Health Plan of San Mateo job in South San Francisco, CA
will work 100% onsite at 801 Gateway Blvd., South San Francisco, CA Under direct supervision, respond to HPSM member and provider inquiries by telephone and other communication channels, providing members with comprehensive support regarding health plan benefits and services. Acts as the primary point of contact for members, delivering prompt, accurate, and courteous assistance via telephone and other communication channels, whether for general inquiries, concerns, or information requests about HPSM programs, services, eligibility or benefits.
Duties & Responsibilities
Essential Functions:
Handle inbound and outbound calls and other communications in a high-volume environment, providing excellent customer service and professionalism, in accordance with established policies and procedures, and meeting established performance and quality metrics.
Adhere to established guidelines, call scripts, and resources to address member and provider inquiries; this includes maintaining the confidentiality of member information and complying with HIPAA and other relevant regulations. For non-routine inquiries, leverage available resources and expertise to resolve issues that fall outside standard protocols or HPSM's defined scope.
Resolve concerns accurately, promptly, professionally, and with cultural competence; ensure that explanations are appropriate to the member's level of understanding and knowledge.
Intake, handle and coordinate member grievances, appeals and billing issues, escalating to the Grievance and Appeals department, when necessary.
Educate members and providers about eligibility, benefits, and the HPSM provider network; assist members in selecting or changing their primary care physician and provide accurate information about available providers and effective dates for PCP assignments.
Use listening skills and judgment to appropriately categorize and accurately document all interactions and follow-up actions regarding member and provider communications and activities in accordance with established guidelines.
Refer members to appropriate community partner agencies based on their specific needs, including but not limited to Behavioral Health and Recovery Services, Aging and Adult Services, Legal Aid, Human Services Agency, and HICAP when applicable.
Use strong professional judgement to determine when to escalate member or provider inquiries to other HPSM departments; share important information and collaborate with these teams to resolve issues, this includes referring members to health services for care coordination and guiding providers to specialists for help with complex claims or questions.
Proactively seek opportunities to improve processes and enhance the overall member experience.
Attend and actively participate in regular departmental meetings, training sessions, and coaching sessions as applicable.
Cross train on a variety of tasks as requested, to ensure the continuity of HPSM operations within the Member Services department and other departments.
Secondary Functions:
Conduct member outreach such as welcome calls and targeted member outreach calls as assigned.
Participate in and represent HPSM professionally at health fairs, community partnerships, meetings, committees, and coalitions as assigned.
Perform other duties as assigned.
Qualifications
The following represents the typical way to achieve the necessary skills, knowledge and ability to qualify for this position:
Education and experience equivalent to:
High school diploma or GED.
One (1) or more years' experience in Customer Service or Call Center role, preferably in a health care or public-sector setting.
Previous experience with managed care plans, Medi-Cal and Medicare programs, and working with underserved populations.
Knowledge of:
Microsoft Office products including Word, Excel, PowerPoint and Outlook.
Health insurance and medical terminology.
Quality metrics relevant to a call center, and best practices for achieving them.
Skills:
Bilingual skills in Spanish, Mandarin, Cantonese or Tagalog are preferred but not required.
Ability to:
Work cooperatively with others.
Work as part of a team and support team decisions.
Communicate effectively, both verbally and in writing with various audiences and individuals of diverse backgrounds.
Meet deadlines and adapt to changes in requirements/priorities for daily and specialized tasks.
Develop and maintain strong professional relationships with a diverse range of people.
Develop and proactively maintain up-to-date knowledge of relevant quality, regulatory and organizational guidelines.
Utilize a personal computer, including strong typing proficiency and the ability to use various Microsoft Office products including Word, Excel, PowerPoint and Outlook.
Perform problem research, use analytical skills, and effectively influence positive outcomes.
Understand written policies and procedures and apply these requirements to day-to-day work.
Maintain health information confidentiality and follow information privacy and security best practices.
Salary and benefits
The starting salary range is $25.78 -$32.61 per hour, depending on the candidate's work experience.
Excellent benefits package includes:
HPSM-paid premiums for employee's medical, dental and vision coverage (employee pays 10% of each dependent's premiums)
Fully paid life, AD&D and LTD insurance
Retirement plan (HPSM contributes equivalent of 10% of annual compensation)
12 paid holidays a year, 12 paid sick days a year and paid vacation starting at 16 days a year
Tuition reimbursement plan
Employee wellness program
It is HPSM's policy to provide equal employment opportunity for all applicants and employees. HPSM does not unlawfully discriminate based on race, religion, color, national origin, ancestry, physical disability, mental disability, medical condition, marital status, sex, age, sexual orientation, veteran status, registered domestic partner status, genetic information, gender, gender identity, gender expression, or any other characteristic protected by applicable federal, state, or local law. HPSM also prohibits discrimination based on the perception that an applicant or employee has any of those characteristics or is associated with a person who has or is perceived to have any of those characteristics.
$25.8-32.6 hourly 25d ago
Looking for a job?
Let Zippia find it for you.
Human Resources Process Documentation Intern
Health Plan of San Mateo 3.8
Health Plan of San Mateo job in South San Francisco, CA
Health Plan of San Mateo Internship Program 2026 Application Due by March 2, 2026 Make a difference in your community The Health Plan of San Mateo (HPSM) is a local non-profit health plan that offers health coverage to San Mateo County's underserved population. We currently serve more than 150,000 county residents through several programs, with most of our members qualifying for coverage through Medi-Cal, the state's Medicaid program. HPSM has more than 300 employees and partners closely with clinicians and community organizations throughout the region.
Objective
Health Plan of San Mateo's Internship Program supports the recruitment, skill development, career growth, and retention of emerging managed care leaders by fostering a positive work environment with thoughtful and dedicated mentorship. The Internship Program is a paid opportunity to contribute meaningfully to HPSM's organizational focus areas.
Internship Scope
This opportunity will provide the intern with:
Knowledge and experience in the operation of a non-profit community-based health plan.
Knowledge and experience in the development of programs and services that benefit our diverse membership.
Professional experience working on a specific project important to HPSM and a chance to present recommendations through a final paper and/or presentation to HPSM leadership.
Internship Logistics
· Start date: June 22, 2026 (flexible based on applicant schedule)
Work Type: Remote with in-person opportunities at South San Francisco office.
Applicants must have a California residence
Type
Duration
Total Hours
Compensation
Experience Level
Intern
10 - 12
weeks
16 - 29 hrs/week
Up to 400 hours
Between $22 - $24/hour depending upon experience
Good fit for current undergraduate/graduate students looking for exposure to the field of managed care by completing
one specific project
Required Skills & Knowledge
These are the qualifications typically needed to succeed in this position. However, you do not need to meet every requirement to apply.
Currently enrolled or recent graduate of an undergraduate or graduate degree program in public health, public policy, business administration, social work, social sciences, communications, or related disciplines. Minimum 3.0 GPA.
Experience and/or skills that align with one of the projects listed below.
Solid written and verbal communication skills.
Intermediate proficiency with Microsoft Office (Word, Excel, Outlook, and PowerPoint).
Project Information
Working collaboratively with the HPSM sponsor, the intern will be provided with the opportunity to work on the following projects during the internship.
Projects Description
1. Human Resources Process Documentation Intern
HPSM's Human Resources department is seeking an intern that will interview subject matter experts, document steps, gather and design screenshots, and test steps. Under the guidance of the HRIS Analyst, the intern will shadow the HRIS Analyst during system configurations to assist with developing an internal Human Resource Management (HRM) system user guide. They will document configuration changes of HRM and will develop a glossary of HRM and HPSM terms and fields.
Project Key Deliverables
HRM system user guide
Documented HR processes and system workflows
Configuration change documentation
Annotated screenshots and visual aids
Testing and validation steps
HRM and HPSM terminology glossary
*HPSM will also work with students to tailor this experience to meet requirements of a Master of Public Health field study, practicum, or capstone projects. We have experienced MPH professionals to serve as preceptors. Applicants must have completed 1 year of their MPH program studies.
It is HPSM's policy to provide equal employment opportunities for all applicants and employees. HPSM does not unlawfully discriminate based on race, religion, color, national origin, ancestry, physical disability, mental disability, medical condition, marital status, sex, age, sexual orientation, veteran status, registered domestic partner status, genetic information, gender, gender identity, gender expression, or any other characteristic protected by applicable federal, state, or local law. HPSM also prohibits discrimination based on the perception that an applicant or employee has any of those characteristics or is associated with a person who has or is perceived to have any of those characteristics.
$22-24 hourly 3d ago
Analyst II - Test Governance & Coordination
IEHP 4.7
Rancho Cucamonga, CA job
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 Vice President of Business Relationship Management and BSA Department, this position aids in the development of the quality standards, audits, Test Intake/planning process, and User Acceptance Test coordination. This position will serve as a liaison between IT and several business units to ensure Testing progress is tracked, updated, and reported out as scheduled for projects. Duties also include continuously improving processes and a variety of complex assignments that are delegated by management in terms of objectives rather than specific instructions. Provide guidance to other Analysts.
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.
Additional Benefits
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
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
Key Responsibilities
Participate and lead the development of the quality standards, educating teams on the quality standards, and conducting governance checks.
Responsible for auditing the UAT activities and ensuring User Acceptance Test delivery
Plays senior role in UAT Test Coordination across several business teams on several new projects, Product upgrades, releases, and CR implementations
Collaborate with PMs/ BPEs/ QE Engineers/Vendors/Business teams and various other parties as part of Test Governance
Participate in Test Intake/planning and Test Estimations
Contribute to the UAT test strategy/test plan (task list & owner, testing scope, test data needs, test environments, configuration needs, locations/logistics, etc.)
Contribute to the UAT Kickoff (status, reporting, DevOps access/training, application training, etc.)
Contribute to the daily planning and execution of UAT test scripts
Perform Functional Testing activities on various applications as needed
Assist in the development and implementation of metrics and maintenance of Visual Management Tools
Participate in daily UAT standups and report status updates
Participate in scheduled calls with extended project team members
Build and manage UAT test scripts in DevOps (own structure, load test scripts, and manage test scripts)
Gather Test results from various Business teams as part of UAT testing and upload test results back to Test management tools (DevOps/WF)
Manage UAT defects - verify the execution of test plans, manage and report on defects
Contribute to data set for UAT test script execution (define Test datasets between the various business teams for End-to-End test coverages)
Assist in the development and maintenance of policies and procedures related to job functions, procedures, and technical guidelines
Coordinate and prepare documentation for internal/external audits
Train and provide guidance to other Analysts in the team as needed
Qualifications
Education & Requirements
Three (3) years in IT Quality Assurance
Prior experience in utilizing Test Management Tools
Prior Experience in coordinating UAT testing with business teams
Experience successfully managing business relationships with stakeholders required
Experience Health Plan Operations and Government Programs preferred
Experience in healthcare is desirable
Bachelor's degree in Public or Business Administration, Health Care, Computer Science, Mathematics, or Accounting or related field from an accredited institution required
Key Qualifications
Knowledge of Managed Care systems and client/server applications - Preferred
Understanding of SDLC life cycle and QA methodologies
Knowledge of health plan business operations - Preferred
Principles and methods of systems analysis for data processing - Required
Principles of sound testing methodologies - Required
Knowledge of Test Management and Reporting Tools- Required
Knowledge in Test Planning and Estimates- Required
Sound research techniques - Preferred
Proficient in Microsoft Office Suite programs including Visio - Required
Project management understanding and skills - Preferred
Excellent written, and oral communication skills - Required
Proven analytical and problem-solving capabilities - Required
Ability to work independently, under pressure, balances multiple projects and deadline driven - Required
Ability follow-through and track all outstanding tasks and coordinate with assigned owners to ensure tasks are completed timely - Required
Ability to grasp new ideas and concepts quickly - Required
Ability to successfully present ideas in an audience-oriented manner - Required.
Ability to manage multiple projects of varying complexity, priority levels and deadlines - Required
Strong work ethic and highly self-motivating and directing - Required
Successful working in a team-oriented, collaborative, and changing environment - Required
Willingness and ability to learn - Required
Must be detail-oriented with strong organizational skills - Required
Demonstrate a commitment to support IEHP's strategic priorities to become a 5-Star Health Plan
Demonstrate commitment to Team Member Engagement by participating in projects/tasks/activities that promote Team Member excitement and enthusiasm for their role, increased work effort, and commitment to the organization
Makes necessary adjustments to work shift ensure completion of projects and to meet deadlines, e.g., system releases, critical milestones
Start your journey towards a thriving future with IEHP and apply TODAY!
Work Model Location
This position is on a hybrid work schedule. (Monday & Friday - remote, Tuesday - Thursday onsite in Rancho Cucamonga, CA)
Pay Range USD $80,059.20 - USD $106,059.20 /Yr.
$80.1k-106.1k yearly Auto-Apply 5d ago
Day Neuroradiologist - Renaissance Imaging Medical Associates
Radiology Partners 4.3
Los Angeles, CA job
Renaissance Imaging Medical Associates, Inc., (RIMA) a Radiology Partners practice, is seeking a motivated neuroradiologist to join our expanding practice and help grow our service lines. The position is for an onsite, Monday-Friday, day shift schedule with equitable contribution to weekend coverage, working with a progressive group of radiologists. Candidates must be Board-Certified in Diagnostic Radiology. The candidate must also share a vision for an integrative and collaborative care model with a multi-disciplinary team.
We offer highly competitive compensation with an opportunity for partnership, as well as competitive salary and benefits including malpractice insurance coverage, 401K, CME discounts, disability coverage and healthcare reimbursement.
* Typically 80% Neuro but may be higher
* Comfortable with most aspects of diagnostic radiology
* Comfortable with all modalities and minor procedures
* Flexible schedule and weekend call
* Partnership track position
LOCAL PRACTICE AND COMMUNITY OVERVIEW
Renaissance Imaging Medical Associates is centered in Los Angeles but covers much of Southern California, as well as Maui, Hawaii. RIMA is a highly subspecialized practice where the candidate can expect to practice within their specialty on the order of 80% of the time. Studies from all RIMA locations are integrated into a single common worklist featuring advanced workflow orchestration, allowing us to get the right study to the right radiologist in the right amount of time. RIMA also operates a 3D advanced imaging laboratory that assists our radiologists in preparing state-of-the-art image data modeling and analysis.
DESIRED PROFESSIONAL SKILLS AND EXPERIENCE
* California licensure is preferred, and ultimately required for position
* Residency-trained in Diagnostic Radiology, Fellowship trained in neuroradiology
* American Board of Radiology certified or Board-Eligible (recent graduates falling under the new ABR guidelines)
COMPENSATION:
The salary range for this position is $450,000-$500,000. Final determinations may vary based on several factors including but not limited to education, work experience, certifications, geographic location etc. This role is also eligible for an annual discretionary bonus. In addition to this range, Radiology Partners offers competitive total rewards packages, which include health & wellness coverage options, 401k benefits, and a broad range of other benefits such as family planning and telehealth (all benefits are subject to eligibility requirements).
FOR MORE INFORMATION OR TO APPLY
For inquiries about this position, please contact Misha Hepner at ************************** or ************.
PRACTICE OVERVIEW
Radiology Partners, through its affiliated practices, is a leading radiology practice in the U.S., serving hospitals and other healthcare facilities across the nation. As a physician-led and physician-owned practice, we advance our bold mission by innovating across clinical value, technology, service and economics, while elevating the role of radiology and radiologists in healthcare. Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve.
Radiology Partners is an equal opportunity employer. RP is committed to being an inclusive, safe and welcoming environment where everyone has equal access and equitable resources to reach their full potential. We are united by our Mission to Transform Radiology and in turn have an important impact on the patients we serve and the healthcare system over all. We hold that diversity is a key source of strength from which we will build a practice culture that is inclusive for all. Our goal is to empower and engage the voice of every teammate to promote awareness, compassion and a healthy respect for differences.
Radiology Partners participates in E-verify.
CCPA Notice: When you submit a job application or resume, you are providing the Practice with the following categories of personal information that the Practice will use for the purpose of evaluating your candidacy for employment: (1) Personal Identifiers; and (2) Education and Employment History.
Beware of Fraudulent Messages:
Radiology Partners will never request payment, banking, financial or personal information such as a driver's license in exchange for interviews or as part of the hiring process. Additionally, we will not send checks for deposit into your bank account at any stage of recruitment. All communication during the interview and hiring process should come from an email address ending in "@radpartners.com." If you suspect you are receiving a fraudulent job offer or solicitation from Radiology Partners or one of our local practices, please notify our Recruiting Team at **************************.
$450k-500k yearly 14d ago
Hybrid Pediatric Radiologist - Radiology Associates of Hollywood
Radiology Partners 4.3
Remote or Los Angeles, CA job
Radiology Associates of Hollywood (RAH) is seeking a CAQ-certified Pediatric Radiologist to join our practice in South Florida. The position offers a semi-academic environment with extra-clinical opportunities including multidisciplinary conferences, education for medical students, (non-Radiology) residents, and technologists. Note that Neuro and musculoskeletal MRIs are read by other sections of the practice, and local radiologists alternate taking compensated nightly call. This role involves working within a large multi-specialty practice alongside four other pediatric radiologists (including a Pediatric Interventional Radiologist). The focus is on providing comprehensive imaging procedures and interpretations for our primary Children's Hospital and affiliated facilities. This position consists of a minimum of 70% subspecialized pediatric imaging.
This role includes:
* Compensation and Benefits: Receive a highly competitive salary, commencement and retention bonuses, PTO, and full benefits for individuals and families. The role offers a choice between a profit-sharing track or a part-time position, depending on individual needs.
* Technology & Equipment: Our practice is committed to leveraging new technology to improve efficiency and patient care. You will utilize a fully integrated digital environment including PACS, EMR, PS360, Primordial, and advanced AI modules such as AIDoc and RadAI.
* Hospital Affiliation: The practice is affiliated with Joe DiMaggio Children's Hospital, a leader in pediatric healthcare in South Florida with national recognition in several specialties.
* Opportunities: Internal moonlighting opportunities available if interested.
* Workstation: Practice-provided home workstation.
LOCAL PRACTICE OVERVIEW
Radiology Associates of Hollywood (RAH), a stable and progressive physician-led practice with over 60 board certified and fellowship-trained members, operates with an exceptionally high retention rate rooted in a supportive culture of quality and professional success. We hold a secure, seven-decade-long exclusive contract with the state-of-the-art Memorial Healthcare System, performing nearly 1 million exams annually across 6 hospitals and outpatient facilities. These facilities include the region's largest pediatric hospital-a tertiary care, Level One trauma center offering all pediatric subspecialties, a busy transplant service, and a growing fetal surgery service-with significant growth predicted as expansion continues.
DESIRED PROFESSIONAL SKILLS AND EXPERIENCE
* Pediatric Radiology fellowship required
* Board eligible or board certified (ABR or AOBR)
COMPENSATION:
The salary for this position is $500,000. Final determinations may vary based on several factors including but not limited to education, work experience, certifications, geographic location etc. This role is also eligible for an annual discretionary bonus. In addition to this range, Radiology Partners offers competitive total rewards packages, which include health & wellness coverage options, 401k benefits, and a broad range of other benefits such as family planning and telehealth (all benefits are subject to eligibility requirements).
For More information or to apply:
For inquiries about this position, please contact Annie Lewis at ***************************** or ************.
RADIOLOGY PARTNERS OVERVIEW
Radiology Partners, through its affiliated practices, is a leading radiology practice in the U.S., serving hospitals and other healthcare facilities across the nation. As a physician-led and physician-owned practice, we advance our bold mission by innovating across clinical value, technology, service, and economics, while elevating the role of radiology and radiologists in healthcare. Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve.
Radiology Partners is an equal opportunity employer. RP is committed to being an inclusive, safe and welcoming environment where everyone has equal access and equitable resources to reach their full potential. We are united by our Mission to Transform Radiology and in turn have an important impact on the patients we serve and the healthcare system overall. We hold that diversity is a key source of strength from which we will build a practice culture that is inclusive for all. Our goal is to empower and engage the voice of every teammate to promote awareness, compassion and a healthy respect for differences.
Radiology Partners participates in E-verify.
CCPA Notice: When you submit a job application or resume, you are providing the Practice with the following categories of personal information that the Practice will use for the purpose of evaluating your candidacy for employment: (1) Personal Identifiers; and (2) Education and Employment History.
Beware of Fraudulent Messages:
Radiology Partners will never request payment, banking, financial or personal information such as a driver's license in exchange for interviews or as part of the hiring process. Additionally, we will not send checks for deposit into your bank account at any stage of recruitment. All communication during the interview and hiring process should come from an email address ending in "@radpartners.com." If you suspect you are receiving a fraudulent job offer or solicitation from Radiology Partners or one of our local practices, please notify our Recruiting Team at **************************.
$110k-194k yearly est. 6d ago
Day Breast Imaging Radiologist - Radiology Affiliates Imaging
Radiology Partners 4.3
Windsor, CA job
ABOUT THE PRACTICE Radiology Affiliates Imaging (RAI) is a radiologist practice serving our patients, community and clients for over 50 years. RAI is one of the longest-tenured and respected radiology practices in the region and have been members of the Radiology Partners (RP) team since 2019. In the last year, RP has infused national resources to modernize practice workflow, drive physician satisfaction, improve work-life balance (NO nights, evenings, weekends, or holidays required) and just one year to partnership.
Today, Radiology Affiliates Imaging (RAI) is a modernized and attractive practice:
* Added state-of-the-art Artificial Intelligence tools, including reco MD, Aidoc, and RadAI Omni
* Implemented a best-in-class unified reading platform to integrate all physicians in the practice
ABOUT THE POSITION
* Opportunity to read 100% subspecialized breast imaging (screening and diagnostic mammography, breast MR, breast US), supporting three outpatient imaging centers located in the Princeton, NJ area
* Windsor Radiology (East Windsor, NJ) - Outpatient imaging center
* RAI Lawrenceville (Lawrenceville, NJ) - Outpatient imaging center
* RAI Hamilton (Hamilton, NJ) - Outpatient imaging center
* Holy Redeemer Womens's Healthcare
* Must be able to cover locations above on-site
* PACS technology is Clario/Intellirad with Powerscribe dictation
* Day shift, on-site, Monday-Friday, from 8:00am to 5:00pm
* No call, No Evenings, No Weekends!
* Ability to read mammography is required (Screening and diagnostic mammography, breast US, breast MR)
* Ability to perform breast procedures is a plus, but not required (i.e. stereotactic/MR/US-guided biopsies, Magseed/needle localization, etc.)
Key facts:
* Full-time partnership eligible position
* Competitive compensation
* One year to partnership
* PTO 8 weeks in year 1, 9 weeks at partnership
* No night, evening, weekend, or holiday requirement
Extra Incentives:
* Signing bonus
* Retention bonus after one year
* Productivity incentive- Paid per RVU after exceeding productivity goals
Robust Benefits Package
* Virtual Primary Care
* Fertility & Family Planning
* Mental Health & Wellbeing
* Dental
* Vision
* 401(k) Retirement Savings Plan
* Prudential's Financial Wellness Programs
* Health Savings Accounts (HAS)
* Health Reimbursement Arrangement (HRA)
* Flexible Spending Accounts (FSAs)
* Physician Professional Expense Program (PPE)
* Disability Insurance
* Life and AD+D Insurance
* Voluntary Benefits
ABOUT THE COMMUNITY
Comfortably nestled between Philadelphia and New York, Central New Jersey is a great place to live and work. Here you will find a place with an amazing history, a vibrant arts scene, outdoor adventures, and a wide variety of delicious ethnic cuisine. Residents here enjoy excellent schools, desirable housing, and low crime rates. Being in close proximity to Philadelphia, New York, and the Jersey Shore, fantastic dining, entertainment, and family fun are just a short drive away! Dozens of top universities are located in and around the area, including Princeton University, University of Pennsylvania, NYU, Columbia University, Carnegie Mellon, Rutgers, Lehigh, Villanova, University of Pittsburgh, Pennsylvania State, Drexel, Temple, Duquesne, and Thomas Jefferson University.
With the perfect combination of city entertainment and country recreation, Central Jersey provides four seasons of family fun. As the ice thaws in Spring, this region explodes into full bloom. Breathe in the fresh air and witness nature's reemergence in parks and on trails or hit the links on a championship-caliber golf course. As the temperatures rise, so does the excitement in Summer. You can catch some rays at the Jersey Shore, splash around at a waterpark, or enjoy an outdoor concert under the stars. As Autumn arrives, this region becomes a cornucopia of color. Visit one of many "pick your own" pumpkin patches, brave a haunted attraction for Halloween fun, or ride an ATV through mountain trails. Peak season for autumn leaf peeping is mid- to late-October. As the weather turns colder, Central Jersey is a short drive from the Pocono Mountains where you can hit the slopes, explore trails on snowmobile, or enjoy any of your favorite snow sports. Warm up by the fire with a hot beverage in this family-friendly winter destination.
DESIRED PROFESSIONAL SKILLS AND EXPERIENCE
* Doctor of Medicine (MD) or Osteopathy (DO)
* Board Eligible or Certified, American Board of Radiology (ABR) or American Osteopathic Board of Radiology (AOBR)
* Residency Trained, ACGME Accredited Radiology Program
* Fellowship-trained in women's imaging
* A proven track record of outstanding interpersonal and communication skills
* Residents and Fellows are welcome to apply
COMPENSATION:
The salary range for this position is $500,000-$700,000. Final determinations may vary based on several factors including but not limited to education, work experience, certifications, geographic location etc. This role is also eligible for an annual discretionary bonus. In addition to this range, Radiology Partners offers competitive total rewards packages, which include health & wellness coverage options, 401k benefits, and a broad range of other benefits such as family planning and telehealth (all benefits are subject to eligibility requirements).
FOR MORE INFORMATION OR TO APPLY:
For inquiries about this position, please contact Shea Lipp at ************************** or ************.
To learn more about our practice and apply, visit Radiology Affiliates Imaging.
RADIOLOGY PARTNERS overview
Radiology Partners, through its affiliated practices, is a leading radiology practice in the U.S., serving hospitals and other healthcare facilities across the nation. As a physician-led and physician-owned practice, we advance our bold mission by innovating across clinical value, technology, service and economics, while elevating the role of radiology and radiologists in healthcare. Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve.
Radiology Partners is an equal opportunity employer. RP is committed to being an inclusive, safe and welcoming environment where everyone has equal access and equitable resources to reach their full potential. We are united by our Mission to Transform Radiology and in turn have an important impact on the patients we serve and the healthcare system overall. We hold that diversity is a key source of strength from which we will build a practice culture that is inclusive for all. Our goal is to empower and engage the voice of every teammate to promote awareness, compassion, and a healthy respect for differences.
Radiology Partners participates in E-verify.
Beware of Fraudulent Messages:
Radiology Partners will never request payment, banking, financial or personal information such as a driver's license in exchange for interviews or as part of the hiring process. Additionally, we will not send checks for deposit into your bank account at any stage of recruitment. All communication during the interview and hiring process should come from an email address ending in "@radpartners.com." If you suspect you are receiving a fraudulent job offer or solicitation from Radiology Partners or one of our local practices, please notify our Recruiting Team at **************************.
$109k-189k yearly est. 18d ago
Claims Specialist - Covered California
IEHP 4.7
California job
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 Covered California Claims (CCA) Manager, the CCA Claims Specialist is responsible for analyzing, managing, and investigating complex and high-dollar healthcare claims that require in-depth research to determine accuracy and mitigate payment errors. The Claims Specialist is also responsible for adjusting first-pass and post-pay claims that result in overpayment or underpayment due to claim processing system issues, contract amendments, processing errors, or other issues. This position collaborates with internal stakeholders, assists with claim audits (internal and regulatory) and utilizes strong analytical skills and independent judgement skills to make effective and accurate decisions. This position will also be responsible for responding to inquiries from the Provider Payment Resolution team on claims that may have been paid incorrectly.
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.
Additional Benefits
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
Telecommute schedule
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
Key Responsibilities
Work effectively with other departments (i.e., Special Investigation Unit, Provider Payment Resolution team, and other departments/stakeholders) to investigate and identify fraud, respond to escalated provider inquiries timely, and support the claims process.
Investigate and process complex and high-dollar claims determining accuracy and making timely decisions.
Advise leadership and internal business units (as applicable) of findings and outcomes on identified claim issues.
Research and analyze medical claims adjustment requests along with related documentation to determine payment accuracy and adjust/adjudicate as needed in the Health Rules Processing system and other platforms.
Research claims that may have been paid incorrectly and communicate findings for adjustment. Adjust claims based on findings (i.e., correct coding, rates of reimbursement, authorizations, contracted amounts, etc.) ensuring that all relevant information is considered.
Assist with internal and regulatory claim audits, reviewing claim accuracy.
Identify trends and recommend improvements to IEHP's claim processing system.
Analyze and investigate insurance claims to discover or prevent fraud.
Be an active participant in the Claims Department's initiatives and participate in Claims Huddles, etc.
Remain current with all claim processing changes/updates (i.e. internal processes, regulatory guidelines).
Perform any other duties as required to ensure Health Plan operations and department business needs are successful.
Qualifications
Education & Requirements
Three (3) years of experience in examining and processing complex and high-dollar institutional and professional claims
Experience in a managed care environment helpful. Commercial, Exchange, and Medicare preferred
High school diploma or GED required
Associate's degree from an accredited institution preferred
Key Qualifications
ICD-9/ ICD-10 and CPT coding and general practices of claims processing
CMS/DMHC and Affordable Care Act regulations and guidelines
Commercial line of business specifically Covered California/Exchange
Excellent communication and interpersonal skills
Excellent analytical, critical thinking, customer service, and organizational skills
Ability to think critically with the capacity to work independently
All IEHP positions approved for telecommute 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
Start your journey towards a thriving future with IEHP and apply TODAY!
Work Model Location
Telecommute (All IEHP positions approved for telecommute 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)
Pay Range USD $25.90 - USD $33.02 /Hr.
$25.9-33 hourly Auto-Apply 4d ago
Operations Manager (Hybrid in San Ramon, CA)
Radiology Partners 4.3
San Ramon, CA job
Radiology Partners is seeking a dynamic and experienced Operations Manager to support the effective management, growth, and optimization of a premier radiology practice. This role combines operational leadership, physician support, quality oversight, and strategic planning to foster practice excellence, drive innovation, and maintain strong client relationships. The Practice Manager acts as the primary relationship manager and leader for physician client groups, responsible for building effective, service-driven relationships and providing innovative business solutions to complex matters in their practice. This is an outstanding opportunity for a practice management professional seeking a broader business consultative role in a hospital-based physician group setting.
WHO WE ARE AND WHAT WE DO:
Radiology Partners, through its owned and affiliated practices, is a leading radiology practice in the U.S., serving hospitals and other healthcare facilities across the nation. As a physician-led and physician-owned practice, our mission is to transform radiology by innovating across clinical value, technology, service, and economics, while elevating the role of radiology and radiologists in healthcare. Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve.
WHY RADIOLOGY PARTNERS:
* Competitive Benefits package - Eligibility starts the month after hire, with tiered options to choose from.
* Compensation Reviews, Career Growth Opportunities
* Flexible Hybrid Schedules
* Generous PTO Plans and Paid Holidays
* Proudly Certified as a Great Place to Work for Five Consecutive Years
POSITION DUTIES AND RESPONSIBILITIES
* Oversee daily operations of the radiology practice to ensure efficient, compliant, and high-quality service delivery.
* Manage radiologist scheduling, ensuring adequate coverage, subspecialty alignment, and compliance with licensing and credentialing requirements.
* Coordinate independent contractor staffing and scheduling to meet clinical demands and maintain service continuity.
* Monitor and report on key performance indicators (KPIs) such as volume, productivity, and financial metrics; implement improvement initiatives as needed.
* Develop and manage the annual practice budget, ensuring alignment with financial goals and organizational priorities.
* Oversee payroll processes, including monitoring, adjustments, and reporting to ensure accuracy and timeliness.
* Ensure billing compliance by collaborating with finance teams and implementing best practices to optimize revenue cycle performance.
* Lead onboarding and credentialing of new physicians, ensuring timely integration and compliance with regulatory requirements.
* Foster a collaborative and inclusive team environment, promoting open communication, morale, and productivity among physicians and staff.
* Provide performance coaching and career development support to physicians and administrative staff.
* Implement and monitor clinical quality programs, including OPPE, FPPE, patient safety, and critical findings reporting.
* Lead patient safety initiatives and ensure adherence to client service level agreements and internal quality standards.
* Develop and implement quality management protocols, including training and compliance tracking.
* Serve as the primary liaison for client relationships, addressing concerns, initiating service improvements, and maintaining satisfaction.
* Lead client meetings and performance reviews, preparing and distributing reports and metrics using tools such as Tableau.
* Oversee specialized service lines, such as breast imaging, including recruitment, onboarding, retention, and IT coordination.
* Collaborate with cross-functional teams (HR, IT, Legal, Finance) to support hiring, onboarding, retention, and system implementations.
* Lead strategic initiatives and special projects, including workflow optimization, compensation tracking, and practice growth planning.
* Supervise administrative and support teams, including onboarding, training, performance evaluations, and process improvements.
* Plan and coordinate internal meetings and events, such as town halls, leadership summits, and committee meetings; prepare agendas, minutes, and presentations.
* Manage operational tools and resources, including accounts payable, expense approvals, and supply procurement.
* Develop and maintain tracking tools for operational and financial metrics to support data-driven decision-making.
* Communicate key updates and changes to physicians, staff, and stakeholders to ensure alignment and transparency.
* Support change management efforts, including the rollout of new policies, procedures, and technologies.
* Promote a culture of continuous improvement, adaptability, and service excellence throughout the practice.
* Promotes communication and cooperation among teammates to create a spirit of unity in the department.
* Works closely with leadership and teammates to improve work relationships, build morale, and increase productivity and retention. Provides day-to-day performance management guidance to direct reports (e.g., coaching, counseling, career development, disciplinary actions).
* Performs other duties as assigned.
KNOWLEDGE, SKILLS, AND ABILITIES
* Knowledge - Theoretic or practical understanding of a subject (e.g., Understanding of healthcare industry regulations, trends, and best practices).
* Skills - Proficiencies developed through training or experience (e.g., Proficiency in computer software including Microsoft Office Products. (Word, Excel, Access, Outlook and PowerPoint)).
* Abilities - Innate or developed capacities to perform tasks (e.g. Ability to work with and maintain confidential information).
* Experience working closely with physicians • Strong customer focus and relationship management skills
PREFERRED QUALIFICATIONS
* Education (e.g., Bachelor's Degree in a related field)
* Experience (e.g., 10+ years' relevant experience, 3+ years' supervisory experience)
COMPENSATION:
The salary range for this position is $80,000-$90,000. Final determinations may vary based on several factors including but not limited to education, work experience, certifications, geographic location etc. This role is also eligible for an annual discretionary bonus. In addition to this range, Radiology Partners offers competitive total rewards packages, which include health & wellness coverage options, 401k benefits, and a broad range of other benefits such as family planning and telehealth (all benefits are subject to eligibility requirements).
Radiology Partners is an equal opportunity employer. RP is committed to being an inclusive, safe and welcoming environment where everyone has equal access and equitable resources to reach their full potential. We are united by our Mission to Transform Radiology and in turn have an important impact on the patients we serve and the healthcare system overall. We hold that diversity is a key source of strength from which we will build a practice culture that is inclusive for all. Our goal is to empower and engage the voice of every teammate to promote awareness, compassion and a healthy respect for differences.
CCPA Notice: When you submit a job application or resume, you are providing the Practice with the following categories of personal information that the Practice will use for the purpose of evaluating your candidacy for employment: (1) Personal Identifiers; and (2) Education and Employment History.
Radiology Partners participates in E-verify.
Beware of Fraudulent Messages: Radiology Partners will never request payment, banking or other financial information in exchange for interviews or as part of the hiring process. Additionally, we will not send checks for deposit into your bank account at any stage of recruitment. All communication during the interview and hiring process should come from an email address ending in "@radpartners.com." If you suspect you are receiving a fraudulent job offer or solicitation from Radiology Partners or one of our local practices, please email ********************** to notify our team.
$80k-90k yearly 60d+ ago
Provider Learning Fellow
Health Plan of San Mateo 3.8
Health Plan of San Mateo job in South San Francisco, CA
Health Plan of San Mateo Fellowship Program 2026 Application Due by March 2, 2026 Make a difference in your community The Health Plan of San Mateo (HPSM) is a local non-profit health plan that offers health coverage to San Mateo County's underserved population. We currently serve more than 150,000 county residents through several programs, with most of our members qualifying for coverage through Medi-Cal, the state's Medicaid program. HPSM has more than 300 employees and partners closely with clinicians and community organizations throughout the region.
Objective
Health Plan of San Mateo's Fellowship Program supports the recruitment, skill development, career growth, and retention of emerging managed care leaders by fostering a positive work environment with thoughtful and dedicated mentorship. The Fellowship Program is a paid opportunity to contribute meaningfully to HPSM's organizational focus areas.
Fellowship Scope
This opportunity will provide the fellow with:
Knowledge and experience in the operation of a non-profit community-based health plan.
Knowledge and experience in the development of programs and services that benefit our diverse membership.
Professional experience working on a specific project important to HPSM and a chance to present recommendations through a final paper and/or presentation to HPSM leadership.
Fellowship Logistics
· Start date: June 22, 2026 (flexible based on applicant schedule)
Work Type: Hybrid (Will work at the South San Francisco office)
Applicants must have a California residence
Type
Duration
Total Hours
Compensation
Experience Level
Fellow
4 - 6
months
24 - 29 hrs/week
Up to 1000 hours
Between
$24 - $26/hour, depending upon experience
Good fit for recent college graduates, graduate students, and career professionals with previous related experience who are interested in working on multiple projects under an
overarching focus area
Required Skills & Knowledge
These are the qualifications typically needed to succeed in this position. However, you do not need to meet every requirement to apply.
Currently enrolled or recent graduate of an undergraduate or graduate degree program in public health, public policy, business administration, social work, social sciences, communications, or related disciplines. Minimum 3.0 GPA.
Experience and/or skills that align with one of the projects listed below.
Solid written and verbal communication skills.
Intermediate proficiency with Microsoft Office (Word, Excel, Outlook, and PowerPoint).
Project Information
Working collaboratively with the HPSM sponsor, the fellow will be provided with the opportunity to work on the following projects during the fellowship.
Project Description
Provider Learning Fellow
HPSM's Learning and Development and Provider Services department is seeking a fellow that will support the Learning and Development and Provider Services teams with new provider and staff training content. The fellow will project manage the development of the 2027 Provider Manual, update the provider onboarding video series, assist with provider notifications, and other regulatory provider learning content, and more. The fellow will also assist with some all-staff-related trainings and communications.
Project Key Deliverables
2027 Provider Manual (Project management and development)
Update provider onboarding video series
Provider notifications/newsletter articles
Required provider training content updates/creation
All-staff training support and learning development communications
*HPSM will also work with students to tailor this experience to meet requirements of a Master of Public Health field study, practicum, or capstone projects. We have experienced MPH professionals to serve as preceptors. Applicants must have completed 1 year of their MPH program studies.
It is HPSM's policy to provide equal employment opportunities for all applicants and employees. HPSM does not unlawfully discriminate based on race, religion, color, national origin, ancestry, physical disability, mental disability, medical condition, marital status, sex, age, sexual orientation, veteran status, registered domestic partner status, genetic information, gender, gender identity, gender expression, or any other characteristic protected by applicable federal, state, or local law. HPSM also prohibits discrimination based on the perception that an applicant or employee has any of those characteristics or is associated with a person who has or is perceived to have any of those characteristics.
$24-26 hourly 3d ago
CareAdvantage Navigator - (Bilingual Spanish)
Health Plan of San Mateo 3.8
Health Plan of San Mateo job in South San Francisco, CA
General Description Act as the primary point of contact for members of CareAdvantage D-SNP and CareAdvantage CMC and assist members with all aspects of plan benefits. Duties & Responsibilities Essential Functions:
Provide customer service to CareAdvantage members primarily on the phone.
Answer member questions about CareAdvantage health and prescription drug benefits, eligibility, and provider network.
Make New Member Welcome Calls.
Resolve problems that members have accessing CareAdvantage-covered services, including but not limited to health care services and prescription medications.
Ensure that assigned members retain CareAdvantage enrollment by investigating and contacting members and partnering agencies.
Clearly document any member's complaints, including grievances and appeals.
Follow through with proactive solutions to resolve member issues.
Prepare and submit requests for services made directly by a member to HPSM Health Services.
Prepare and submit member requests for continuity of care with non-contracted providers to the Provider Services Department.
Refer members to appropriate community partner agencies depending on specific circumstances including but not limited to: Behavioral Health and Recovery Services, Aging and Adult Services, Legal Aid and/or HICAP when appropriate.
Relay pertinent health information to HPSM clinical staff to facilitate care coordination and/or receipt of medical services including prescriptions.
Participate in and professionally represent HPSM at health fairs, community partnerships, meetings, committees, and coalitions as requested by the Manager or Supervisor.
Secondary Functions:
Perform other duties as assigned.
Qualifications
The following represents the typical way to achieve the necessary skills, knowledge and ability to qualify for this position:
Education and experience equivalent to:
Equivalent to a high school diploma or GED required.
Two (2) to three (3) years' experience performing customer service preferably in a health plan environment.
Previous experience working with seniors or people with disabilities and/ in a medically related field such as medical assisting.
Knowledge of:
Personal computers and proficiency in Microsoft Office Suite applications, including Outlook, Word, Excel, Access, and PowerPoint.
Health Insurance programs preferred.
Customer service principles and practices.
Abilities:
Work cooperatively with others.
Work as part of a team and support team decisions.
Communicate effectively, both verbally and in writing.
Adapt to changes in requirements/priorities for daily and specialized tasks.
Demonstrate excellent oral and written communication skills with various audiences and individuals of diverse backgrounds.
Perform problem research, use analytical skills, and effectively influence positive outcomes.
Develop and maintain strong professional relationships with a diverse range of people.
Utilize a personal computer, including the range of Microsoft Office products (Word, Excel, PowerPoint, Access, and Outlook).
Desirable skills:
Bilingual skills in Spanish.
Salary and benefits
The starting salary range is $25.78 - $32.61 per hour, depending on the candidate's work experience.
Excellent benefits package includes:
HPSM-paid premiums for employees' medical, dental and vision coverage (employee pays 10% of each dependent's premiums)
Fully paid life, AD&D and LTD insurance
Retirement plan (HPSM contributes the equivalent of 10% annual compensation)
12 paid holidays a year, 12 paid sick days a year and paid vacation starting at 16 days a year
Tuition reimbursement plan.
Employee wellness program
It is HPSM's policy to provide equal employment opportunities for all applicants and employees. HPSM does not unlawfully discriminate based on race, religion, color, national origin, ancestry, physical disability, mental disability, medical condition, marital status, sex, age, sexual orientation, veteran status, registered domestic partner status, genetic information, gender, gender identity, gender expression, or any other characteristic protected by applicable federal, state, or local law. HPSM also prohibits discrimination based on the perception that an applicant or employee has any of those characteristics or is associated with a person who has or is perceived to have any of those characteristics.
$25.8-32.6 hourly 60d+ ago
Pediatric Community Health Worker - ONSITE & IN THE FIELD
Health Plan of San Mateo 3.8
Health Plan of San Mateo job in South San Francisco, CA
This is an on site and in the field position. This role requires the ability to reliably commute to South San Francisco and surrounding bay area cities. General Description The Pediatric Community Health Worker (CHW) will provide care coordination, health education and navigation, and resource referral services that are medically necessary for HPSM's infant and toddler members, as well as family members. This includes connecting members to primary care providers, addressing social determinants of health (SDOH), and providing or coordinating access to other needed services to improve members' physical and mental health. The CHW will act as a liaison collaborating directly with primary care offices, social services, and the community to facilitate access to services and improve the quality, health equity, and cultural competence of service delivery. The CHW will play a critical role in improving the health and well-being of members by using their knowledge of the member's community and common lived experiences. This is an in-person, field-based position that requires employees to travel from the HPSM office to member's homes and other locations (e.g., medical office, county offices, etc.) mostly within San Mateo County.
Qualifications
The following represents the typical way to achieve the necessary skills, knowledge and ability to qualify for this position:
Education and Experience
CHW certification or experience pathway (at least 2,000 working hours as CHW or case manager). If experience pathway, candidate must obtain CHW certification within eighteen (18) months of hire.
Associate or bachelor's degree in justice or social services (e.g. public health, psychology, social work, sociology) with at least 1 year providing direct services to a Medi-Cal population, families, or in a field-based setting required.
Must have relevant lived experience that connects the CHW to the served population. This includes, but is not limited to, incarceration, military service, pregnancy, disability, foster care, homelessness, mental health conditions, substance use disorders or surviving domestic or intimate partner violence and exploitation. Lived experience may encompass shared race, ethnicity, sexual orientation, gender identity, language, or cultural background with one or more groups in the community for which the CHW is providing services.
A valid CHW certificate must include completion of a curriculum that attests to demonstrated skills and/or practical training in the following areas: communication, interpersonal and relationship building, service coordination and navigation, capacity building, advocacy, education and facilitation, individual and community assessment, professional skills and conduct, outreach, evaluation and research, and basic knowledge in public health principles and social drivers of health (SDOH), as determined by the Supervising Provider. Certificate programs must also include field experience as a requirement.
Skills
Bilingual fluency in Spanish is required to effectively communicate with our diverse member population.
Intermediate proficiency in Microsoft Office Suite applications, including Outlook, Word, Excel, and PowerPoint and use of computers.
Advanced motivational interviewing skills.
Knowledge
Extensive knowledge of Medi-Cal benefits and the managed care CHW benefit.
Working knowledge of San Mateo County or other community resources available to Medi-Cal members.
Extensive knowledge of Personal Health Information (PHI) privacy and security requirements and best practices for maintaining confidentiality of health information.
Abilities
Ability to synthesize important information shared during in-person or virtual visits into a standardized note format.
Ability to navigate complex systems of care and simplify steps for referrals and follow-ups.
Ability to encourage member autonomy via the teach back method to gauge understanding.
Licensure/Certifications
A valid CHW certification is required or the ability to obtain CHW certification within 18 months of employment is required.
Driving
Verifiable, clean DMV record and ability to travel to various locations throughout California up to 85% of the time.
Must have reliable and insured transportation and use own vehicle for job-related duties.
Duties & Responsibilities
Essential Functions
Case Management
Maintain a caseload of members and their families with varying needs.
Function as a liaison between members and providers, coordinating services among multiple providers and community agencies on behalf of member's and their families.
Provide Health Education and outreach to members, promoting wellness and prevention. This may include providing information, instruction, coaching and goal setting to improve a member's physical and mental health, address barriers and/or ability to self-manage health conditions.
Function as a health navigator providing members with information, training, referrals, advocacy on their behalf, or other assistance to help members receive services related to perinatal care, sexual and reproductive health, environmental and climate-sensitive health issues, oral health, aging, injury, domestic violence and other violence prevention services.
Care Plan Implementation
Administer Mini Risk assessments and other assessment tools to members at regular intervals.
Assist members in identifying their goals (health, behavioral, social, etc.) and supporting them in achieving these goals.
Independently conduct in-person/in-home/in-facility assessments for those enrolled in the Baby Bonus program and assess needs related to: physical or behavioral health, Activities of Daily Living (ADLs) / Instrumental Activities of Daily Living (IADLs), Safety, Behavioral Health, SDOH and other needs for community resources or services.
Assist members in identifying their strengths and barriers to successfully meet their care plan goals, while focusing on member-centric health choices.
Collaborate with community providers/partners to ensure services are coordinated effectively.
Community Liaison
Complete follow-up visits either in person or via telecommunication as outlined in the visit guide.
Conduct in-home/in-facility visits and assess any safety concerns; provide follow-ups to resources and consult with supervisor, as appropriate.
Facilitate interdisciplinary communication and hand offs to other team members.
Provide members and families with information about HPSM benefits, programs, and processes, staying up to date on this information as there are changes.
Data & Reporting
Maintain required and complete documentation within two (2) business days for all activities in the plan's care management system, MHK, or other appropriate HPSM systems.
Maintain required fiduciary code tracking in shared spreadsheet within 1 business day.
Track high acuity members on the caseload, create a summary of the case, and report to the team on a weekly basis.
Add new member data into MHK system, and other systems upon enrollment and disenrollment.
Secondary Functions
Maintain a valid CHW certification.
Maintain a valid CA driver's license and a satisfactory driving record.
Maintain reliable and insured transportation.
Maintain language fluency in the required language(s) indicated above.
Act as an SME to colleagues and partners regarding community resources and programs.
Participate in continuous quality improvement activities.
Perform other duties as assigned.
$40k-57k yearly est. 13d ago
Health Analytics & Policy Intern
Health Plan of San Mateo 3.8
Health Plan of San Mateo job in South San Francisco, CA
Health Plan of San Mateo Internship Program 2026 Application Due by March 2, 2026 Make a difference in your community The Health Plan of San Mateo (HPSM) is a local non-profit health plan that offers health coverage to San Mateo County's underserved population. We currently serve more than 150,000 county residents through several programs, with most of our members qualifying for coverage through Medi-Cal, the state's Medicaid program. HPSM has more than 300 employees and partners closely with clinicians and community organizations throughout the region.
Objective
Health Plan of San Mateo's Internship Program supports the recruitment, skill development, career growth, and retention of emerging managed care leaders by fostering a positive work environment with thoughtful and dedicated mentorship. The Internship Program is a paid opportunity to contribute meaningfully to HPSM's organizational focus areas.
Internship Scope
This opportunity will provide the intern with:
Knowledge and experience in the operation of a non-profit community-based health plan.
Knowledge and experience in the development of programs and services that benefit our diverse membership.
Professional experience working on a specific project important to HPSM and a chance to present recommendations through a final paper and/or presentation to HPSM leadership.
Internship Logistics
· Start date: June 22, 2026 (flexible based on applicant schedule)
Work Type: Remote work with in-person opportunities at South San Francisco office. Applicants must have a California residence.
Type
Duration
Total Hours
Compensation
Experience Level
Intern
10 - 12
weeks
16 - 29 hrs/week
Up to 400 hours
Between $22 - $24/hour depending upon experience
Good fit for current undergraduate/graduate students looking for exposure to the field of managed care by completing
one specific project
Required Skills & Knowledge
These are the qualifications typically needed to succeed in this position. However, you do not need to meet every requirement to apply.
Currently enrolled or recent graduate of an undergraduate or graduate degree program in public health, public policy, business administration, social work, social sciences, communications, or related disciplines. Minimum 3.0 GPA.
Experience and/or skills that align with one of the projects listed below.
Solid written and verbal communication skills.
Intermediate proficiency with Microsoft Office (Word, Excel, Outlook, and PowerPoint).
Project Information
Working collaboratively with the HPSM sponsor, the intern will be provided with the opportunity to work on the following projects during the internship.
Project Description
Health Analytics & Policy Intern
HPSM's Provider Services department is seeking an intern to support innovative work focused on improving how primary care providers are incentivized to deliver high-quality, patient-centered care. This internship offers hands-on experience with real health care data, policy, and payment models-and the opportunity to contribute to work that directly impacts patients and providers in San Mateo County. The ideal candidate will have education and/or experience in data visualization, health policy, or economics. Other experience in clinical practice, healthcare administration, program evaluation, and/or value-based care is appreciated. The internship will include evaluating existing quality incentive (e.g., pay-for-performance) programs using qualitative and/or quantitative methods, building dashboards and data visualizations to translate reports into actionable, real-time insights for internal teams and providers and conducting literature reviews or environmental scans to identify best practices in primary care incentive design, with a focus on California's health policy landscape.
Project Key Deliverables
Practical dashboard(s), data visualizations, and other evaluation tools using at least one of the following: Excel, Power BI, Smartsheet
Data-informed insights and recommendations to modify our existing value-based payment models and explore new approaches
Provider education materials, including coding tip sheets, personas, or process documentation
An environmental scan summarizing value-based payment approaches used by other local, state, or national health care payers
*HPSM will also work with students to tailor this experience to meet requirements of a Master of Public Health field study, practicum, or capstone projects. We have experienced MPH professionals to serve as preceptors. Applicants must have completed 1 year of their MPH program studies.
It is HPSM's policy to provide equal employment opportunities for all applicants and employees. HPSM does not unlawfully discriminate based on race, religion, color, national origin, ancestry, physical disability, mental disability, medical condition, marital status, sex, age, sexual orientation, veteran status, registered domestic partner status, genetic information, gender, gender identity, gender expression, or any other characteristic protected by applicable federal, state, or local law. HPSM also prohibits discrimination based on the perception that an applicant or employee has any of those characteristics or is associated with a person who has or is perceived to have any of those characteristics.
$22-24 hourly 3d ago
Registered Radiology Assistant - Radiology Associates of Hollywood
Radiology Partners 4.3
Los Angeles, CA job
Radiology Associates of Hollywood (RAH) is seeking a Registered Radiology Assistant to join our team in South Florida. This advanced practice role involves close collaboration with supervising physicians in patient assessment, management, and performing hospital fluoroscopy examinations under radiologist supervision.
This role includes:
* Compensation and Benefits: Receive a highly competitive salary, commencement bonus, PTO, and full benefits for individuals and families.
* Schedule: Daytime shifts from 8 a.m. to 5 p.m. with two single weekend days of call per month.
* Technology & Equipment: Our practice is committed to leveraging new technology to improve efficiency and patient care. You will utilize a fully integrated digital environment including PACS, EMR and PS360.
* Hospital Affiliation: The practice is affiliated with Memorial Healthcare System, a comprehensive network including six hospitals, a Level I trauma center, two comprehensive stroke centers, and affiliated outpatient sites.
LOCAL PRACTICE AND COMMUNITY OVERVIEW
Our physician-led, 100% fellowship trained practice with 60+ members enjoys a culture committed to inclusion, quality and success with true colleagues who provide the mentoring, support, resources and encouragement to pursue your passions and achieve your goals in radiology. We enjoy an exceptionally high radiologist retention rate and a long-term, dynamic stable contract, over seven decades, with Memorial Healthcare System, a leading Florida state-of-the-art healthcare system.
DESIRED PROFESSIONAL SKILLS AND EXPERIENCE
* Must be a Certified Registered Radiology Assistant
* BLS AND ACLS certification required
For More information or to apply:
For inquiries about this position, please contact Lexie Hightower at *******************************.
RADIOLOGY PARTNERS OVERVIEW
Radiology Partners, through its affiliated practices, is a leading radiology practice in the U.S., serving hospitals and other healthcare facilities across the nation. As a physician-led and physician-owned practice, we advance our bold mission by innovating across clinical value, technology, service and economics, while elevating the role of radiology and radiologists in healthcare. Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve.
Radiology Partners is an equal opportunity employer. RP is committed to being an inclusive, safe and welcoming environment where everyone has equal access and equitable resources to reach their full potential. We are united by our Mission to Transform Radiology and in turn have an important impact on the patients we serve and the healthcare system overall. We hold that diversity is a key source of strength from which we will build a practice culture that is inclusive for all. Our goal is to empower and engage the voice of every teammate to promote awareness, compassion and a healthy respect for differences.
Radiology Partners participates in E-verify.
Beware of Fraudulent Messages:
Radiology Partners will never request payment, banking, financial or personal information such as a driver's license in exchange for interviews or as part of the hiring process. Additionally, we will not send checks for deposit into your bank account at any stage of recruitment. All communication during the interview and hiring process should come from an email address ending in "@radpartners.com." If you suspect you are receiving a fraudulent job offer or solicitation from Radiology Partners or one of our local practices, please notify our Recruiting Team at **************************.
$36k-44k yearly est. 24d ago
Analyst II - Product System Configuration
IEHP 4.7
Remote or Rancho Cucamonga, CA job
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 of Product System Configuration, the Analyst II - Product System Configuration is responsible for managing the more complex system configurations within the Business System. The primary functions of this position include but are not limited to, accurate interpretation of state, federal, and contractual guidelines related to benefits, fee schedules, contracts, division of financial responsibility (DOFR), codification of services, and business requirements and translating them into configurable parameters within the Business Systems. The Analyst II - Product System Configuration is independent and acts as a subject matter expert for the business areas by helping to drive decisions related to system configuration. The incumbent will develop and maintain comprehensive documentation of business and technical specification requirements utilizing best practice configuration guidelines developed by the Application Architects within the unit. The Analyst II - Product System Configuration will facilitate communication and formally report findings to various department heads and staff in a manner that is appropriate to the skill level and technical expertise of the audience. This position will be required to train and help educate other team members within the unit as necessary.
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.
Additional Benefits
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
Telecommute schedule
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
Key Responsibilities
Assist with the development of configuration standards and best practice guides for maintaining efficiency, accuracy, automation and successful integration with internal and external systems and programs.
Analyze and translate business specifications into detailed technical specifications based on system functionality and develop non-systematic workaround processes when necessary.
Perform product system error root cause analysis.
Track incoming requests and issue resolution through Microsoft Access, MediTrac, and Workfront tools.
Identify and communicate impact of system enhancements or configuration changes on integrated systems and processes.
Monitor and work daily System Configuration inventory and ensure compliance with established service level agreements and regulatory timelines.
Configure and maintain complex product related system builds with multi-tiered functionality and interrelated system dependencies, including but not limited to Contracts, Benefits, Fee Schedules, and Service Categories.
Assist Contracting team with drafting appropriate contract fee schedule language to be in line with system adjudication capabilities and coding standards.
Develop and maintain business requirements for the automation of coding updates.
Track, test, and approve new system functionality, enhancements, and bug fixes, including the development and execution of test plans and scripts.
Perform weekly/bi-weekly audit of check run products to proactively identify potential system configuration issues before products are released.
Other duties as assigned, including but not limited to Department Projects and LEAN/A3 Events.
Qualifications
Education & Requirements
Four (4) years of experience with the development and remediation of moderately complex system configurations, including capitated provider agreement configurations
Experience in major managed care system migration/implementation preferred
Bachelor's degree from an accredited institution required
In lieu of the required degree, a minimum of four (4) years of additional relevant work experience is required for this position: two (2) years of general healthcare experience plus two (2) years of configuration experience is required
This experience is in addition to the minimum years listed in the Experience Requirements above
Key Qualifications
Knowledge of Medicare and Medi-Cal fee schedules and benefit structure, and regulatory billing guidelines required
Knowledge of CMS, DHCS, DMHC, NCQA rules and regulations preferred
Extensive knowledge of CPT, HCPCS, Revenue, ICD10 coding rules and guidelines preferred
Extensive knowledge of general managed care operations required; delegated plan model preferred
Basic knowledge of relational database structure
Advanced knowledge of Product System algorithms and processes preferred
Familiar with basic medical product processing preferred
Skilled in the use of Microsoft Excel and Access preferred
Exceptional problem solving and critical thinking skills
Strong presentation and written communication skills
Ability to work independently and solve complex problems with little to no assistance
Ability to effectively manage multiple competing priorities
Position is eligible for telecommuting/remote 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
Start your journey towards a thriving future with IEHP and apply TODAY!
Work Model Location
This position is on a hybrid work schedule. (Monday & Friday - Remote, Tuesday - Thursday onsite in Rancho Cucamonga, CA)
Pay Range USD $80,059.20 - USD $106,059.20 /Yr.
$80.1k-106.1k yearly Auto-Apply 21d ago
Health Promotion Intern
Health Plan of San Mateo 3.8
Health Plan of San Mateo job in South San Francisco, CA
Health Plan of San Mateo Internship Program 2026 Application Due by March 2, 2026 Make a difference in your community The Health Plan of San Mateo (HPSM) is a local non-profit health plan that offers health coverage to San Mateo County's underserved population. We currently serve more than 150,000 county residents through several programs, with most of our members qualifying for coverage through Medi-Cal, the state's Medicaid program. HPSM has more than 300 employees and partners closely with clinicians and community organizations throughout the region.
Objective
Health Plan of San Mateo's Internship Program supports the recruitment, skill development, career growth, and retention of emerging managed care leaders by fostering a positive work environment with thoughtful and dedicated mentorship. The Internship Program is a paid opportunity to contribute meaningfully to HPSM's organizational focus areas.
Internship Scope
This opportunity will provide the intern with:
Knowledge and experience in the operation of a non-profit community-based health plan.
Knowledge and experience in the development of programs and services that benefit our diverse membership.
Professional experience working on a specific project important to HPSM and a chance to present recommendations through a final paper and/or presentation to HPSM leadership.
Internship Logistics
· Start date: June 22, 2026 (flexible based on applicant schedule)
Work Type: Remote with in-person opportunities at South San Francisco office.
Applicants must have a California residence
Type
Duration
Total Hours
Compensation
Experience Level
Intern
10 - 12
weeks
16 - 29 hrs/week
Up to 400 hours
Between $22 - $24/hour, depending upon experience
Good fit for current undergraduate/graduate students looking for exposure to the field of managed care by completing
one specific project
Required Skills & Knowledge
These are the qualifications typically needed to succeed in this position. However, you do not need to meet every requirement to apply.
Currently enrolled or recent graduate of an undergraduate or graduate degree program in public health, public policy, business administration, social work, social sciences, communications, or related disciplines. Minimum 3.0 GPA.
Experience and/or skills that align with one of the projects listed below.
Solid written and verbal communication skills.
Intermediate proficiency with Microsoft Office (Word, Excel, Outlook, and PowerPoint).
Project Information
Working collaboratively with the HPSM sponsor, the intern will be provided with the opportunity to work on the following projects during the internship.
Project Description
Health Promotion Intern
HPSM's Health Promotion unit is seeking an intern that will standardize outreach processes and develop an evaluation framework for outreach pilots. The intern will also engage with members to pilot member outreach strategies that are aimed at closing care gaps and will gather member input regarding barriers/facilitators.
Project Key deliverables
Member outreach toolkit (gathering & finalizing criteria for outreach pilots, developing a script template, evaluation framework, etc.)
Member outreach outcome raw data that is collected when piloting member outreach strategies (What was the call out come? How many outreach attempts? What themes came up during the calls?)
*HPSM will also work with students to tailor this experience to meet requirements of a Master of Public Health field study, practicum, or capstone projects. We have experienced MPH professionals to serve as preceptors. Applicants must have completed 1 year of their MPH program studies.
It is HPSM's policy to provide equal employment opportunities for all applicants and employees. HPSM does not unlawfully discriminate based on race, religion, color, national origin, ancestry, physical disability, mental disability, medical condition, marital status, sex, age, sexual orientation, veteran status, registered domestic partner status, genetic information, gender, gender identity, gender expression, or any other characteristic protected by applicable federal, state, or local law. HPSM also prohibits discrimination based on the perception that an applicant or employee has any of those characteristics or is associated with a person who has or is perceived to have any of those characteristics.
$22-24 hourly 3d ago
Government Affairs Manager
IEHP 4.7
Rancho Cucamonga, CA job
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! Reporting to and under the general direction of the Director of Government Affairs, the Government Affairs Manager is responsible to lead the management and oversight of the execution of the government affairs role for Medi-Cal, Medicare, and commercial lines of business. The Government Affairs Manager plays a key role in crafting and shaping federal and state legislative and regulatory policy issues for the benefit of IEHP. The Government Affairs Manager has an active and visible lead role with the state and federal advocacy associations and legislative offices.
The Government Affairs Manager serves as a lead liaison for IEHP with state and federal trade associations and legislative staff, and positions IEHP as a key influencer, maintaining relationships with advocacy groups and legislative staff. This position works collaboratively with other departments within the Plan acting as a resource to provide analysis and interpretation of draft state and federal legislative and regulatory guidance, and work with Business Units to ensure advocacy issues are presented accurately and in a compelling manner.
Additionally, the Government Affairs Manager works closely with the managers in the Compliance Department to ensure seamless services to Business Units and effective advocacy, as well as with other Managers within the Plan to ensure alignment, understanding and follow through of priorities.
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
* 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
Education & Requirements
* Required: Five (5) years with managed care health plan or other relevant healthcare industry experience specific to government affairs legislative and regulatory advocacy
* Comprehensive advocacy experience, with direct experience interacting with regulators, legislative staff and state and federal trade associations
* Preferred: A minimum of one (1) year experience in project management
* Required: Bachelor's degree in Public/Business Administration, Health, Political Science, Public Policy or a relevant field from an accredited institution required
* Preferred: Master's degree in Public/Business Administration, Health, Political Science, Public Policy or a relevant field
Key Qualifications
* Must have a valid California Driver's license
* Strong knowledge and understanding in the following areas:
* Medicaid, Medicare, and commercial health insurance
* Managed care and government-sponsored health care delivery systems
* County, state, and federal legislative and budget processes
* Policy, legislative and regulatory implications to an organization and effective advocacy strategy and tactics
* Principles of effective project management, effective survey tools, business impact analysis and report writing
* Team building, strategic planning, and organizational and project management
* Cross-organization coordination
* Understanding and sensitivity to a multi-cultural environment and community.
* State and federal legislative and budget process
* Effective advocacy strategies, including effective partnerships with state and federal trade associations
* Federal and state regulatory requirements related to lines of business included in IEHP's business portfolio
* Possesses strong skillsets in the following areas:
* Strong leadership and excellent interpersonal skills
* Excellent verbal and written communication skills
* High level analytical skills and ability to analyze complex regulatory and legislative proposals
* Project management skills
* Issue management skills
* Microcomputer applications: spreadsheet, database, and word processing
* Ability to translate legislation and regulatory guidance into meaningful and actionable information
* Strong writing, interpersonal communication, organizational skills
* Proven ability to:
* Understand, incorporate, and demonstrate the mission, vision, and values of the Plan in behaviors, practices, and decisions
* Maintain a high level of diplomacy
* Be resourceful and independent in problem solving and self-direction
* Establish and maintain effective working relationships with internal departments and external agencies and offices of elected officials
* Embrace and champion change to accommodate evolving organizational and regulatory processes
* Work independently and collaboratively within a team environment
* Manage multiple projects with competing deadlines and changing priorities
* Possess a strong attention to detail and exceptional follow through
Start your journey towards a thriving future with IEHP and apply TODAY!
Pay Range
* $104,041.60 USD Annually - $137,841.60 USD Annually
$104k-137.8k yearly 60d+ ago
Health Equity Program Specialist
Health Plan of San Mateo 3.8
Health Plan of San Mateo job in California
General Description The Health Equity Program Specialist supports implementation of HPSM's Health Equity Strategy and CLAS Program activities including the design of interventions aimed at addressing health inequities and reducing health disparities among HPSM's member population. HPSM's Health Equity unit's focus areas include Addressing Health Disparities, promoting culturally inclusive care, providing linguistically appropriate services and fostering community partnerships for input and collaboration.
Duties & Responsibilities
Essential Functions:
Actively contributes to the ongoing development and participates in the execution of HPSM's Health Equity Strategy and associated initiatives.
Contributes to the maintenance of health equity and population health program documents, maintains health equity workplans and implementation progress tracking documents.
Conduct ongoing disparities analysis and assessments of specific subpopulations to identify disparities among HPSM's membership and prioritize areas for intervention and inform the planning process.
Foster collaborative partnerships with cross-departmental teams, community partners, provider network and HPSM members to collect input in the intervention design process.
Design targeted member outreach strategies to disparate or at-risk member subgroups to connect members to programs, services or close gaps in care.
Lead language assistance services (LAS) functions related to accessing interpreter services, vendor relationship management, monitoring utilization and investigating member complaints against interpreter services vendor as needed.
Serves as Co-facilitator of Health Equity focused topic task force working groups including tracking of task force activities and progress
Supports implementation of Language Assistance Services (LAS) requirements from regulatory agencies such as DHCS, DMHC, NCQA.
Participate in various provider and HPSM staff education opportunities focused on culturally inclusive care by preparing and presenting communications (e.q. awareness months, best practices resources, etc.)
Create process documentation and workflows for health equity activities and health disparities interventions.
Participate cross-functionally in planning to support HPSM initiatives with a focus on improving health outcomes, health equity, accessibility, and reducing health disparities.
Educate and work with external partners as needed to identify innovation opportunities and improve processes and outcomes.
Secondary Functions:
Perform other duties as assigned
Qualifications - The following represents the typical way to achieve the necessary skills, knowledge and ability to qualify for this position.
Education and Experience equivalent to:
Bachelor's Degree or equivalent work experience in Public Health, Health Education/Promotion, Social Work, Sociology, or a related field. Master's in public health or administration (MPH/MPA) strongly preferred.
Three (3) years of experience in public health or healthcare setting, working with diverse populations, project management or program development and evaluation. Experience with Medi-Cal and Medicare programs/members preferred.
Knowledge of:
Population Health, Health equity concepts and terminology.
Health Disparities concepts and analysis methods
Organizational behavior skills with a focus on driving for results.
Project management and intervention planning
Skills:
Commitment to social justice and passion for advocacy work.
Experience engaging with diverse communities or vulnerable populations
Experience planning health equity/health disparities intervention.
Communicate effectively, both verbally and in writing.
Personal computers and proficiency in Microsoft Office Suite applications, including Outlook, Word, Excel, Access and PowerPoint.
Relationship building and interpersonal skills.
Think critically and make informed decisions.
Ability to:
Communicate effectively and produce well-organized and informative assessments, reports and presentations.
Work cooperatively with others.
Work as part of a team and support team decisions.
Adapt to changes in requirements/priorities for daily and specialized tasks.
$57k-88k yearly est. 60d+ ago
Engineer III - Network
IEHP 4.7
Rancho Cucamonga, CA job
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 Director, Technology - Infrastructure Services, the Engineer III - Network will be responsible for administration and maintenance of the IEHP's Local Area Network (LAN) and Wide Area Network (WAN) which are Cisco Network systems. The Engineer III responsibility will be to ensure the stable operation of the in-house computer and systems network(s). This includes planning, developing, installing, configuring, maintaining, supporting, and optimizing all Network Appliance Hardware and software, and all communication circuits.
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.
Additional Benefits
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
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
Key Responsibilities
Implement and maintain all of IEHP's Cisco Platforms, including Catalysis, Nexus, ISR, ASR, ASA and Wireless Controller with AirOnet Access Point, Palo Alto Firewalls and T1, Layer 2, MPLS WAN circuits.
Provide ongoing technical support to remote area networks, Internet, and VPN communications.
Troubleshoot network usage, perimeter security and all network appliances.
Develop and implement policies and standards to ensure security procedures are followed.
Build networks and maintains external and internal web presence, administers the networks.
Perform Network Systems Appliance backups on internal and external Backbone Devices.
Document network infrastructure and design.
Assist with space planning associated with network infrastructure needs.
Research, order, configure, and administer WAN circuits.
Work with vendors, clients, carriers, and technical staff on network implementation, optimization, and ongoing management.
Assist in design, installation, and management of network security solutions.
Provide level 3 support on client level IT issues resulting in production downtime.
Qualifications
Education & Requirements
Minimum eight (8) years of Network Design and Administration hands on experience with Palo Alto Networks, Cisco routers, switches and security solution and Cisco recommended best practices
Bachelor's degree with a major in computer related field or similar technical field from an accredited institution required
Cisco Certified Network Professional (CCNP) certification preferred
Key Qualifications
Must have a valid California Driver's License
Extensive knowledge in TCP/IP and multi-routing protocols
Working knowledge of all Cisco Platforms, including Cisco-ACI, DNAC, ISE, SDA, Catalyst, Nexus, ISR, ASR, ASA and Wireless Controller with AirOnet Access Point, Palo Alto Firewalls and T1, Layer 2, MPLS WAN circuits
Strong planning, organization, critical thinking, decision-making and communication (verbal and written) skills
Projects involving lift server appliance weighs up to 50 lbs. and heavy eye strain with computer monitors
Start your journey towards a thriving future with IEHP and apply TODAY!
Work Model Location
This position is on a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga, CA.)
Pay Range USD $118,601.60 - USD $157,144.00 /Yr.
$118.6k-157.1k yearly Auto-Apply 55d ago
Community Engagement Manager - Foundation (Riverside County)
IEHP 4.7
Rancho Cucamonga, CA job
The IEHP Foundation was established in 2021 by Inland Empire Health Plan (IEHP) to ensure all individuals in the Inland Empire have access to Vibrant Health - extending beyond traditional healthcare services and addressing the social determinants of health for the region's most vulnerable populations.
To advance Vibrant Health across San Bernardino and Riverside Counties, IEHP Foundation invests in strengthening the leadership and capacity of community-based organizations (CBOs) and coalitions to build healthy neighborhoods and cultivate healthy living, ensuring all residents have access to healthy and joyful lives.
We Invest in Healthy Nonprofit Leadership By:
* Directly investing in local CBOs and nonprofits through responsive grantmaking.
* Strengthening the infrastructure of nonprofits through capacity building and training.
* Leveraging public policy and advocacy alongside our community partners to better advocate for the region to help eliminate health barriers and disparities.
* Funding and supporting place-based initiatives that aim to advance health equity throughout neighborhoods and communities.
IEHP Foundation seeks dedicated and passionate Team Members who show up each day committed to working collaboratively - both internally and externally - to improve lives and health outcomes across the Inland Empire.
Reporting to the IEHP Foundation CEO, the Community Engagement Manager will be responsible for the implementation of community engagement and impact strategies, projects, initiatives and other key activities within the Foundation. With a highly collaborative spirit and by utilizing collective impact principles, this position develops trusted relationships and partnership aimed at achieving collective results for the region. This position will provide project management support to the Foundation CEO and collaborate with internal and external stakeholders to ensure successful implementation and achievement of goals and objectives. With limited administrative support, the Community Engagement Manager will develop, plan, coordinate and maintain the operations of complex community engagement processes and philanthropic strategies. This position will shape all goals/projects related to partnership and capacity building of Community Based Organizations throughout the region. Individuals in this classification demonstrate a significant degree of independence performing a variety of responsibilities for administering and managing project objectives in alignment with governmental policies and local community needs.
Preferred: Bilingual (English/Spanish) written and verbal communication skills. If authorized, the Team Member in the bilingual capacity must take a language proficiency assessment and must receive a passing score to utilize their bilingual skillsets.
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
* 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
Education & Requirement
* Five (5) years of direct program/grants management or combined years of project and program experience with progressive responsibilities in the social services or nonprofit sector
* Five (5) years of solid experience working with Senior Management, Management and Team Members at an organization
* Five (5) years of experience managing complex projects using project management tools. Experience with community engagement, building community engagement strategies, and/or similar exposure
* Experience working with Inland Empire community organizations preferred
* Bachelor's degree from an accredited institution required
* Master's degree from an accredited institution preferred
* Preferred: Bilingual (English/Spanish) - written and verbal skills
Key Qualifications
* Must possess strong working knowledge of Inland Empire nonprofit landscape and philanthropic best practices. Must possess strong knowledge of program and project management and community development best practices.
* Strong program management skills to oversee the implementation of the Strategy Goals. Excellent communication skills through the use of ethical decision-making processes and good judgment. Strong skills in guiding and motivating a diverse work group to achieve the common goal(s). Excellent writing, interpersonal and communication skills. Computer applications: spreadsheet, grants management database and word processing.
* Ability to provide clear and effective program reporting to varying levels of leadership. Ability to effectively prioritize and execute tasks in a high-pressure environment. Ability to work collaboratively with key internal and external leaders as needed.
Start your journey towards a thriving future with IEHP and apply TODAY!
Pay Range
* $91,249.60 USD Annually - $120,910.40 USD Annually
$91.2k-120.9k yearly 26d ago
IT Operations Intern
Health Plan of San Mateo 3.8
Health Plan of San Mateo job in South San Francisco, CA
Health Plan of San Mateo Internship Program 2026 Application Due by March 2, 2026 Make a difference in your community The Health Plan of San Mateo (HPSM) is a local non-profit health plan that offers health coverage to San Mateo County's underserved population. We currently serve more than 150,000 county residents through several programs, with most of our members qualifying for coverage through Medi-Cal, the state's Medicaid program. HPSM has more than 300 employees and partners closely with clinicians and community organizations throughout the region.
Objective
Health Plan of San Mateo's Internship Program supports the recruitment, skill development, career growth, and retention of emerging managed care leaders by fostering a positive work environment with thoughtful and dedicated mentorship. The Internship Program is a paid opportunity to contribute meaningfully to HPSM's organizational focus areas.
Internship Scope
This opportunity will provide the intern with:
Knowledge and experience in the operation of a non-profit community-based health plan.
Knowledge and experience in the development of programs and services that benefit our diverse membership.
Professional experience working on a specific project important to HPSM and a chance to present recommendations through a final paper and/or presentation to HPSM leadership.
Internship Logistics
· Start date: June 22, 2026 (flexible based on applicant schedule)
Work Type: On-Site
Applicants must have a California residence
Type
Duration
Total Hours
Compensation
Experience Level
Intern
10 - 12
weeks
16 - 29 hrs/week
Up to 400 hours
Between $22 - $24/hour depending upon experience
Good fit for current undergraduate/graduate students looking for exposure to the field of managed care by completing
one specific project
Required Skills & Knowledge
These are the qualifications typically needed to succeed in this position. However, you do not need to meet every requirement to apply.
Currently enrolled or recent graduate of an undergraduate or graduate degree program in public health, public policy, business administration, social work, social sciences, communications, or related disciplines. Minimum 3.0 GPA.
Experience and/or skills that align with one of the projects listed below.
Solid written and verbal communication skills.
Intermediate proficiency with Microsoft Office (Word, Excel, Outlook, and PowerPoint).
Project Information
Working collaboratively with the HPSM sponsor, the intern will be provided the opportunity to work on the following projects during the internship.
Project Description
IT Operations Intern
HPSM's IT Operations team is seeking an intern that will assist in deploying Anti-Phishing essentials to all staff by week 10. They will also support the creation of six (6) cybersecurity training modules and ensure they are published in WorkRamp by week 10. In addition, the role will track training completion and provide a compliance summary to the L&D Team, and IT with a target of achieving at least 90%. The intern will prepare end-user communications related to phishing tests, including pre-test notifications, guidance on handling inquiries regarding validity and post-even education messaging. The role will support phishing campaign logistics and conduct post-test analysis, delivering a summary report to IT leadership that includes metrics such as email opens, clicks, credential submissions, and remediation actions.
Project Key Deliverables
Cybersecurity training materials
Anti-phishing program support
Phishing test coordination & communication
Metrics tracking & post-test analysis
*HPSM will also work with students to tailor this experience to meet requirements of a Master of Public Health field study, practicum or capstone projects. We have experienced MPH professionals to serve as preceptors. Applicants must have completed 1 year of their MPH program studies.
It is HPSM's policy to provide equal employment opportunities for all applicants and employees. HPSM does not unlawfully discriminate based on race, religion, color, national origin, ancestry, physical disability, mental disability, medical condition, marital status, sex, age, sexual orientation, veteran status, registered domestic partner status, genetic information, gender, gender identity, gender expression, or any other characteristic protected by applicable federal, state, or local law. HPSM also prohibits discrimination based on the perception that an applicant or employee has any of those characteristics or is associated with a person who has or is perceived to have any of those characteristics.
$22-24 hourly 3d ago
Learn more about Health Plan Of San Mateo (hpsm) jobs
Zippia gives an in-depth look into the details of Health Plan Of San Mateo (hpsm), including salaries, political affiliations, employee data, and more, in order to inform job seekers about Health Plan Of San Mateo (hpsm). The employee data is based on information from people who have self-reported their past or current employments at Health Plan Of San Mateo (hpsm). The data on this page is also based on data sources collected from public and open data sources on the Internet and other locations, as well as proprietary data we licensed from other companies. Sources of data may include, but are not limited to, the BLS, company filings, estimates based on those filings, H1B filings, and other public and private datasets. While we have made attempts to ensure that the information displayed are correct, Zippia is not responsible for any errors or omissions or for the results obtained from the use of this information. None of the information on this page has been provided or approved by Health Plan Of San Mateo (hpsm). The data presented on this page does not represent the view of Health Plan Of San Mateo (hpsm) and its employees or that of Zippia.
Health Plan Of San Mateo (hpsm) may also be known as or be related to Health Plan Of San Mateo (hpsm) and Health Plan of San Mateo.