancho Cucamonga
ID 2024-2728
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 Health Navigator focuses on the prevention and early intervention as it relates to the Behavioral and whole health continuum of care. The Health Navigator is responsible for Member outreach and navigation support on issues of access and use of IEHP services and programs.  Under the direction of the Manager of Community Behavioral Health & Social Supports and the Supervisor for the Health Navigator Program, the Health Navigator is proactive and responsive to Members’ needs in a friendly and professional manner. The Health Navigator helps individuals overcome barriers and engage in equitable and quality care. This position provides training and will assist in program development for Members in working with community leaders on different levels.
Category
Health Services
Position Type
Regular Full-Time
Work Model
Hybrid
Location US-CA-Rancho Cucamonga
ID 2024-2727
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 Health Navigator focuses on the prevention and early intervention as it relates to the Behavioral and whole health continuum of care. The Health Navigator is responsible for Member outreach and navigation support on issues of access and use of IEHP services and programs.  Under the direction of the Manager of Community Behavioral Health & Social Supports and the Supervisor for the Health Navigator Program, the Health Navigator is proactive and responsive to Members’ needs in a friendly and professional manner. The Health Navigator helps individuals overcome barriers and engage in equitable and quality care. This position provides training and will assist in program development for Members in working with community leaders on different levels.
Category
Health Services
Position Type
Regular Full-Time
Work Model
Hybrid
Location US-CA-
ID 2024-2702
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!   Under the direction of the Department Leadership, the Data Engineer III is responsible for the design, planning and development of IEHP data solutions. The Data Engineer III will lead the design and development of data transformation. This position will be involved in data architecture. The Data Engineer III is expected to lead by example. In this role the Data Engineer III will follow coding standards throughout all aspects of the solution development to produce efficient and high-quality solutions, in addition to collaboration with, inter-departments to ensure member needs are met while simultaneously building strong peer relationships.
Category
Information Technology
Position Type
Regular Full-Time
Work Model
Hybrid
Location US-CA-Victorville
ID 2024-2701
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!    Under the direction of the Community Resource Center Manager, the Community Resource Center Supervisor is primarily responsible for the support in supervising the Community Resource Center and providing oversight of the day-to-day services and operations of the Center. Center services include, but are not limited to, health education and health management classes, workshops, and health screenings, as well as information regarding access to care. The Supervisor will be responsible for assisting to establish measurable goals and outcomes for the Center in collaboration with the Community Resource Center Manager. Assist in the outreach of partnerships related to Center events and offerings to increase awareness in the surrounding community. Serve as the liaison/ambassador to internal and external clients/community partnerships.      Responsible for the Center's activities calendar and ensuring appropriate and efficient utilization is maintained and lead in building and implementation of Quality Assurance Program, instructor evaluation, curriculum design and metrics.  Responsible for supervising all activities ensuring information flow to and from the Center and IEHP headquarter office. Reviews and submits requests for payments, invoices, and other expenses for approval to the Community Resource Center Manager. NOTE: This position includes an Addendum to PART D: POSITION MAJOR FUNCTIONS which will oversee the Fitness Coach, Nutrition Coach and CRC programs.
Category
Health Services
Position Type
Regular Full-Time
Work Model
On-site
Location US-CA-Rancho Cucamonga
ID 2023-2029
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!   This position is responsible for providing actuarial analytic support to various departments and company key initiatives. Serves as a technical consultant and SME to financial analysts and, other departments and on projects.
Category
Accounting/Finance
Position Type
Regular Full-Time
Work Model
Remote
Location US-CA-Rancho Cucamonga
ID 2023-2018
What You Can You 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!     Embark on an exciting journey as an IEHP Intern! Collaborate closely with our business unit, diving into research, data capture, and strategic initiatives. Your role? Dynamic administrative support, resolving business issues with cutting-edge systems and data analysis. Be the driving force in generating and maintaining a crucial records for departmental use. Join us and be a part of an internship that promises hands-on experience and meaningful contributions to strategic business initiatives!
Category
Intern
Position Type
Intern
Work Model
Hybrid
Location US-CA-Rancho Cucamonga
ID 2023-2008
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!   Under the general direction of the Community Resource Center (CRC) Supervisor and Manager, the Community Resource Center Coordinator is responsible for working directly with the CRC Management Team to assist in facilitating and supporting Community Resource Center daily activities. The Community Resource Center Coordinator will be a proactive team player who is also able to work independently, build rapport with diverse IEHP members, the general community and local partner agencies. The Community Resource Center Coordinator will be proactive and responsive to Members’ needs in a friendly and professional manner. Not all duties and responsibilities will apply to all centers. Team Member should be able to perform the job functions under the major duties/responsibilities regardless of location.
Category
Health Services
Position Type
Regular Full-Time
Work Model
On-site
Location US-CA-Rancho Cucamonga
ID 2023-2000
What you can expect!      This position is responsible for performing actuarial analytic support to the department that helps drive company key initiatives.
Category
Accounting/Finance
Position Type
Regular Full-Time
Work Model
Remote
Location US-CA-Rancho Cucamonga
ID 2023-1991
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!    Under the general supervision of the Enhanced Care Management Department Leadership this position is responsible for working effectively with the Enhanced Care Management team (ECM) to provide high quality, effective care management to IEHP members. Care management is broadly defined, and can include outreach and engagement to Members, engaging members in skilled therapeutic interactions to promote health behaviors, other behavioral health interventions within scope, coordination of care, resource linkages, working with other professionals and organizations in the community to ensure quality of care for members, seamless transitions of care, and facilitating the right care and the right time for the member. This position works collaboratively with members of the Enhanced Care Management Team (ECM), Members and families, and other professionals, in addition to working collaboratively with the designated health care organization (HCO) medical team. This position, like all positions within IEHP, is expected to model whole health principles of relationship-based care, as well engage in promoting education and understanding of physical health and healthy behaviors to those within IEHP and in the community.   
Category
Health Services
Position Type
Regular Full-Time
Work Model
Remote
Location US-CA-Rancho Cucamonga
ID 2023-1984
What you can expect!     Under the direction of the Supervisor, Clinical Quality Improvement, the HEDIS Improvement Nurse provides support to the Supervisor, Clinical Quality Improvement and IEHP departments on HEDIS improvement related issues, serving as a resource for internal and external customers. Is able to interpret clinical data for QI-related studies for medical management. This position maintains a working knowledge of the current medical management system (MedHOK), business processes and workflows. Maintains summarized information for Quality Systems related to modified and new regulatory requirements for medical management from DHCS, DMHC and CMS.
Category
Development
Position Type
Regular Full-Time
Work Model
Hybrid
Location US-CA-Rancho Cucamonga
ID 2023-1981
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!   Under the direction of the Manager, Facilities - Projects, the project manager will be responsible for managing large scale construction and building programs and projects through the full life cycle within the set timeline, budget, and specifications while achieving the intended benefits and outcomes.  The position will work with senior leaders in Facilities and across the organization to ensure the initiatives are successfully implemented and benefits are obtained.  The project manager will be responsible for ensuring the initiatives are aligned to strategy, governed efficiently, critical stakeholders are engaged, core tactics are being developed and followed, Key Performance Indicators (KPIs) are created and monitored, and appropriate communications and documentation is completed.  The position will provide expertise and knowledge to project/program management processes.  The initiatives assigned for the project manager will be high priority and mid-high complexity and will represent business objectives in support of enterprise-wide deployments and be able to communicate to broad groups of stakeholders including executives. 
Category
Accounting/Finance
Position Type
Regular Full-Time
Work Model
On-site
Location US-CA-Rancho Cucamonga
ID 2023-1979
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, UM Regulatory & Compliance - CCA is responsible for the coordination, implementation, and oversight of the IEHP’s overall Utilization Management Out-Patient Operations departmental clinical and operational compliance with regulatory requirements and quality assurance initiatives related to utilization management out-patient activities (e.g., Prior Authorization, UM Call Center operations). This position will also oversee delegate clinical and operational compliance with regulatory requirements and quality assurance initiatives related to utilization management out-patient activities. This role is responsible for the oversight/generation of all Utilization Management preservice regulatory correspondence including delivery and content. This role will assist the Director, UM Operations with the implementation and revision of policies and standards. This role requires collaboration and communication with various departments that share Utilization Management functions. This role will inspire and influence the team towards cultural transformation of the department through continuous improvement.
Category
Health Services
Position Type
Regular Full-Time
Work Model
Hybrid
Location US-CA-Rancho Cucamonga
ID 2023-1971
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!    Under the direct supervision of the Enhanced Care Management Department Leadership, the Community Health Worker - ECM (CHW-ECM) will be responsible for supporting Members in improving their whole health, through outreach and engagement activities, which are primarily field based. The CHW - ECM works closely and collaboratively with the Enhanced Care Management team (ECM), as well as with the designated HCO medical teams, to ensure high quality and seamless care for Members. 
Category
Health Services
Position Type
Regular Full-Time
Work Model
Remote
Location US-CA-Rancho Cucamonga
ID 2023-1939
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 Medical Director of Behavioral Health is responsible for clinical oversight, clinical leadership, and partnership in the management of the IEHP behavioral health activities in all lines of business. Areas of oversight for this position include, but are not limited to, case management, quality management, utilization management (UM), and grievance and appeals and committee participation. The Medical Director of Behavioral Health oversees the inpatient/concurrent review process, care integration efforts, and all levels of behavioral health care provided to IEHP Members. The Medical Director coordinates care with the County Mental Health Plans that are responsible for the care of the population with a Serious Mental Illness (SMI), the County Alcohol and Drug Program, as well as all IEHP community and provider partners.  
Category
Health Services
Position Type
Regular Full-Time
Work Model
Hybrid
Location US-CA-
ID 2023-1921
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!   Under the direction of the Manager, Quality Management Nurses, Quality Program Nurse (QPN), RN is responsible for the implementation of Quality Management policies, procedures, and activities. Quality Program Nurse, RN enforce DHCS regulatory requirements as pertaining to Facility Site Review (FSR) and Medical Record Review (MRR) criteria.
Category
Development
Position Type
Regular Full-Time
Work Model
Remote
Location US-CA-Rancho Cucamonga
ID 2023-1900
What You Can You 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 Analyst III – Policy & Regulatory Operations is responsible for Local, State, Federal, contractual and accreditation requirements interpretation, gap analysis, project scope development and initiation, resource planning, risk identification and mitigation, and project implementation, as well as timely comprehensive development, review and maintenance of internal and Provider policies, and other regulatory documents. To do these effectively, the Analyst III – Policy & Regulatory Operations must have a demonstrated understanding of IEHP business operations and responsibilities of various departments in Health Services, Quality Systems, Provider Services, and Member Services; subject matter expertise of these departments’ policies and procedures and the regulations that drive their business operations and demonstrated ability to effectively and consistently manage multiple projects and priorities concurrently.
Category
operations
Position Type
Regular Full-Time
Work Model
Hybrid
Location US-CA-Rancho Cucamonga
ID 2023-1874
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 Analyst II - Actuarial Services is responsible for performing actuarial analytic support to the department that helps drive IEHP key initiatives. Supports on-going analyses of financial, budgetary, or medical claims data, through forecasting, statistical analyses, trending, regression analyses, risk assessment, and utilization assessment. Identifies key issues and trends and brings them to the attention of higher-level staff members, in addition to collaboration with, inter-departments to ensure member needs are met while simultaneously building strong peer relationships.
Category
Accounting/Finance
Position Type
Regular Full-Time
Work Model
Remote
Location US-CA-Rancho Cucamonga
ID 2023-1871
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!   Under the direction of the Claims Oversight Supervisor, the Internal Claims Oversight Auditor is responsible for ensuring the compliance of IEHP’s claims payment system and processes by auditing claim payments using standard principles and State and Federal regulations. The auditors are also responsible for documenting and reporting findings and ensuring appropriate actions have been taken to resolve payment issues with the affected departments within IEHP, in addition to collaboration with, inter-departments to ensure member needs are met while simultaneously building strong peer relationships.
Category
Accounting/Finance
Position Type
Regular Full-Time
Work Model
Remote
Location US-CA-
ID 2023-1865
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!   Under the direction of the Claims Manager and Supervisor, the Claims Processor Level III is responsible for processing complex claims (professional and institutional). This includes but is not limited to; COB high dollar, dialysis, oncology/chemo, hospital exclusions and claim adjustments in an accurate and expedient manner, in addition to collaboration with, inter-departments to ensure member needs are met while simultaneously building strong peer relationships.
Category
Customer Service/Support
Position Type
Regular Full-Time
Work Model
Remote
Location US-CA-Rancho Cucamonga
ID 2023-1856
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 Analyst II - Policy & Regulatory Operations is responsible for Local, State, Federal, contractual and accreditation requirements interpretation, gap analysis, project scope develop and initiation, resource planning, risk identification and project implementation, as well as timely comprehensive review and maintenance of internal and Provider policies. In addition to collaboration with, inter-departments to ensure member needs are met while simultaneously building strong peer relationships.
Category
Customer Service/Support
Position Type
Regular Full-Time
Work Model
Hybrid
Location US-CA-Rancho Cucamonga
ID 2023-1855
What You Can You 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!     Under the direction of the Manager, Compute & Collaboration, the Engineer III - Linux & Cloud would be responsible for helping in the design, configuration, and maintenance of IEHP’s virtualized RHEL, Oracle Linux, and other Linux based systems. This role will also be responsible for design, configuration, implementation, and maintenance of IEHP’s Azure environment. 
Category
Information Technology
Position Type
Regular Full-Time
Work Model
Hybrid
Location US-CA-Rancho Cucamonga
ID 2023-1854
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 Analyst II, Regulatory Affairs has experience with and performs key centralized complex and difficult regulatory activities for the Compliance Department.  Team Members in this position ensure plan operations, processes, procedures, policies, etc. are in compliance with regulatory agencies, including but not limited to, Covered California, the Centers for Medicare and Medicaid Services (CMS), the California Department of Health Care Services (DHCS), and the California Department of Managed Health Care (DMHC), in addition to collaboration with, inter-departments to ensure member needs are met while simultaneously building strong peer relationships.
Category
operations
Position Type
Regular Full-Time
Work Model
Hybrid
Location US-CA-Rancho Cucamonga
ID 2023-1852
What You Can You 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!   As the Privacy Investigator I, play a crucial role under the Special investigation Iunit Manager. Conduct dynamic investigation, ensuring compliance with HIPAA, HITECH, and other regulations. From addressing privacy incidents to contributing to program goals, you’ll be at the forefront. Armed with knowledge, you will identify any risks, issue corrective action plans, and contribute to special projects. In addition to, collaboration with inter-departments to ensure member needs are met while simultaneously building strong peer relationships.
Category
operations
Position Type
Regular Full-Time
Work Model
Hybrid
Location US-CA-Rancho Cucamonga
ID 2023-1851
What You Can You 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 role of an Engineer III - Quality Assurance at IEHP is to Lead Quality Assurance efforts on the implementation of large complex third-party software products / homegrown software products across the organization and provide Quality Assurance support to various departments in IT. Support testing efforts within an agile team and execute all levels of testing (Functional, API testing, Data Validation, Integration, and Regression). Responsible for interfacing with end users to understand requirements (Business Analysis) and in some cases ascertain areas of improvement, such as cost reduction solutions and automation solutions. Perform ETL tests which require strong PL/SQL Skills and Data warehousing knowledge.
Category
Information Technology
Position Type
Regular Full-Time
Work Model
Hybrid
Location US-CA-Rancho Cucamonga
ID 2023-1850
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 Analyst III – Compliance Program has expert knowledge and performs key Compliance Program activities of complex difficulty. Team Members in this position are responsible for contributing to and leading in the development and implementation of the Compliance Program through operational processes, special projects, and the seven (7) elements of an effective compliance program, in addition to collaboration with, inter-departments to ensure member needs are met while simultaneously building strong peer relationships.   Additional Key Responsibilities:   1 Leads the development and implementation of organization-wide project initiatives for the Compliance Department; including but not limited to technical/analytical support, creation of project timelines, identification of project deliverables, and oversight of the overall status of the project. 2. Effectively manage multiple projects concurrently. Provide strategic project management leadership and direction to develop and lead cross-functional work groups to accomplish projects. Provide creative, results driven, and self-motivated solutions to timely execute projects. 3. Lead and ensure project development and prioritizes needs; define project scopes, goals and deliverables. Pro-actively manage projects to successful conclusion and report status utilizing standard tools including project milestones, project plans and reports. Effectively communicate the status of assigned projects to Executive Leadership including risks, issues, barriers identified and recommend solutions. 4. Contribute to internal work plan by identifying areas of non-compliance and developing recommendations and solutions to ensure program effectiveness. 5. Triage complex compliance issues and inquiries from departments and units, understand the underlying intent of the questions and perform necessary research and analysis to provide accurate responses and recommendations. Lead workgroups to ensure adherence with guidance and recommendations. 6. Proactively identify areas of improvement for the Compliance Department and lead the development of performance improvement initiatives. 7. Obtain an understanding of the various systems and data sources utilized by the Plan. Develop tools, templates, and resources to manage projects and identify risks, issues, and barriers. Leads workgroups to ensure compliance and recommended solutions are included in the process and/or operational improvements implemented by the business departments and units. 8. Leads and facilitates compliance program effectiveness through:   a. Proactively identifying policy development and revisions required for the general operation of the Compliance Program and related activities.   b. Develop comprehensive reports to the Governing Board, partnering with peers to ensure all necessary information is communicated to the Governing Board allowing the Board to exercise reasonable oversight of the Compliance Program.   c. Develop Compliance Committee reports which includes ensuring relevant and necessary information is presented to allow the Committee to support and advise the Compliance Program.   d. Develop and collaborate in the Compliance, FWA, and Privacy Training to ensure the staff is knowledgeable of and complies with applicable Federal, State, and industry standards.   e. Develop and lead the Compliance Program Communication Plan and awareness campaigns.   f. Conduct and/or lead complex investigations concerning compliance issues.   g. Develop and monitor program/department dashboards, corrective action plans, and other monitoring activities to ensure risks are mitigated. 9. Lead, facilitate, and participate in relevant committees and work groups; create presentations, prepare reports, data, or other materials for presenting and training. 10. Prepare for and participate in audits; draft audit responses and reports as needed.
Category
Customer Service/Support
Position Type
Regular Full-Time
Work Model
Hybrid
Location US-CA-Rancho Cucamonga
ID 2023-1846
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 of Domain data services is a dynamic leader spearheading innovation in data and analytics. They collaborate with business units, and analytics. They collaborate with business units, championing scalable solutions and tools for efficient data management. This visionary manager explores cutting-edge data science techniques, driving IEHP’s data strategy and ensuring compliance with regulatory requirements. This role is the forefront of transforming data into a powerful asset for informed decision-making and streamlined operations. In addition to, collaboration with inter-departments to ensure member needs are met while simultaneously building strong peer relationships.
Category
Information Technology
Position Type
Regular Full-Time
Work Model
Hybrid
Location US-CA-Rancho Cucamonga
ID 2023-1839
What You Can You 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 Quality Systems Analyst I, under the guidance of the Quality Systems Leadership Team, brings excitement to IEHP’s Medical Services through advanced analytics and reporting. Using tools like Tableau and SAS, they design reports, analyze data trends, and ensure timely, accurate project completion. This analyst collaborates across departments, understanding business operations and regulatory requirements, to deliver meaningful insights. With a commitment to LEAN principles, the Quality Systems Analyst I establish effective relationships and contributes to IEHP’s data-driven success.
Category
Quality
Position Type
Regular Full-Time
Work Model
Hybrid
Location US-CA-Rancho Cucamonga
ID 2023-1837
What You Can You 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 Quality Improvement Facilitator drives dynamic initiatives, collaborating with the quality team to implement improvements efficiently. With expertise in quality improvement concepts and project management, they contribute to reports, educate teams, and identifying improvement opportunities. Utilizing NCQA guidelines, they bridge gaps, contribute to organizational infrastructure, and maintain effective communication for a successful Quality Improvement Program.
Category
Development
Position Type
Regular Full-Time
Work Model
Hybrid
Location US-CA-Rancho Cucamonga
ID 2023-1832
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!   Under the general supervision of the Care Management (CM) Manager and direct supervision of the CM Coordinator Supervisor, the CM Coordinator is responsible for advocating, facilitating, and supporting care management activities, in addition to collaboration with, inter-departments to ensure member needs are met while simultaneously building strong peer relationships.
Category
Health Services
Position Type
Regular Full-Time
Work Model
Hybrid
Location US-CA-Rancho Cucamonga
ID 2023-1828
  What You Can You 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!       Be the data maestro! As a Healthcare Data Analyst, you’ll decode data mysteries, wielding Microsoft Apps, SAS, and SPSS like magic wands. Craft reports with ninja precision, analyze trends and save the day for Health Plan heroes. Your mission? Juggle projects, crack complex codes, and turn data into strategic gold at IEHP. In addition, collaboration with inter-departments to ensure member needs are met while simultaneously building strong.
Category
Development
Position Type
Regular Full-Time
Work Model
Hybrid
Location US-CA-Rancho Cucamonga
ID 2023-1825
  What You Can You 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!         Spearhead analysis and reporting for Health Plan’s elite teams. Mastermind of relational databases, strategic magic, and impactful presentations. From decoding complex data to designing payment algorithms, you’re the strategic force behind IEHP’s quality programs. Lead, analyze, and present. In addition, collaboration with inter-departments to ensure member needs are met while simultaneously building strong peer relationships.
Category
Health Services
Position Type
Regular Full-Time
Work Model
Hybrid
Location US-CA-Rancho Cucamonga
ID 2023-1824
What You Can You 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 Solution Developer II - Automation & Innovation Management will focus on key technology domains including business process automation, data curation, industrialized analytics, machine learning & Artificial Intelligence and scalable delivery platform. As a member of the Automation and Innovation Center of Excellence (COE), you'll work as part of a team of problem solvers, helping to solve complex business issues from strategy to execution while contributing to the automation development best practices. Work with Quality Engineering to ensure automated solutions meet the needs, criteria, and business rules and regulations. This position will collaborate with information technology security to ensure the highest product security standards are met.
Category
Information Technology
Position Type
Regular Full-Time
Work Model
Hybrid
Location US-CA-Rancho Cucamonga
ID 2023-1819
What You Can You 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 Quality Improvement Facilitator III, under the Management guidance, leads exciting, independent initiatives shaping IEHP’s performance. With a deep understanding of strategic priorities, they consult, coach, and onboard team members, driving impactful improvements. This facilitator takes change of complex projects, translate data into actionable insights, and serve as a liaison with regulatory agencies. By monitoring industry trends and prioritizing resources effectively they ensure IEHP maintains a cutting-edge Quality Improvement Program.
Category
Development
Position Type
Regular Full-Time
Work Model
Hybrid
Location US-CA-Rancho Cucamonga
ID 2023-1811
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 Engineer III - Test Data Management is the lead position assisting the Manager, Technical Test Data & Environment in leading the enterprise-level test data Management (ensuring the protection of PHI data) on several Test environments. It consists of using procedures, data masking tools, and resources to manage multiple components like software, hardware, test data, and applications. This position works in collaboration with TEM Engineers to ensure Test Environments are ready with necessary test data for Test execution and Delivery teams on all IT projects. This is a senior position and trains and guides Engineer I/IIs in the Test Data management area. In addition, collaboration with inter-departments to ensure member needs are met while simultaneously building strong peer relationships.
Category
Information Technology
Position Type
Regular Full-Time
Work Model
Hybrid
Location US-CA-Rancho Cucamonga
ID 2023-1807
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 Engineer III - Problem & Configuration will be reporting to the Manager, IT Service Management and will be responsible to manage IEHP’s IT Problem and configuration management process/activities (ITAM/CMDB). Responsible for implementing and managing Problem management process day to day activities, responsible for the IT Asset management, Software licensing and CMDB setup on the ITSM platform. The position will lead problem review boards, Root Cause Analysis (RCA) and provide team oversight and guidance to ensure process adherence with IEHP’s approved change process, methods, procedures, and standard. Implement configuration management discipline for the entire life cycle of systems and software from initial requirements/capabilities baselines to system end-of-life including documenting in the Asset management tool, in addition to collaboration with, inter-departments to ensure member needs are met while simultaneously building strong peer relationships.
Category
Information Technology
Position Type
Regular Full-Time
Work Model
Hybrid
Location US-CA-Rancho Cucamonga
ID 2023-1802
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!   Under the direction of the Supervisor, Integrated Operations, Engineer II, Technology – Integrated Operations will be focused on overall monitoring of the Infrastructure/Application landscape and L1/L2 support and troubleshooting activities including but not limited to patch management, capacity management, health checks, troubleshoot escalated tickets from Service Desk, initial triage of all alerts from various monitoring systems.  The Engineer II, Technology – Integrated Operations will manage, maintain, and troubleshoot IEHP’s observability tools, in addition to collaboration with, inter-departments to ensure member needs are met while simultaneously building strong peer relationships.
Category
Information Technology
Position Type
Regular Full-Time
Work Model
Hybrid
Location US-CA-Rancho Cucamonga
ID 2023-1801
What You Can You 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 dynamic IT Business Systems Analyst uses cutting-edge analytical techniques to guide IT and Business Departments, solving technical challenges for exciting medium to complex projects. From crafting innovative system documentation to fostering powerful liaisons among stakeholders, this role delves into business strategies, leads investigations, and shapes the future with creative IT solutions. In addition, collaboration with inter-departments to ensure member needs are met while simultaneously building strong peer relationships.
Category
Information Technology
Position Type
Regular Full-Time
Work Model
Hybrid
Location US-CA-Rancho Cucamonga
ID 2023-1800
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! Under the general supervision of the Manager and direct supervision of the Care Management Supervisor, this position is responsible for working effectively with Integrated Care Team to provide high quality, effective care management to IEHP members. Care management is broadly defined, and can include outreach and engagement to members, engaging members in skilled therapeutic interactions to promote health behaviors, other behavioral health interventions within scope, coordination of care, resource linkages, working with other professionals and organizations in the community to ensure quality of care for members, seamless transitions of care, and facilitating the right care and the right time for the member.  This position works collaboratively with members of the Integrated Care Team, members and families, and other professionals, in addition to working collaboratively with the designated health care organization’s (HCO) medical team. This position, like all positions within IEHP, is expected to model whole health principles of relationship-based care, as well engage in promoting education and understanding of physical health and healthy behaviors to those within IEHP and in the community.
Category
Health Services
Position Type
Regular Full-Time
Work Model
Hybrid
Location US-CA-Rancho Cucamonga
ID 2023-1797
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!   Under the direction of the Behavioral Health and Care Management Leadership, this position provides high quality, effective care management to IEHP members. Care Management is broadly defined, and can include outreach and engagement to members, engaging members in skilled therapeutic interactions to promote health behaviors, coordination of care, resource linkages, working with other professionals and organizations in the community to ensure quality of care for members, seamless transitions of care, and facilitating the right care and the right time for the member.  This position works collaboratively with members of their own team, members and families, and other professionals.  As a licensed clinician, this position provides clinical expertise, clinical leadership, and clinical oversight in a variety of ways within the Behavioral Health and Care management departments. This position, like all positions within the Behavioral Health Department, is expected to model behavioral health principles of relationship-based care, as well engage in promoting education and understanding of behavioral health and its importance in whole health, to those within IEHP and in the community.
Category
Health Services
Position Type
Regular Full-Time
Work Model
Hybrid
Location US-CA-Rancho Cucamonga
ID 2023-1794
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 Business Relationship Manager (BRM) is responsible for ensuring business project requests are aligned to IEHP strategic goals, initiatives, and efforts. As a liaison with IEHP business and Compliance units, the BRM is dedicated to foster productive, value-producing relationship between business and IT by aiming for customer satisfaction and understanding and relaying customer needs to the IT team. By adopting a customer-centric approach this position will assist IT Strategic Programs leadership to advance technology agenda aligning business strategy and goals. The BRM will work regulatory, statutory & strategic programs and policies in collaboration with Program Managers and IT Leadership Team. The BRM is responsible for ensuring projects, work plans, and initiatives are implemented meeting business goals and objectives, in addition to collaboration with, inter-departments to ensure member needs are met while simultaneously building strong peer relationships.
Category
Information Technology
Position Type
Regular Full-Time
Work Model
Hybrid
Location US-CA-Rancho Cucamonga
ID 2023-1793
What You Can You 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!      Embark on an exciting journey as the Manager, UX Design, shaping sophisticated digital experiences across web, mobile, and desktop channels. Be the driving force in user- centered design, leading a dynamic tram, and collaborating with stakeholders to enhance user journeys. Your role involves being a subject matter expert, leading UX designers, and fostering a culture of UX advocacy within IEHP. Dive into hands on-UX design, manage user research, and present compelling UX deliverables, influencing a design leadership culture.
Category
Information Technology
Position Type
Regular Full-Time
Work Model
Hybrid
Location US-CA-Rancho Cucamonga
ID 2023-1790
What You Can You 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!   Lead a dynamic team of Integration/Interoperability Engineers as the Manager of data Integration & Interoperability! Drive system-to-system integrations and real-time interoperability with external EMR’s and health systems. Navigate client discussions, directing engineers to obtain, transform, and maintain data while ensuring adherence to data management standards.
Category
Information Technology
Position Type
Regular Full-Time
Work Model
Hybrid
Location US-CA-Rancho Cucamonga
ID 2023-1779
What You Can You 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!   As the Supervisor, UM Regulatory & Compliance, you play a pivotal role in ensuring the success, productivity, and regulatory compliance for Prior Authorization process within Utilization Management Out-Patient Services. You lead quality audits, provide clinical oversight, and mentor the team to deliver high-quality, cost-effective services. Your dynamic role involves interpreting compliance requirements, collaborating with leaders, and actively participating in process enhancements and LEAN projects. It’s an exciting position where you drive excellence, navigate regulatory landscapes, and shape the future of efficient healthcare operations.
Category
Health Services
Position Type
Regular Full-Time
Work Model
Hybrid
Location US-CA-Rancho Cucamonga
ID 2023-1516
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!   Under the direction of the Manager, Information Security Operations, the Engineer III – Security Analyst will use subject matter expertise to give guidance, best practices, and support to business and technology stakeholders during the deployment of critical business and technology initiatives. The role will have a deep understanding of global threat actors and their tactics, techniques, and procedures employed during cyberattacks.   The Security Analyst will be subject matter expert in cybersecurity and maintain documentation related to policies, standards, and procedures; mentor team members; and provide consultative services to teams and stakeholders to improve the security posture of their environments and perform general cybersecurity engineering functions.   This position will support various Information Technology Security functional areas related to one or more of the following: Application Security, Security Operations and Vulnerability. In addition, collaboration with inter-departments to ensure member needs are met while simultaneously building strong peer relationships.
Category
Information Technology
Position Type
Regular Full-Time
Work Model
Hybrid

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