HealthPlus Remote jobs

? • Business Development: Use your talent to bring in new clients who are looking to hire healthcare professionals from different areas. (Medical, Dental, Science, Veterinary, etc). • Account Management: Use your relationship skills to maintain and grow the current accounts. Promote their openings and build long-lasting relationships. • Recruitment: Source, Vet, and Submit top-quality candidates to clients for consideration. Utilize our CRM to maintain and develop your pipeline. • Make Great Commissions: This is a commission only role. And for that reason, our compensation exceeds our competition. What else? • Work From Home. This is a remote position. • Be surrounded by top recruiters. Our team is composed of top performers. • KPI Driven NOT schedule driven. Although most of our recruiters work a regular full-time schedule, we do not demand a set number of hours. Complete your job at your own pace. • Unique CRM. 1st year potential: $120,000+ 2nd year potential: $180,000+ Average commission: $7,500 (full desk) Qualifications: • Minimum of 2 years of experience as a Full-Desk Recruiter. • Proven track-record in business development. • Experienced working over the phone/cold calling. • Must have a LinkedIn Account • Must have a goal-oriented mindset. • Must possess strong negotiation skills. • Must be self-motivated, proactive and have a strong/independent work ethic. About Us: HealthPlus Staffing is National Leader in the Healthcare Staffing Industry. We partner up with top facilities nationwide with the focus on finding them highly qualified candidates. If interested in this position, please submit an application or call us at 561-291-7787 to speak with one of our highly experienced consultants. We look forward to finding your next position!

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 the Director of Finance Analytics, the Finance Commercial Operations Manager is responsible for the management and oversight of daily Covered California financial operations and reporting, premium billing activities, commission payments, and monitoring of third-party vendors that impact financial activities. This position also reviews monthly revenue reconciliation reports and data, reviews and approves grace period/termination/suspended member notifications, and reviews and recommend updates to financial policies for Covered California 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 Oversee the daily activities of the premium billing team, ensure timely and accurate Covered California premium invoicing and recording of payments, and issuance of refunds. Review and approve reports related to premium billing and premiums received. 15% Manage Covered California premium data and create reports for management, internal auditors, and external parties, such as regulatory and independent auditors. Maintain accurate and complete financial records and participate in audits or reconciliations, as needed. Communicate department metrics to senior leadership effectively. - 10% Guide Team Members in resolution of errors and issues, assist with research, and analyze data effectively through the understanding of Covered California processes and systems. - 10% Ensure compliance with Covered California, CMS, DMHC, and other applicable regulatory requirements. Understand and interpret policies, procedures, and regulations. -10% Ensure quality control over premium billing operations including, but not limited to grace period notices, suspension notices, and cancellations related to non-payment of premiums. Evaluate, develop, and improve department controls, systems, and procedures that increase accuracy and efficiency and prevent fraud. - 10% Manage reconciliations between multiple revenue streams and enrollment data. -15% Work with various departments and Covered California BPO vendor to resolve issues, expedite requests, provide high-quality customer service, review programming modifications, and/or other business needs. 10% Support financial reporting with revenue accruals related to member premiums, APTC, state subsidies, premium credits, and other relevant accruals. -10% Assist in the formulation of department policies and procedures. - 5% Hire, train, and manage support staff, while monitoring and evaluating outcomes. Conduct performance reviews of each Team Member within IEHP guidelines. -5% Perform any other duties as required to ensure Health Plan operations and department business needs are successful. Qualifications Education & Requirements Minimum of five (5) years of relevant managed care, premium billing, and/or other related experience A minimum of two (2) years in a supervisory capacity In lieu of supervisory experience, a Master's degree in a related field from an accredited institution or CPA License is required Bachelor's degree in Finance, Business Administration, Economics, Health Care Administration, Accounting, or other related field from an accredited institution required Master's degree from an accredited institution preferred Key Qualifications Strong knowledge and understanding in the following areas: Generally accepted accounting principles (GAAP) and the practical application of general accounting theory Commercial health plan billing practices Proficiency in Microsoft Office with advanced Excel skills Excellent problem-solving skills and strong analytical skills Demonstrated leadership and ability to mentor and train subordinates Proficiency in Microsoft Office with advanced Excel skills Proven ability to: Lead a high performing team Possess a high attention to detail Communicate effectively at all organizational levels both orally and written Position is eligible for telecommuting/remote work location model upon completing the necessary steps and receiving HR approval. The incumbent approved to telecommute may periodically be required to report to IEHP's main campus for mandatory in-person meetings or for other business needs 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 $135,200.00 - USD $179,129.60 /Yr.

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! The Associate Actuary is responsible for providing actuarial analytic support to various department and company key initiatives. This role serves as a technical consultant and SME to financial analysts, other departments, and as needed on projects. 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 CalPERS retirement State of the art fitness center on-site Medical Insurance with Dental and Vision Life, short-term, and long-term disability options Career advancement opportunities and professional development Wellness programs that promote a healthy work-life balance Flexible Spending Account - Health Care/Childcare CalPERS retirement 457(b) option with a contribution match Paid life insurance for employees Pet care insurance Key Responsibilities Lead ongoing analyses of financial, budgetary, or medical claims data, through forecasting, statistical analyses, trending, regression analyses, provider contracting analyses, risk adjustment analyses, and/or utilization assessment. Identify key issues and trends and bring them to the attention of higher-level staff members. Use professional concepts and internal policies and procedures to solve problems or provide suggestions. Build financial models to support operational initiatives and analytical endeavors and enable decision-making on business and strategic matters. Quantify the financial impact of opportunities or expenditures. Test and reconcile all financial models and analytic results. Provide ongoing financial analyses. Consolidate a wide-range of operating and financial projections for the development of short- and long-term business plans. Manage complex financial analysis projects and under supervision of a more senior staff member if required. Monitor, analyze and evaluate complex data using statistical tools to identify variances, problems and trends. Generate and distribute regularly scheduled actuarial reports. Review and organize actuarial and operational data for reports. Utilize statistical tools to monitor and provide ongoing analysis of these reports, noting any aberrant data. May be responsible for the preparation of complex reports. Participate in a variety of special studies and ad hoc analyses in support of departmental business and/or clinical objectives. Research and resolve data integrity issues. Work independently or with other departments to solve problems. Act as a project lead to staff in other departments, providing information and explanations related to financial data as needed. Answer most questions and refer highly complex issues to others. Participate in and lead workgroups or meetings. Communicate and present financial analyses and models to appropriate audiences. Mentor or provide training to junior staff on actuarial analytics and the use of data. Perform any other duties as required to ensure Health Plan operations and department business needs are successful. Qualifications Education & Requirements Candidates with an FSA designation: At least four (4) years of actuarial experience required. Managed Care experience is required Candidates with an ASA designation: At least five (5) years of actuarial experience required. Managed Care experience is required Healthcare and/or Medicaid experience is preferred Bachelor's degree from an accredited institution required Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA) is required Key Qualifications SQL Programming knowledge or equivalent is preferred. Health care knowledge, specifically managed care, is required Excellent interpersonal and communication skills (both oral & written) Ability to work independently and take initiative Extremely organized, with sharp attention to detail, strong work ethic, and expansive learner Ability to identify and resolve problems, think creatively, strategically, and analytically Position is eligible for telecommuting/remote work location upon completing the necessary steps and receiving HR approval 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 $118,601.60 - USD $157,144.00 /Yr.

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! Under the direct supervision of the Enhanced Care Management Department Leadership, the Community Health Worker - ECM (CHW-ECM) will be responsible for supporting Members in improving their whole health, through outreach and engagement activities, which are primarily field based. The CHW - ECM works closely and collaboratively with the Enhanced Care Management team (ECM), as well as with the designated HCO medical teams, to ensure high quality and seamless care for Members. 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. * CalPERS retirement. * State of the art fitness center on-site. * Medical Insurance with Dental and Vision. * Life, short-term, and long-term disability options * Career advancement opportunities and professional development. * Wellness programs that promote a healthy work-life balance. * Flexible Spending Account - Health Care/Childcare * CalPERS retirement * 457(b) option with a contribution match * Paid life insurance for employees * Pet care insurance Education & Requirements * Two (2) years of experience as a Community Health Worker, Promotora, or Health Navigator, or two (2) years of experience working in community outreach, customer service, or within a medical office, or a Behavioral Health or Substance Use Disorder program required * High school diploma or GED required * Must have successfully completed an approved Community Health Worker program or complete within six (6) months of hire Key Qualifications * Must have a valid California Driver's license and valid automobile insurance. Must qualify and maintain driving record to drive company vehicles based on IEHP insurance standards of no more than three (3) points * Knowledge of the community the CHW will be working in, especially non-professional resources, and their reputation in the community * Understanding of and sensitivity to mental health conditions and addictive disorders * Awareness of the impact of unmitigated bias and judgement on health; commitment to addressing both * Understanding of, and a commitment to, high preforming team practices * Highly skilled interpersonally, with excellent teamwork and relationship skills * Highly skilled in interpersonal communication, including resolving conflict * A high degree of skillful decision making and judgement, in an autonomous position, including knowing when to consult with the team, supervisors, and experts * Able to sufficiently engage members in a variety of settings, including on the phone, at Member's homes, in hospitals and other settings * Ability to develop relationships with community members and leaders, including in the faith-based community * Able to develop effective relationships with team members, despite working primarily in the field * Minimal physical activity; may include standing and repetitive motion Start your journey towards a thriving future with IEHP and apply TODAY! Pay Range * $25.90 USD Hourly - $33.02 USD Hourly

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! Under the general supervision of the Enhanced Care Management Department Leadership this position is responsible for working effectively with the Enhanced Care Management team (ECM) to provide high quality, effective care management to IEHP members. Care management is broadly defined, and can include outreach and engagement to Members, engaging members in skilled therapeutic interactions to promote health behaviors, other behavioral health interventions within scope, coordination of care, resource linkages, working with other professionals and organizations in the community to ensure quality of care for members, seamless transitions of care, and facilitating the right care and the right time for the member. This position works collaboratively with members of the Enhanced Care Management Team (ECM), Members and families, and other professionals, in addition to working collaboratively with the designated health care organization (HCO) medical team. This position, like all positions within IEHP, is expected to model whole health principles of relationship-based care, as well engage in promoting education and understanding of physical health and healthy behaviors to those within IEHP and in the community. 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. 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 Responsible for primarily working with a caseload of Members with medical needs. Responsible for utilizing brief medical interventions as necessary to improve the Member's ability to manage their own health. Provide formal and informal training and support for Enhanced Care Management team Members on medical conditions, including treatments and evidence-base for treatment. Represents the Enhanced Care Management team as the lead member when necessary. Responsible for assisting Members with care coordination needs, including, but not limited to, the following: Conduct comprehensive, holistic assessment according to the scope of the RN license Assimilate assessment information into an individualized care plan (ICP) Communicate ICP with Member, approved family or caregiver and other Members of the care team Lead inter/transdisciplinary care team meetings to share information, update and inform care plan Coordinate with internal and external health partners to support Members comprehensive care needs Participate and lead care transition plan responsibilities. Model the highest ethical behavior in relationships with co-workers, supervisors, Members, Providers, and colleagues in the community. Responsible for promoting a collaborative and effective working environment within the Enhanced Care Management team by engaging in evidenced-based communication strategies (such as Motivational Interviewing) when discussing responsibility/sharing of tasks, effectively resolving conflicts as they arise, and collaborating on Member case discussions. Responsible for building and maintaining a positive working relationship with Providers, including, but not limited to, communication via in-person, over the phone, and through digital means such as email and fax. Responsible for engaging with Members, both in-person and on the phone, in a manner that utilizes evidence-based approaches (such as Motivational Interviewing) that promotes collaboration between the Member and his or her medical/behavioral team, as well as to increase the Member's sense of control over their whole health. Model commitment to continuous quality improvement by engaging in quality improvement initiatives and projects, such as by identifying and addressing HEDIS gaps, and by identifying, developing, and testing new practices for improving the outcomes of the Enhanced Care Management team. Assists with the coordination of medical and behavioral health access issues with PCP offices, specialists, and ancillary services. Ensures documentation is accurate and in compliance with regulatory requirements and accreditation standards. Participates in Health Plan staff meetings, trainings, committee meetings, or other activities as needed or as directed by Leadership Team Members. Perform any other duties as required to ensure Health Plan operations and department business needs are successful. Qualifications Education & Requirements Three (3) or more years of care management experience in a health care delivery setting required Experience in a Health Care Organization or experience in Managed Care setting preferred Minimum of one (1) year clinical experience in an acute care facility, skilled nursing facility, home health or clinic setting preferred Associate's degree in Nursing from an accredited institution required Bachelor's degree in Nursing from an accredited institution preferred Possession of an active, unrestricted, and unencumbered Registered Nurse (RN) license issued by the California BRN required Key Qualifications Must have a valid California Driver's license and valid automobile insurance. Must qualify and maintain driving record to drive company vehicles based on IEHP insurance standards of no more than three (3) points Knowledgeable and skilled in evidenced based communication such as Motivational Interviewing, or similar empathy-based communication strategies Understanding of and sensitivity to multi-cultural community Deep understanding and knowledge of self-management philosophies and practices, especially as they relate to chronic medical conditions Awareness of the impact of unmitigated bias and judgement on health; commitment to addressing both Bilingual (English/Spanish) preferred. Highly skilled interpersonally, with excellent relationship skills Highly skilled in interpersonal communication, including resolving conflict with co-workers Able to sufficiently engage Members and Providers on the phone, including developing effective relationships that are phone-based. Must be able to work as a member of a highly autonomous team, executing job duties and making skillful decisions as an independent team Minimal physical activity; may include standing and repetitive motion 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 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 $91,249.60 - USD $120,910.40 /Yr.

The range for this role is $91,000 - $125,000 Actual base pay will be determined based on a successful candidate's work location, skills/abilities, experience, and education. Interested candidates must be living in or be willing to relocate to an eligible state for employment with CCM, including: AL, AZ, CO, FL, GA, IL, IN, KY, MO, NC, OH, OK, SC, SD, TN, TX, VA, WI, or WV. The Mission At Christian Care Ministry we believe that Christians can, and should, share in one another's burdens. Through the use of Medi-Share , a healthcare sharing ministry for Christians, we cultivate that belief. To that end, our Mission Statement is as follows: Connecting people to a Christ-centered community wellness experience based on faith, prayer, and personal responsibility. The Team Everyone at Christian Care Ministry is in agreement with our Statement of Faith, which outlines our core beliefs. Although we aren't perfect people, we are serving our perfect God and our Members to the best of our ability. The Job The Senior UX/UI Designer will craft intuitive, engaging, and accessible digital experiences across web and mobile platforms. In this role, you'll collect and translate user needs into delightful, effective solutions-collaborating closely with Solution Architects, development teams, and stakeholders to deliver impactful features. From shaping user journeys and workflows to designing wireframes, high-fidelity mockups, and interactive prototypes, you'll blend strategy, creativity, and execution. As a senior member of the team, you'll advocate for design excellence, and help advance the mission and values of Christian Care Ministry. Essential Job Duties & Responsibilities Design and deliver responsive user experiences across Mobile, Tablet, and Desktop Translate complex user needs into clear workflows, user stories, and use cases Develop user interfaces from low-fidelity wireframes to high-fidelity interactive prototypes Apply interaction design principles to ensure usability, efficiency, and task completion Champion end-to-end user experience, influencing beyond software into the broader service journey Establish consistent page architecture, reusable components, and design standards Present design concepts and research findings to stakeholders at all organizational levels Conduct user research and usability testing to generate actionable insights Contribute to the expression of Christian Care Ministry's beliefs through thoughtful, mission-aligned design Contribute to the exercise and expression of Christian Care Ministry's Christian beliefs Perform all other duties as assigned Essential Skills & Abilities Strong empathy for users, with the ability to uncover needs-even when unspoken Proven track record creating simple, intuitive interfaces for diverse audiences Excellent collaboration and interpersonal skills; able to engage confidently with customers and stakeholders Ability to thrive in a fast-paced, multi-project environment while meeting deadlines Strong problem-solving skills, both independently and collaboratively Highly organized, detail-oriented, and responsive to feedback Skilled in competitive and comparative analysis to inform innovation Experience developing user empathy maps and translating them into design solutions Experience working in an Agile Scrum environment Core Competencies/Demonstrable Behaviors Collaborates - builds partnerships and works collaboratively with others to meet objectives Communicates effectively - developing and delivering multi-mode communications that convey a clear understanding of the unique needs of different audiences Nimble learning - actively learning through experimentation when tackling new problems, using both successes and failures as learning fodder Drives Results - consistently achieves results, even under tough circumstances and tight deadlines Customer Focus - building strong customer relationships and delivering customer-centric solutions Education and/or Experience Required Associate or Bachelor's Degree in Visual/Graphic Design, UI/UX Design, Digital Media, HCI, or related field with 3+ years' UX/UI design experience OR UX Bootcamp/Certification with 5+ years' experience Online portfolio showcasing design process, problem-solving, and final outputs Proficiency with modern design and prototyping tools (e.g., Figma, Adobe Creative Suite) Experience with collaboration tools such as Miro, Jira, and project presentation platforms (Keynote, PowerPoint, Canva). Familiarity with design systems and their role in scalability Familiarity with Salesforce and the Lightning Design System Working knowledge of Microsoft Office Preferred Experience in healthcare or mission-driven organizations Front-end development skills (HTML/CSS/JS) Familiarity with Material Design or similar design libraries UX content and microcopy writing experience Supervisory Responsibilities This job has no supervisory responsibilities Incentives & Benefits We work hard to serve our Medi-Share Members, but know we can only do that if we invest in our employees professionally, financially, physically, socially, and spiritually. We purposefully invest in our employees so that our employees can invest in others. For full-time employees working 30 hours or more, some of our benefits include, but are not limited to: • 100% paid Medical for employees/99% for family • Generous employer Health Savings Account (HSA) contributions • Employer-paid Life Insurance (3x salary) and Long-term Disability Insurance • 6 weeks of paid parental leave (for both mom and dad) • Dental - two plans to choose from • Vision • Short-term Disability • Accident, Critical Illness, Hospital Indemnity • 401(k) - up to 4% match on ROTH or Traditional contributions • Generous paid-time off and 11 paid holidays • Wellness plan including Financial, Occupational, Mental/Spiritual, and Physical health incentives up to $50/mo • Employee Assistance Program including no cost, in-person mental health visits and employee discounts • Monetary Anniversary Awards Program • Monetary Birthday Awards Minimum Age Requirement: Due to the nature of the responsibilities associated with this position-including independent decision-making, access to confidential information, and potential exposure to regulated environments-candidates must be at least 18 years of age at the time of hire. This requirement is in accordance with applicable federal and state labor laws and is intended to ensure compliance with workplace safety and legal standards.

This position is a temporary role facilitated through one of our contracted agencies and is not a direct employment opportunity with IEHP. The contracted agency offers an assignment length of up to six months, during which the candidate will provide support for IEHP. 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 department leadership, this position focuses on a person-centered model of care which takes in to account the Member's medical, behavioral, and social needs. This position provides high quality, effective care management to IEHP members ensuring coordinated continuous care. Care Management is broadly defined, and can include outreach and engagement to members, engaging members in skilled therapeutic interactions to promote health behaviors, other behavioral health interventions within scope, coordination of care, resource linkages, working with other professionals and organizations in the community to ensure quality of care for members, seamless transitions of care, and facilitating the right care and the right time for the member. As a licensed clinician, this position provides clinical expertise, clinical leadership, and clinical oversight in a variety of ways within the department. The individual in this position is to utilize their clinical expertise to support and engage Members to promote positive health behaviors, assist with coordination of care, provided resource linkages, and collaborate with other Team Members within their care team, as well as external partners, to ensure a seamless transitions of care experience. This position is expected to model behavioral health principles of relationship-based care, as well engage in promoting education and understanding of Behavioral health and its importance in whole health, to those within IEHP and in the community. 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. Key Responsibilities Establish and continuously model supportive and collaborative relationships with members, colleagues, and external partners. Model the highest ethical behavior in care for Members, as well as in relationships with co-workers, Leaders, internal, and external partners. Model commitment to continuous quality improvement by engaging in quality improvement initiatives and projects, such as by identifying and addressing HEDIS gaps, and by identifying, developing, and testing new practices for improving the outcomes of the Enhanced Care Management team. Participates in Health Plan staff meetings, trainings, committee meetings, or other activities as needed or as directed by Leadership Team Members. Working in a lead training capacity by providing formal and informal clinical training and other learning and development activities to support department Team Members on behavioral health conditions, including treatments and evidence-base for treatment (within areas of expertise/scope) as well as provide onboarding and ongoing training to department Team Members. Promote a collaborative and effective working environment within the department or those outside BH discipline by engaging in evidenced-based communication strategies (such as Motivational Interviewing) when discussing responsibility/sharing of tasks, effectively resolving conflicts as they arise, and collaborating on Member case discussions to provide integrated care to IEHP members. Participate in committees, conferences, and any other meetings as required or directed by department managers or directors. Responsible for primarily working with a caseload of Members with behavioral health needs. Advocate for Members to receive the highest quality care, in a timely manner, within IEHP's network by referring to appropriate internal partners such as behavioral health, Enhanced Care Management, and complex care management. In conjunction with department leadership, the Licensed Behavioral Health Care Manager is responsible for providing consultation for the non-licensed Members of the team when discussing tasks of a clinical nature. Responsible for engaging with Members to provide effective care management, both in-person and on the phone, including linkage to resources and support in transitions of care, in a manner that utilizes evidence-based approaches (such as Motivational Interviewing) that promotes collaboration between the Member and his or her medical/behavioral team, facilitating member self-efficacy and self-management to improve the Member's ability to manage their own health, and all other activities associated with high quality, evidenced-based care management. Ensures documentation is accurate and in compliance with regulatory requirements and accreditation standards. Assist Members with care coordination needs, including, but not limited to the following: Conduct comprehensive, holistic assessment both telephonically as well as in person (facility or home visits). Assimilate assessment information to assist, in collaboration with the ITC Team and the facility, in developing a discharge plan or an individualized care plan (ICP). Communicate ICP or discharge plan with Member, approved family or caregiver and other Members of the care team. Coordinate with internal and external health partners to support Members' comprehensive care needs. Assists with the coordination of medical and behavioral health access issues with PCP offices, specialists, and ancillary services. Participate in inter/transdisciplinary care team meetings to share information, update and inform care plan. Participate and lead (as necessary) care transition plan responsibilities. Engage in proactive, member-centered utilization and quality review of Behavioral Health services by members. Provide crisis intervention to individuals, as well as providing support and clinical guidance to others who engage in this work. Responsible for any other duties as required to ensure successful care management processes and Member outcomes. Provide transitional care services to Members transitioning from one care setting to the next such as assisting the Member with PCP appointments, transportations, and coordination of DME and home health. Support Member through all care transitions by making outreach to ensure all care needs are met before closing the Member out to transitions of care. providing care coordination, linkage to resources, and facilitating Member self-efficacy and self-management. Perform any other duties as required to ensure Health Plan operations and department business needs are successful. Qualifications Education & Requirements Minimum of three (3) years of experience performing or facilitating Behavioral Health/Medical Social Work services Experience in motivational interviewing and/or other evidenced-based communication strategies Experience working successfully within a team, and experience in developing and maintaining effective relationships with both clients and coworkers is mandatory Master's degree in Social Work or related field from an accredited institution required Possession of an active, unrestricted, and unencumbered license in a Social Services related field issued by the California Board of Behavioral Sciences required (LCSW or LMFT preferred) Key Qualifications Must have a valid California Driver's License Behavioral Health/Medical Social Work services experience in a health clinic psychiatric hospital, medical facility, or health care clinic strongly preferred Experience in clinical services, both mental health and substance use preferred Familiarity with providing Behavioral Health Care and discharge planning is required Knowledgeable and skilled in evidenced-based communication such as Motivational Interviewing, or similar empathy-based communication strategies Understanding of and sensitivity to multi-cultural communities Deep understanding and knowledge of mental health and substance use conditions, including both acute and chronic management Awareness of the impact of unmitigated bias and judgement on health; commitment to addressing both Must have knowledge of whole health and integrated principles and practices Bilingual (English/IEHP Threshold Language) - written and verbal is highly preferred Highly skilled in interpersonal communication, including conflict resolution Effective written and oral communication skills, as well as reasoning and problem-solving skills Skillful in informally and formally sharing expertise. Must have the resiliency to tolerate and adapt to a moderate level of change and development around new models of care and care management practices Proficient in the use of computer software including, but not limited to, Microsoft Word, Excel, PowerPoint Demonstrated proficiency with all electronic medical management systems (e.g., Cisco, MHK/Care Prominence, MediTrac, SuperSearch and Web Portal) is preferred Proven ability to: Sufficiently engage Members and providers on the phone as well as in person Work as a member of a team, executing job duties and making skillful decisions within one's scope Establish and maintain a constructive relationship with diverse Members, Leadership, Team Members, external partners, and vendors Prioritize multiple tasks as well as identify and resolve problems Have effective time management and the ability to work in a fast-paced environment Be extremely organized with attention to detail and accuracy of work product Have timely turnaround of assignments expected To form cross-functional and interdepartmental relationships Start your journey towards a thriving future with IEHP and apply TODAY! Work Model Location Telecommute Pay Range USD $43.87 - USD $58.13 /Hr.

The range for this role is $73,000 - $99,500 Actual base pay will be determined based on a successful candidate's work location, skills/abilities, experience, and education. Interested candidates must be living in or be willing to relocate to an eligible state for employment with CCM, including: AL, AZ, CO, FL, GA, IL, IN, KY, MO, NC, OH, OK, SC, SD, TN, TX, VA, WI, or WV. The Mission At Christian Care Ministry we believe that Christians can, and should, share in one another's burdens. Through the use of Medi-Share , a healthcare sharing ministry for Christians, we cultivate that belief. To that end, our Mission Statement is as follows: Connecting people to a Christ-centered community wellness experience based on faith, prayer, and personal responsibility. The Team Everyone at Christian Care Ministry is in agreement with our Statement of Faith, which outlines our core beliefs. Although we aren't perfect people, we are serving our perfect God and our Members to the best of our ability. The Job The Salesforce Administrator will partner with the Production Support team to define, implement, and drive best practices for improving quality engineering solutions to meet the Ministry needs. This role will work with scrum teams to release sustainable product quality throughout SDLC. Essential Job Duties & Responsibilities Serve as a Salesforce evangelist within the organization; suggest how the current application can be enhanced to improve business processes and communicate that in writing and presentation Build and optimize automations using Flows, Approval Processes, and other declarative tools to streamline business processes. Manage all aspects of user management including roles, profiles, permissions, public groups, OWD, sharing rules Salesforce configuration changes, including (but not limited to): Workflow, Process Builder, Lightning Flow, assignment rules, approval processes, record types, dynamic layouts, apps, custom settings, custom metadata types Partner with internal stakeholders to gather requirements and translate them into scalable Salesforce solutions Work User Support Tickets Document configurations, business processes, and change history to support continuity and compliance. Work with integrated applications including: Formstack, Webmerge, and Formstack Sign Complete regular internal system audits, assist with security projects, and prepare for quarterly releases by staying up to date on the platform's new tools and capabilities Continually improve and enhance Salesforce platform, gathering requirements, and feedback, designing scalable best practice solutions to meet Ministry needs, and managing product road map Collaborate with the Manager of CRM Admin and fellow admins to ensure alignment with roadmap priorities and governance standards Contribute to the exercise and expression of the Ministry's Christian beliefs All other duties as assigned Essential Skills & Abilities 3-5 years of hands-on Salesforce Administration experience in multi-cloud environments Strong knowledge of Salesforce declarative tools: Flows, Validation Rules, Custom Objects, Reports, Dashboards, and Page Layouts Proficient with data management tools (Data Loader, Import Wizard, Excel) and data hygiene best practices Understanding of Salesforce security, sharing models, and role hierarchies Familiarity with sandbox management, release management, and deployment best practices Comfortable with change management and governance, as well as communicating, prioritizing, and managing all aspects of Salesforce projects Experience with enterprise-scale applications and operational support of systems Experience with software development process/lifecycle Ability to work in a fast‐paced environment, multi‐project environment, meeting commitments and deadlines Organized, and detail oriented with a concise, impactful writing and communication style Knowledge of data protection operations and legislation (e.g. GDPR, HIPAA) Core Competencies/Demonstrable Behaviors Communicates effectively - Developing and delivering multi-mode communications that convey a clear understanding of the unique needs of different audiences Manages complexity - Making sense of complex, high quantity, and sometimes contradictory information to effectively solve problems Highly collaborative team player who thrives in cross-functional settings Adaptable and curious learner committed to continuous improvement Strong sense of accountability, confidentiality, and trustworthiness Tech savvy - Anticipating and adopting innovations in business-building digital technology applications Optimizes work processes - Knowing the most effective and efficient processes to get things done, with a focus on continuous improvement Member First - exhibits full commitment to serving members and/or clients by prioritizing their needs first in alignment with our program's purpose. This commitment is demonstrated through understanding of the program(s), provided through quality and timely service while exercising empathy in every interaction. Every CCM employee shares responsibility to steward resources faithfully, removing barriers to understanding, and creating accessible, connected, and Christ-centered experiences. Humble - demonstrates Christ-Centered humility by honoring others, accepting feedback, and prioritizing collective success over individual recognition Hungry - exhibits initiative, perseverance, and commitment to serving God through excellence. Demonstrates passion for personal and organizational growth while diligently advancing the mission of Christian Care Ministry Smart - shows relational and emotional intelligence, communicates effectively, collaborates harmoniously, and reads social cues with grace and discernment Education and/or Experience Required Bachelor's degree in Computer Science, Information Technology or closely related field with 2+ years of Salesforce Administration experience or combination of education and experience required Salesforce Administrator certification (ADM201) required Preferred Experience in a healthcare‐related field or financial field Salesforce Advanced Administrator or Platform App Builder certification Experience with Health Cloud data model or Marketing Cloud automation journeys Exposure to Salesforce DevOps tools such as Gearset or Copado Basic familiarity with Apex, SOQL, or Lightning App Builder customization Experience supporting member or patient portals through Experience Cloud Supervisory Responsibilities This job has no supervisory responsibilities Incentives & Benefits We work hard to serve our Medi-Share Members, but know we can only do that if we invest in our employees professionally, financially, physically, socially, and spiritually. We purposefully invest in our employees so that our employees can invest in others. For full-time employees working 30 hours or more, some of our benefits include, but are not limited to: • 100% paid Medical for employees/99% for family • Generous employer Health Savings Account (HSA) contributions • Employer-paid Life Insurance (3x salary) and Long-term Disability Insurance • 6 weeks of paid parental leave (for both mom and dad) • Dental - two plans to choose from • Vision • Short-term Disability • Accident, Critical Illness, Hospital Indemnity • 401(k) - up to 4% match on ROTH or Traditional contributions • Generous paid-time off and 11 paid holidays • Wellness plan including Financial, Occupational, Mental/Spiritual, and Physical health incentives up to $50/mo • Employee Assistance Program including no cost, in-person mental health visits and employee discounts • Monetary Anniversary Awards Program • Monetary Birthday Awards Minimum Age Requirement: Due to the nature of the responsibilities associated with this position-including independent decision-making, access to confidential information, and potential exposure to regulated environments-candidates must be at least 18 years of age at the time of hire. This requirement is in accordance with applicable federal and state labor laws and is intended to ensure compliance with workplace safety and legal standards.

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! Under the direction of the Claims Production Manager and Supervisor, the Claims Processor Level II will be processing outpatient professional and institutional claims. This includes but is not limited to; lab, radiology, ambulance, behavior health, outpatient COB, dialysis, oncology/chemo, hospital exclusions etc., in an accurate and expedient manner. 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 Responsible for non-delegated provider claims verification and adjudication. Adjudicate all professional and outpatient claims including COB, denials, and reduction in service notifications. Meet Regulatory Compliance Regulations on turnaround times and claim payments. Read and interpret Medi-Cal/Medicare Fee Schedules. Must be able to make a sound determination if claim is eligible for payment or denial. Interface with other IEHP Departments, when necessary, regarding claims issues. Participate in Claims Department staff meetings, and other activities as needed. Responsible for meeting the performance measurement standards for productivity and accuracy. Any other duties as required to ensure the Health Plan operations are successful. Qualifications Education & Requirements Minimum of two (2) years of experience adjudicating outpatient professional and/or institutional claims preferably in an HMO or Managed Care setting Processing of Medicare, Medi-Cal, or Commercial claims required Proficient in rate applications for Medi-Cal and/or Medicare pricers High school diploma or GED required Key Qualifications ICD-9 and CPT coding and general practices of claims processing Prefer knowledge of capitated managed care environment Microcomputer skills, proficiency in Windows applications preferred Excellent communication and interpersonal skills, strong organizational skills Professional demeanor Must be computer literate, maintain good attendance, and have the right attitude and discipline to work from home 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 $23.98 - USD $30.57 /Hr.

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! Under the direction of the Manager, Quality Management Nurses, the Quality Program Nurse, RN (QPN) is responsible for the implementation of Quality Management policies, procedures, and activities. The QPN implements and monitors DHCS regulatory requirements related to Facility Site Review (FSR) and Medical Record Review (MRR) Policies. The Quality Program Nurse, RN partners with IEHP's network providers to not only assess compliance, but to also support improvement efforts aimed at meeting these requirements. 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 CalPERS retirement State of the art fitness center on-site Medical Insurance with Dental and Vision Life, short-term, and long-term disability options Career advancement opportunities and professional development Wellness programs that promote a healthy work-life balance Flexible Spending Account - Health Care/Childcare CalPERS retirement 457(b) option with a contribution match Paid life insurance for employees Pet care insurance Key Responsibilities Perform initial, periodic, and verification Site Review and Medical Record Surveys for assigned Primary Care Providers. Conduct other regulatory audits as assigned. Review Primary Care Provider Corrective Action Plans (CAP) submissions and monitor CAP compliance. Work collaboratively with assigned Primary Care Providers and office staff to help remediate areas of non-compliance Perform focused audits as directed by IEHP Subcommittees. Perform annual HEDIS data abstractions. Monitor assigned PCPs for potential problem hours and document findings. Review QM reports and CAP log on a weekly basis. Responsible for Provider compliance and follow up. Attendance and participation in Quality Management Committee and/or Subcommittee meetings, as needed. Attend Site Review and Medical Record Survey training, as mandated by DHCS, to maintain and become a Certified Site Reviewer. Attendance and participation in Quality Management, Medical Services, and other inter-departmental staff meetings as indicated. Attendance and participation in Quality Management Committee or Subcommittee meetings, as directed. Perform any other duties as required to ensure Health Plan operations and department business needs are successful. Qualifications Education & Requirements Three (3) or more years of any individual or combined experience in Quality Assurance, Utilization Management, Case Management, provider liaison duties, and/or clinical experience in a hospital/clinical setting required Experience preferably in an HMO or Managed Care setting Associate's degree in Nursing from an accredited institution required Bachelor's degree in Nursing from an accredited institution preferred Possession of valid Certified Site Reviewer (CSR) Certificate issued from DHCS or participating Medi-Cal Managed Health Plan Provider. If not a CSR, the candidate should be willing and able to get certified within one (1) year of hire Possession of an Active, unrestricted, and unencumbered Registered Nurse (RN) license issued by the California BRN required. Valid State of California driver's license and valid automobile insurance Key Qualifications Must have a valid California Driver's license Knowledgeable and understanding of Nursing principles & Evidence based practices. Computer applications: spreadsheet, database, and word processing Strong organizational, time-management, and critical thinking skills Excellent written and verbal communication and interpersonal skills Highly skilled in interpersonal communication, including conflict resolution Ability to manage multiple projects with completing deadlines and changing priorities 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 $91,249.60 - USD $120,910.40 /Yr.

The range for this role is $101,000 - $146,000 Actual base pay will be determined based on a successful candidate's work location, skills/abilities, experience, and education. Interested candidates must be living in or be willing to relocate to an eligible state for employment with CCM, including: AL, AZ, CO, FL, GA, IL, IN, KY, MO, NC, OH, OK, SC, SD, TN, TX, VA, WI, or WV. The Mission At Christian Care Ministry we believe that Christians can, and should, share in one another's burdens. Through the use of Medi-Share , a healthcare sharing ministry for Christians, we cultivate that belief. To that end, our Mission Statement is as follows: Connecting people to a Christ-centered community wellness experience based on faith, prayer, and personal responsibility. The Team Everyone at Christian Care Ministry is in agreement with our Statement of Faith, which outlines our core beliefs. Although we aren't perfect people, we are serving our perfect God and our Members to the best of our ability. The Job The role of Senior Software Developer (Full-Stack) is to design, plan, develop, configure, document, deploy, troubleshoot, and maintain software applications and services for use in Christian Care Ministry's (CCM) web sites/portals, business applications, and back-office systems. The Sr. Software Developer will be tasked with production and maintenance of custom code in a variety of languages based on best-fit to the solution/application. You will design software solutions as per business requirements, including data modelling, optimization, and troubleshooting; according to CCM's SDLC processes. Responsibilities include: analyzing requirements, research, new development, unit testing, performance testing, security, code promotion/review, re-factoring, and maintenance of software products. We seek someone who has extensive experience in our technology stack (TypeScript, NestJS, React with Vite, PostgreSQL, RabbitMQ) and enterprise architecture patterns (CQRS, Event-Driven Architecture, and related approaches) to help deliver our next generation of innovative, scalable platform services for healthcare and community. Essential Job Duties & Responsibilities Analyzes, designs, programs, debugs, and modifies complex and diverse software enhancements and features used in local, networked, cloud-based, or Internet-related computer programs Applies complex professional concepts and company objectives to resolve issues in creative and effective ways Actively participates as a developer on Scrum Ceremonies, building software solutions according to team backlog Effectively collaborates with team members to achieve a shared goal Executes and promotes development standards, including writing readable code, automated tests, and documentation Collaborates with other developers within the development teams to ensure best methods and techniques are used in development Ensures merge/pull requests are reviewed and approved Serves as technical owner for code written, including executing development standards for their code within applications/systems Analyzes technological trends and proposes formal recommendations for improvement when appropriate Engages and shares knowledge with other functional areas of IT as well as business users as an ambassador for the software development team Keeps job knowledge up-to-date by studying new development tools, programming techniques, and computing equipment; participating in educational opportunities, reading professional publications, maintaining personal and professional networks, and participating in professional organizations Implement features and functionality within multi-tenant, distributed applications, working with established enterprise patterns including Event-Driven Architecture, CQRS, and separation of concerns Build and maintain scalable features within core platform services Contribute to the exercise and expression of Christian Care Ministry's Christian beliefs All other duties as assigned Essential Skills & Abilities High-level competencies in front-end technologies (TypeScript, React with Vite, HTML & CSS) Proficiency in server-side application development with TypeScript and NestJS framework Strong proficiency with PostgreSQL for both relational and semi-structured data needs (including JSONB) Demonstrated ability to deliver product features to customers in a production environment Deep understanding of RESTful design principles and experience creating and consuming APIs Experience working with event-driven systems and message brokers (RabbitMQ preferred) Experience building features within multi-tenant applications with proper tenant isolation and data separation strategies Solid understanding of web security fundamentals Solid understanding of data security and handling of sensitive information (PII, PHI, HIPAA) Experience with revision control and CI tools (Git, GitLab) Experience with at least one cloud environment such as Heroku, AWS, GCP, or Azure Firm understanding of standard SDLC, lean, and agile practices Ability to rapidly learn and apply new technologies Experience with modern build tools like Vite Core Competencies/Demonstrable Behaviors Member First - exhibits full commitment to serving members and/or clients by prioritizing their needs first in alignment with our program's purpose. This commitment is demonstrated through understanding of the program(s), provided through quality and timely service while exercising empathy in every interaction. Every CCM employee shares responsibility to steward resources faithfully, removing barriers to understanding, and creating accessible, connected, and Christ-centered experiences. Humble - demonstrates Christ-Centered humility by honoring others, accepting feedback, and prioritizing collective success over individual recognition Hungry - exhibits initiative, perseverance, and commitment to serving God through excellence. Demonstrates passion for personal and organizational growth while diligently advancing the mission of Christian Care Ministry Smart - shows relational and emotional intelligence, communicates effectively, collaborates harmoniously, and reads social cues with grace and discernment Communicates effectively - Developing and delivering multi-mode communications that convey a clear understanding of the unique needs of different audiences Manages complexity - Making sense of complex, high quantity and sometimes contradictory information to effectively solve problems Nimble learning - Actively learning through experimentation when tackling new problems, using both successes and failures as learning fodder Tech savvy - Anticipating and adopting innovations in business-building digital technology applications Optimizes work processes - Knowing the most effective and efficient processes to get things done, with a focus on continuous improvement Education and/or Experience BS in Software Engineering, Computer Science, or related degree required 10-12 years of professional software engineering experience required 5+ years working with TypeScript in both front-end and back-end contexts 5+ years working with React and modern front-end build tools (Vite experience preferred ) 5+ years with Node.js development experience, with strong preference for NestJS framework 5+ years in PostgreSQL database development/deployment, including experience with JSONB for semi-structured data Experience working with enterprise patterns including CQRS and Event-Driven Architecture Experience building features within multi-tenant, distributed applications Experience working with message brokers (RabbitMQ preferred) in event-driven architectures Experience working with IDM platforms (Okta, Auth0), preferred Hands-on experience building cloud-native, 12-Factor applications using Docker, Kubernetes or similar container orchestration. Experience with microservices is a plus. Experience in enterprise software development environment, preferred Supervisory Responsibilities This job has no supervisory responsibilities Incentives & Benefits We work hard to serve our Medi-Share Members, but know we can only do that if we invest in our employees professionally, financially, physically, socially, and spiritually. We purposefully invest in our employees so that our employees can invest in others. For full-time employees working 30 hours or more, some of our benefits include, but are not limited to: • 100% paid Medical for employees/99% for family • Generous employer Health Savings Account (HSA) contributions • Employer-paid Life Insurance (3x salary) and Long-term Disability Insurance • 6 weeks of paid parental leave (for both mom and dad) • Dental - two plans to choose from • Vision • Short-term Disability • Accident, Critical Illness, Hospital Indemnity • 401(k) - up to 4% match on ROTH or Traditional contributions • Generous paid-time off and 11 paid holidays • Wellness plan including Financial, Occupational, Mental/Spiritual, and Physical health incentives up to $50/mo • Employee Assistance Program including no cost, in-person mental health visits and employee discounts • Monetary Anniversary Awards Program • Monetary Birthday Awards Minimum Age Requirement: Due to the nature of the responsibilities associated with this position-including independent decision-making, access to confidential information, and potential exposure to regulated environments-candidates must be at least 18 years of age at the time of hire. This requirement is in accordance with applicable federal and state labor laws and is intended to ensure compliance with workplace safety and legal standards.

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! This position will be responsible for participating in the preparation of monthly variance analyses, and database queries and reports. Candidate will prepare board and regulatory reporting, audit requests, and ad hoc business analysis. 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 Lead projects or major departmental initiatives independently with minimal supervision from beginning to end. Perform complex financial analysis timely as requested by management. Prepare, analyze, and reconcile financial data from organization's operations. Able to perform and understand month end close process and balance sheet reconciliations. Research coding issues using Halo, Diamond, and GP/Oracle Financial software. Analyzing SQL data including development of analytical reports, including conducting analysis, summarizing and interpretation of results. Support audit requests for data and develop responses from internal and external auditors. Communicate and interact with various departments such as Information Technology and Healthcare Informatics departments to gather data/information required for reporting deliverables. Perform quality assurance and peer review on financial reports and other output. Any other duties as required to ensure Health Plan operations are successful. Ensure the privacy and security of PHI (Protected Health Information) as outlined in IEHP's policies and procedures relating to HIPAA compliance. Qualifications Education & Requirements Minimum five (5) years of corporate accounting experience Experience in developing complex reports using financial reporting software Experience in analyzing, manipulating, and pulling large data sets Experience in statutory reporting a plus Managed Care or related industry experience preferred Bachelor's degree in Finance, Healthcare Administration, or a related field from an accredited required Master's degree from an accredited institution preferred Key Qualifications Strong understanding of accounting and financial principles and methodologies Proficient in SQL Knowledgeable of large ERP system, preferable Oracle, and Hyperion Principles and practices of health care industry and strategies, health care systems, capitated risk contracting, provider network structures and risk sharing arrangements a plus Strong knowledge and experience utilizing Microsoft Excel, Access, Word, and PowerPoint Quickly gain an understanding of data requests (scope and purpose) and to produce accurate and useful reports Cross-train and back up other areas of the department Work independently or with little direction with strong initiative and meet established deadlines Strong attention to detail Communicate effectively, both verbally and in writing, in order to develop and maintain effective working relationships with all levels of staff and management Work cooperatively and effectively on group projects Ability to multi-task. Adhere to IEHP's policies and procedures All IEHP positions approved for telecommute work 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 $91,249.60 - USD $120,910.40 /Yr.

The range for this role is $101,000 - $146,000 Actual base pay will be determined based on a successful candidate's work location, skills/abilities, experience, and education. This is a fully remote position, but only in select states. Interested applicants must be residing in, or willing to relocate to, one of the following states in order to be considered: AL, AZ, CO, FL, GA, IL, IN, KY, MO, NC, OH, OK, SC, SD, TN, TX, VA, WI, WV. The Mission At Christian Care Ministry we believe that Christians can, and should, share in one another's burdens. Through the use of Medi-Share , a healthcare sharing ministry for Christians, we cultivate that belief. To that end, our Mission Statement is as follows: Connecting people to a Christ-centered community wellness experience based on faith, prayer, and personal responsibility. The Team Everyone at Christian Care Ministry is in agreement with our Statement of Faith, which outlines our core beliefs. Although we aren't perfect people, we are serving our perfect God and our Members to the best of our ability. The Job The Senior Salesforce Developer will design, develop, and maintain software applications and back-office systems. The position will be writing the code that powers our ministry. Essential Job Duties & Responsibilities Design and develop Lightning Web Component Open Source (LWC OSS) applications that securely communicate to, and pull from, the Salesforce platform within LWC OSS Using Agile development methods, design and develop custom applications on the Salesforce platform utilizing Apex, Visualforce, and Lightning Web Components on the Salesforce / force.com platform for Christian Care Ministry's websites/portals, internal business processes, back-office systems, and mobile applications Build software that allows our employees to delight our members Explore and recommend new technology platforms and capabilities Participate in agile development teams, constantly improving quality Cross-train with senior development staff in the maintenance of applications, databases, and stored procedures Provide mentorship of other developers; taking ownership of key development initiatives as assigned Manages integration initiatives and implementation of third-party plug-ins Participate in code reviews Develop robust Apex and JavaScript Jest test cases that thoroughly validate both positive and negative scenarios, ensuring high code coverage and reliable application behavior Collaborate with UI/UX Designers to help contribute to the design and implementation of scalable, high-performance Salesforce solutions, ensuring alignment with enterprise architecture and business goals Mentor and coach junior and mid-level developers, fostering a culture of continuous learning, code quality, and best practices Take ownership of end-to-end solution delivery, including requirements gathering, technical design, development, testing, deployment, and post-release support Contribute to and maintain comprehensive technical documentation, including solution designs, data models, integration specifications, and development standards to support knowledge sharing and long-term maintainability Contribute to the exercise and expression of Christian Care Ministry's beliefs All other duties as assigned Essential Skills & Abilities Extensive Salesforce programmatic and declarative experience Knowledge of Cloud SDLC Proven track record of integrating Salesforce with internal and external systems Experience utilizing internationalization frameworks, such as i18next, within LWC OSS Capable of integrating React components within LWC OSS Familiar with deploying LWC OSS apps to Heroku with Express API Server Knowledge of Jira, Bitbucket, GitLab, Git, Salesforce DX Experience with Salesforce Health Cloud, Data Cloud, and Marketing Cloud not required, but preferred Strong oral and written communication skills Ability to listen attentively and actively and encourage ideas and opinions Objectively gathers information, and combines analysis, wisdom, experience, and judgment to make decisions Can make decisions based on incomplete information Ability to work independently as well as within a team environment Ability to rapidly learn and apply new technologies and to understand the impacts of situational group dynamics Core Competencies/Demonstrable Behaviors Collaborates - builds partnerships and works collaboratively with others to meet objectives. Ensures Accountability - Holds self and others accountable to meet commitments Business Insight - Applies knowledge of business and the marketplace to advance the organization's goals Drives Results - consistently achieves results, even under tough circumstances and tight deadlines Customer Focus - Builds strong customer relationships and delivers customer-centric solutions Humble - a mindset that honors others, shares credit, accepts critique and reflects an honest view of oneself Hungry - a diligent, self-motivated pursuit of excellence; eager to grow, serve, solve problems and steward responsibility with tenacity Smart - emotional intelligence expressed through wise, thoughtful interaction; engaging others with discernment, restraint and relational awareness Education and/or Experience Bachelor's degree in Software Engineering, Computer Science, or related degree with 3-5 years' in a software development role with Salesforce experience or combination of education and experience required Prior experience in a healthcare payer industry preferred Salesforce Platform Developer I and II certifications preferred but not required Supervisory Responsibilities This job has no supervisory responsibilities Incentives & Benefits We work hard to serve our Medi-Share Members, but know we can only do that if we invest in our employees professionally, financially, physically, socially, and spiritually. We purposefully invest in our employees so that our employees can invest in others. For full-time employees working 30 hours or more, some of our benefits include, but are not limited to: • 100% paid Medical for employees/99% for family • Generous employer Health Savings Account (HSA) contributions • Employer-paid Life Insurance (3x salary) and Long-term Disability Insurance • 6 weeks of paid parental leave (for both mom and dad) • Dental - two plans to choose from • Vision • Short-term Disability • Accident, Critical Illness, Hospital Indemnity • 401(k) - up to 4% match on ROTH or Traditional contributions • Generous paid-time off and 11 paid holidays • Wellness plan including Financial, Occupational, Mental/Spiritual, and Physical health incentives up to $50/mo • Employee Assistance Program including no cost, in-person mental health visits and employee discounts • Monetary Anniversary Awards Program • Monetary Birthday Awards Minimum Age Requirement: Due to the nature of the responsibilities associated with this position-including independent decision-making, access to confidential information, and potential exposure to regulated environments-candidates must be at least 18 years of age at the time of hire. This requirement is in accordance with applicable federal and state labor laws and is intended to ensure compliance with workplace safety and legal standards.

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! Under the direct supervision of the Enhanced Care Management Department Leadership, the Community Health Worker - ECM (CHW-ECM) will be responsible for supporting Members in improving their whole health, through outreach and engagement activities, which are primarily field based. The CHW - ECM works closely and collaboratively with the Enhanced Care Management team (ECM), as well as with the designated HCO medical teams, to ensure high quality and seamless care for Members. 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. CalPERS retirement. State of the art fitness center on-site. Medical Insurance with Dental and Vision. Life, short-term, and long-term disability options Career advancement opportunities and professional development. Wellness programs that promote a healthy work-life balance. Flexible Spending Account - Health Care/Childcare CalPERS retirement 457(b) option with a contribution match Paid life insurance for employees Pet care insurance Key Responsibilities Responsible for assisting Members in navigating the healthcare system by finding and following up by phone and in person with hard-to-reach Members, helping Members successfully participate in their medical and/or behavioral health care by overcoming barriers to care, and sharing information on barriers with IEHP and Providers to improve the Enhanced Care Management team. Model the highest ethical behavior in relationships with co-workers, supervisors, Members, Providers, and colleagues in the community. Responsible for engaging with Members, both in-person and on the phone, in a manner that utilizes evidence-based approaches (such as Motivational Interviewing) that promotes collaboration between the Member and his or her medical/behavioral team, as well as to increase the Member's sense of control over their whole health. Delivering information about health and wellness in ways that the community can easily understand and providing information on IEHP Member benefits and services. Providing advocacy on behalf of IEHP Members in the home, the community, and in provider organizations. Responsible for building and maintaining a positive working relationship with Providers, including, but not limited to, communication via in-person, over the phone, and through digital means such as email and fax. Responsible for assisting the Enhanced Care Management team and Providers to understand the culture, norms, beliefs and preferences of the Members and their community by representing the voice of the community, helping to create messages and materials that fit community culture, and delivering these messages in a way that fits the culture of Members. Responsible for promoting a collaborative and effective working environment within the Enhanced Care Management team by engaging in evidenced-based communication strategies (such as Motivational Interviewing) when discussing responsibility/sharing of tasks, effectively resolving conflicts as they arise, and collaborating on Member case discussions. Collaborates on Member care issues with other Enhanced Care Management Team Members and consults with Nurse Care Manager and/or the Behavioral Health Care Manager before taking any action that is clinical in nature. Model commitment to continuous quality improvement by engaging in quality improvement initiatives and projects, such as identifying and addressing HEDIS gaps, and by identifying, developing, and testing new practices for improving the outcomes of the Enhanced Care Management team. Ensures documentations is accurate, useful and in compliance with regulatory requirements and accreditation standards. Participates in all appropriate staff meetings or other activities as needed. Qualifications Education & Requirements Two (2) years of experience as a Community Health Worker, Promotora, or Health Navigator, or two (2) years of experience working in community outreach, customer service, or within a medical office, or a Behavioral Health or Substance Use Disorder program required High school diploma or GED required Must have successfully completed an approved Community Health Worker program or complete within six (6) months of hire Key Qualifications Must have a valid California Driver's license and valid automobile insurance. Must qualify and maintain driving record to drive company vehicles based on IEHP insurance standards of no more than three (3) points Knowledge of the community the CHW will be working in, especially non-professional resources, and their reputation in the community Understanding of and sensitivity to mental health conditions and addictive disorders Awareness of the impact of unmitigated bias and judgement on health; commitment to addressing both Understanding of, and a commitment to, high preforming team practices Highly skilled interpersonally, with excellent teamwork and relationship skills Highly skilled in interpersonal communication, including resolving conflict A high degree of skillful decision making and judgement, in an autonomous position, including knowing when to consult with the team, supervisors, and experts Able to sufficiently engage members in a variety of settings, including on the phone, at Member's homes, in hospitals and other settings Ability to develop relationships with community members and leaders, including in the faith-based community Able to develop effective relationships with team members, despite working primarily in the field Minimal physical activity; may include standing and repetitive motion Start your journey towards a thriving future with IEHP and apply TODAY! Work Model Location Telecommute (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) Pay Range USD $25.90 - USD $33.02 /Hr.

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! The Behavioral Health Care Manager, SKI (Specialty Kids Intervention) BCBA is responsible for all aspects of services to IEHP members with autism, developmental disabilities, and/or intellectual disabilities and children with severe behavioral needs. The Behavioral Health Care Manager, SKI BCBA will also be responsible for reviewing requests for services, applying clinical criteria, applying clinical expertise to review treatment plans and authorizing services to ensure quality care coordination. This position ensures effective call support, case management as needed, care coordination as needed, and referral support. Under the direction of department leadership, the Behavioral Health Care Manager, SKI BCBA position works collaboratively with members of their own team, IEHP members and families, community agencies, and with the designated health care organization (HCO) medical team. This position is expected to model IEHP principles of relationship-based care, as well engage in promoting education and understanding of behavioral health and its importance in whole health, to those within IEHP and in the community. 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 Adhere to the ethical guidelines of the BACB Board. Provide support to the SKI team to ensure implementation of timely processes, follow-through of calls, task completion, and case management functions. Provide guidance in the realm of autism, developmental disabilities, and behavior analytic practices for the SKI team and all departments, when needed. Work with BHT providers and other providers (Primary Care, Speech Therapist, etc) within the IEHP network; develop genuine and effective relationships with providers. Participate in clinical review meetings for Members regarding behavioral concerns, barriers to treatment or treatment progress, as needed. Ensure treatment plans are updated, assessment results are updated, the treatment goals align to the assessment results and that goals meet medically necessary criteria. Become proficient in all electronic medical management systems (e.g. Cisco, MedHOK, HSP, Super Search and Web Portal) to assist in training of new staff members. Review requests for services, apply clinical criteria, and apply clinical expertise to review treatment plans and authorizing services. Participates in Health Plan staff meetings, trainings, committee meetings, or other activities as needed or as directed by Leadership Team Members. Participate in other committees as needed, Interdisciplinary Care Conferences, and any other meetings as required or directed by department managers or Directors. Work with a caseload of Members with developmental delays as needed. In conjunction with department leadership, provide consultation for the non-certified/licensed team members when discussing tasks of a clinical nature. Ensures documentation is accurate and in compliance with regulatory requirements and accreditation standards. 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 working in a setting offering services to individuals with autism, developmental or intellectual disabilities required Significant experience reviewing Behavioral Health Treatment Plans and Behavior Intervention Plans (BIPs) Experience in leading a team is preferred Experience in an HMO or experience working in psychiatric facility or county hospital facility preferred Master's degree in Social Work/Psychology or related field from an accredited institution with ABA specialization required Possession of an active, unrestricted, and unencumbered Board-Certified Behavior Analyst (BCBA) certification issued by the Behavior Analyst Certification Board required Key Qualifications Deep knowledge and skills in Autism; Applied Behavioral Analysis, Special Education skills in engaging and serving families Familiarity with Managed Care and discharge planning is preferred Knowledgeable and skilled in evidenced-based communication such as Motivational Interviewing, or similar empathy-based communication strategies Understanding of and sensitivity to multi-cultural communities Deep understanding and knowledge of mental health Awareness of the impact of unmitigated bias and judgement on health; commitment to addressing both Must have knowledge of whole health and integrated principles, theories, and practices Knowledge of community resources and health plan benefits Bilingual written and verbal is highly preferred Skillful at telephonic information delivery and counseling support to Members, their caregivers, and their families Effective reasoning and problem-solving skills Excellent relationship, communication (written and verbal), and interpersonal skills, including conflict resolution Must have resiliency to tolerate, adapt, and manage effective use of a high level of ambiguity around new team models, new models of care, and new care management practices Proficient in the use of computer software to include but not limited to: (e.g. Microsoft Word and Excel, Power Point) for use in all aspects of an office environment Excellent organizational skills while effectively multi-tasking on various projects Ability to undertake and write telephonic clinical mental health assessments which meet specified regulatory standards. Ability to interview, assess, and coordinate care Skilled in researching applicable resources for members Demonstrated proficiency with all electronic medical management systems (e.g., Cisco, MHK/Care Prominence, MediTrac, SuperSearch and Web Portal) is preferred Proven ability to: Work as a member of a highly autonomous team, executing job duties and making skillful decisions as an independent team member within one's scope Show desire and develop genuine, effective relationships with members, co-workers, supervisors, and community/HCO partners at all levels Support others to utilize telephonic means to engage, assess and assist members is required Provide vision, leadership, and support to a team Communicate and work effectively with a variety of providers and maintain positive working relationships with internal and external contacts at all levels Show a high degree of patience Learn new computer systems Prioritize multiple tasks as well as identify and resolve problems Have effective time management and the ability to work in a fast-paced environment Have timely turnaround of assignments expected To form cross-functional and interdepartmental relationships Work Location is dependent on department leadership and business need. 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 $91,249.60 - USD $120,910.40 /Yr.

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! Under the direction of the Claims Production Manager and Supervisor, the Claims Processor Level II will be processing outpatient professional and institutional claims. This includes but is not limited to; lab, radiology, ambulance, behavior health, outpatient COB, dialysis, oncology/chemo, hospital exclusions etc., in an accurate and expedient manner. 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 Responsible for non-delegated provider claims verification and adjudication. Adjudicate all professional and outpatient claims including COB, denials, and reduction in service notifications. Meet Regulatory Compliance Regulations on turnaround times and claim payments. Read and interpret Medi-Cal/Medicare Fee Schedules. Must be able to make a sound determination if claim is eligible for payment or denial. Interface with other IEHP Departments, when necessary, regarding claims issues. Participate in Claims Department staff meetings, and other activities as needed. Responsible for meeting the performance measurement standards for productivity and accuracy. Any other duties as required to ensure the Health Plan operations are successful. Qualifications Education & Requirements Minimum of two (2) years of experience adjudicating outpatient professional and/or institutional claims preferably in an HMO or Managed Care setting Processing of Medicare, Medi-Cal, or Commercial claims required Proficient in rate applications for Medi-Cal and/or Medicare pricers High school diploma or GED required Key Qualifications ICD-9 and CPT coding and general practices of claims processing Prefer knowledge of capitated managed care environment Microcomputer skills, proficiency in Windows applications preferred Excellent communication and interpersonal skills, strong organizational skills Professional demeanor Must be computer literate, maintain good attendance, and have the right attitude and discipline to work from home 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 $23.98 - USD $30.57 /Hr.

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! This position will be responsible for participating in the preparation of monthly variance analyses, and database queries and reports. Candidate will prepare board and regulatory reporting, audit requests, and ad hoc business analysis. 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 * 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 Education & Requirements * Minimum five (5) years of corporate accounting experience * Experience in developing complex reports using financial reporting software * Experience in analyzing, manipulating, and pulling large data sets * Experience in statutory reporting a plus * Managed Care or related industry experience preferred * Bachelor's degree in Finance, Healthcare Administration, or a related field from an accredited required * Master's degree from an accredited institution preferred Key Qualifications * Strong understanding of accounting and financial principles and methodologies * Proficient in SQL * Knowledgeable of large ERP system, preferable Oracle, and Hyperion * Principles and practices of health care industry and strategies, health care systems, capitated risk contracting, provider network structures and risk sharing arrangements a plus * Strong knowledge and experience utilizing Microsoft Excel, Access, Word, and PowerPoint * Quickly gain an understanding of data requests (scope and purpose) and to produce accurate and useful reports * Cross-train and back up other areas of the department * Work independently or with little direction with strong initiative and meet established deadlines * Strong attention to detail * Communicate effectively, both verbally and in writing, in order to develop and maintain effective working relationships with all levels of staff and management * Work cooperatively and effectively on group projects * Ability to multi-task. Adhere to IEHP's policies and procedures * All IEHP positions approved for telecommute work 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! Pay Range * $91,249.60 USD Annually - $120,910.40 USD Annually

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! The Behavioral Health Care Manager, SKI (Specialty Kids Intervention) BCBA is responsible for all aspects of services to IEHP members with autism, developmental disabilities, and/or intellectual disabilities and children with severe behavioral needs. The Behavioral Health Care Manager, SKI BCBA will also be responsible for reviewing requests for services, applying clinical criteria, applying clinical expertise to review treatment plans and authorizing services to ensure quality care coordination. This position ensures effective call support, case management as needed, care coordination as needed, and referral support. Under the direction of department leadership, the Behavioral Health Care Manager, SKI BCBA position works collaboratively with members of their own team, IEHP members and families, community agencies, and with the designated health care organization (HCO) medical team. This position is expected to model IEHP principles of relationship-based care, as well engage in promoting education and understanding of behavioral health and its importance in whole health, to those within IEHP and in the community. 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 * Three (3) years of experience working in a setting offering services to individuals with autism, developmental or intellectual disabilities required * Significant experience reviewing Behavioral Health Treatment Plans and Behavior Intervention Plans (BIPs) * Experience in leading a team is preferred * Experience in an HMO or experience working in psychiatric facility or county hospital facility preferred * Master's degree in Social Work/Psychology or related field from an accredited institution with ABA specialization required * Possession of an active, unrestricted, and unencumbered Board-Certified Behavior Analyst (BCBA) certification issued by the Behavior Analyst Certification Board required Key Qualifications * Deep knowledge and skills in Autism; Applied Behavioral Analysis, Special Education skills in engaging and serving families * Familiarity with Managed Care and discharge planning is preferred * Knowledgeable and skilled in evidenced-based communication such as Motivational Interviewing, or similar empathy-based communication strategies * Understanding of and sensitivity to multi-cultural communities * Deep understanding and knowledge of mental health * Awareness of the impact of unmitigated bias and judgement on health; commitment to addressing both * Must have knowledge of whole health and integrated principles, theories, and practices * Knowledge of community resources and health plan benefits * Bilingual written and verbal is highly preferred * Skillful at telephonic information delivery and counseling support to Members, their caregivers, and their families * Effective reasoning and problem-solving skills * Excellent relationship, communication (written and verbal), and interpersonal skills, including conflict resolution * Must have resiliency to tolerate, adapt, and manage effective use of a high level of ambiguity around new team models, new models of care, and new care management practices * Proficient in the use of computer software to include but not limited to: (e.g. Microsoft Word and Excel, Power Point) for use in all aspects of an office environment * Excellent organizational skills while effectively multi-tasking on various projects * Ability to undertake and write telephonic clinical mental health assessments which meet specified regulatory standards. Ability to interview, assess, and coordinate care * Skilled in researching applicable resources for members * Demonstrated proficiency with all electronic medical management systems (e.g., Cisco, MHK/Care Prominence, MediTrac, SuperSearch and Web Portal) is preferred * Proven ability to: * Work as a member of a highly autonomous team, executing job duties and making skillful decisions as an independent team member within one's scope * Show desire and develop genuine, effective relationships with members, co-workers, supervisors, and community/HCO partners at all levels * Support others to utilize telephonic means to engage, assess and assist members is required * Provide vision, leadership, and support to a team * Communicate and work effectively with a variety of providers and maintain positive working relationships with internal and external contacts at all levels * Show a high degree of patience * Learn new computer systems * Prioritize multiple tasks as well as identify and resolve problems * Have effective time management and the ability to work in a fast-paced environment * Have timely turnaround of assignments expected * To form cross-functional and interdepartmental relationships * Work Location is dependent on department leadership and business need. Start your journey towards a thriving future with IEHP and apply TODAY! Pay Range * $91,249.60 USD Annually - $120,910.40 USD Annually

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! Under the direction of the Claims Production Manager and Supervisor, the Claims Processor Level II will be processing outpatient professional and institutional claims. This includes but is not limited to; lab, radiology, ambulance, behavior health, outpatient COB, dialysis, oncology/chemo, hospital exclusions etc., in an accurate and expedient manner. 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 * 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 Education & Requirements * Minimum of two (2) years of experience adjudicating outpatient professional and/or institutional claims preferably in an HMO or Managed Care setting * Processing of Medicare, Medi-Cal, or Commercial claims required * Proficient in rate applications for Medi-Cal and/or Medicare pricers * High school diploma or GED required Key Qualifications * ICD-9 and CPT coding and general practices of claims processing * Prefer knowledge of capitated managed care environment * Microcomputer skills, proficiency in Windows applications preferred * Excellent communication and interpersonal skills, strong organizational skills * Professional demeanor * Must be computer literate, maintain good attendance, and have the right attitude and discipline to work from home Start your journey towards a thriving future with IEHP and apply TODAY! Pay Range * $23.98 USD Hourly - $30.57 USD Hourly