Gastroenterology - (Private Practice + teaching GI fellows) in Murrieta / Temecula, CA
Healthplus Staffing job in Temecula, CA
Gastroenterologist
Seeking a BC/BE Gastroenterologist to join a highly reputable, well-established private practice in the Temecula Valley
Practice Type: Private practice with teaching opportunities for GI fellows through the community-based GI fellowship at Southwest Healthcare MEC
Environment: Busy, modern offices in one of Southern California's fastest-growing regions
Support: Full administrative and clinical support staff
Scope of Practice:
General Gastroenterology or Advanced Endoscopy candidates welcome
Access to advanced endoscopy and GI surgery center
Multispecialty collaboration including Surgery (General, Robotic GI, HPB), Pulmonology, Critical Care, Sleep Medicine, and Integrative Medicine
Additional Details:
First-year income guarantee
Equity opportunity in GI surgery center
Flexible call schedule
Excellent long-term growth and earning potential
For more information, please reach out to us at Recruitment@HealthPlusStaffing.com or call at 561-291-7787.
The HealthPlus Team
Psychiatrist needed for Outpatient clinic in California
Healthplus Staffing job in Palm Springs, CA
Setting: Fully outpatient Behavioral Health
Schedule: Monday-Friday
Hours: 8:00 AM-5:00 PM - No weekends.
Requirements: Must be Board Certified in Psychiatry
Start Date: Must be willing and able to start within 30 days.
Credentialing: Can be expedited
Position type: Permanent
Compensation:
Permanent: $380k + 25k Sign on bonus and full benefits
If interested, please submit an application immediately or call us at 561-291-7787.The HealthPlus Team
Analyst II - Test Governance & Coordination
Rancho Cucamonga, CA job
What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! Under the direction of Vice President of Business Relationship Management and BSA Department, this position aids in the development of the quality standards, audits, Test Intake/planning process, and User Acceptance Test coordination. This position will serve as a liaison between IT and several business units to ensure Testing progress is tracked, updated, and reported out as scheduled for projects. Duties also include continuously improving processes and a variety of complex assignments that are delegated by management in terms of objectives rather than specific instructions. Provide guidance to other Analysts.
Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.
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 in IT Quality Assurance
* Prior experience in utilizing Test Management Tools
* Prior Experience in coordinating UAT testing with business teams
* Experience successfully managing business relationships with stakeholders required
* Experience Health Plan Operations and Government Programs preferred
* Experience in healthcare is desirable
* Bachelor's degree in Public or Business Administration, Health Care, Computer Science, Mathematics, or Accounting or related field from an accredited institution required
Key Qualifications
* Knowledge of Managed Care systems and client/server applications - Preferred
* Understanding of SDLC life cycle and QA methodologies
* Knowledge of health plan business operations - Preferred
* Principles and methods of systems analysis for data processing - Required
* Principles of sound testing methodologies - Required
* Knowledge of Test Management and Reporting Tools- Required
* Knowledge in Test Planning and Estimates- Required
* Sound research techniques - Preferred
* Proficient in Microsoft Office Suite programs including Visio - Required
* Project management understanding and skills - Preferred
* Excellent written, and oral communication skills - Required
* Proven analytical and problem-solving capabilities - Required
* Ability to work independently, under pressure, balances multiple projects and deadline driven - Required
* Ability follow-through and track all outstanding tasks and coordinate with assigned owners to ensure tasks are completed timely - Required
* Ability to grasp new ideas and concepts quickly - Required
* Ability to successfully present ideas in an audience-oriented manner - Required.
* Ability to manage multiple projects of varying complexity, priority levels and deadlines - Required
* Strong work ethic and highly self-motivating and directing - Required
* Successful working in a team-oriented, collaborative, and changing environment - Required
* Willingness and ability to learn - Required
* Must be detail-oriented with strong organizational skills - Required
* Demonstrate a commitment to support IEHP's strategic priorities to become a 5-Star Health Plan
* Demonstrate commitment to Team Member Engagement by participating in projects/tasks/activities that promote Team Member excitement and enthusiasm for their role, increased work effort, and commitment to the organization
* Makes necessary adjustments to work shift ensure completion of projects and to meet deadlines, e.g., system releases, critical milestones
Start your journey towards a thriving future with IEHP and apply TODAY!
Pay Range
* $80,059.20 USD Annually - $106,059.20 USD Annually
Vice President, Member Experience
Rancho Cucamonga, CA job
What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! Under the direction of the Chief Operating Officer, the Vice President of Member Experience is responsible for providing senior level leadership, guidance to the Member Services, Transportation Services, and Business Systems & Transformation Teams. The responsibilities include, but are not limited to, department level performance, program/project leadership and performance, and cross-functional projects and outcomes. Provides oversight over all aspects of the Member experience, strategy, and initiatives. Creates and develops strategic alliances and relationships. Serves as an internal advocate and the voice of the Member. The Vice President of Member Experience has responsibility to plan, organize, lead, and coordinate the IEHP approach to achieve high performance in key service-related functions and programs from a Member perspective.
The Vice President of Member Experience brings awareness to IEHP Executives and Departments on how their work impacts the Member and drive the strategy and execution of Member experience initiatives across the organization. This position is responsible for defining and executing complex, cross-functional solutions that focus on maximizing the Members' experience by optimizing the Members' abilities to navigate their benefits. The Vice President, Member Experience will lead change within the organization, with a strong ability to prioritize and operationalize improvements. Develops and executes a robust Member Experience strategy to influence cultural change across the organization and to drive enhanced results.
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
* A minimum of ten (10) years of experience in a leadership position within the health plan administration function
* Demonstrated experience in health plan operations, integrated health care delivery system
* Hands on experience implementing digital transformation projects involving user experience design, engagement, and development of member/provider portal self-service and Voice of the Member capabilities
* Master's degree in a related field from an accredited institution required
* In lieu of a Master's degree, a minimum of a Bachelor's degree and four (4) years of additional relevant work experience is required for this position. This experience is in addition to the minimum years listed in the Experience Requirements above
* In lieu of a Master's degree and a Bachelor's degree, a minimum of twelve (12) years of additional relevant work experience is required for this position. This experience is in addition to the minimum years listed in the Experience Requirements above.
Key Qualifications
* Managed care, government programs, or other product lines
* Healthcare, health plans and/or health plan accreditation principles and practices, in directing operations within the organization.
* Regulatory and compliance requirements related to Medi-Cal, Medicare of Commercial products, including but not limited to the California Knox-Keene Healthcare Service Plan Act and Regulations
* Demonstrated knowledge of health plan operations
* Strong experience in Customer Experience/Voice of the Member approaches, NPS scoring, and related technology
* A high level of diplomacy is necessary to anticipate, recognize and deal effectively with sensitive Member issues
* Strong leadership skills required including team development, mentoring, and coaching, and personnel management
* Strong interpersonal and relationship building skills; ability to develop strategic partnerships both internally and externally
* Strategic thinker with ability to translate complex operational challenges into practical action plans
* Ability to demonstrate emotional intelligence skills, thought leadership, and flexibility to handle uncertainties in a changing environment
* Excellent communication skills; verbal and written
* Strong organizational skills and attention to detail
* Work independently and collaboratively within a team environment to deliver results
* Manage multiple projects with competing deadlines and changing priorities with proven execution against aggressive objectives
* Partner with external stakeholders to execute goals and initiatives of the organization.
* Ability to drive alignment across executives and peers at all levels in the organization.
* Work in a complex, rapidly evolving environment which requires high-level initiative, and judgment necessary to bring resolution to sensitive issues
* Communicate effectively to a variety of audiences in small or large group settings
Start your journey towards a thriving future with IEHP and apply TODAY!
Pay Range
* $246,355.20 USD Annually - $344,905.60 USD Annually
Executive Recruiter
Rancho Cucamonga, CA job
What you can expect!
Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!
Reporting to the Manager of Talent Acquisition Health Services, the Executive Recruiter is responsible for managing and leading the full-cycle recruitment process for director-level and above positions across the organization. The Executive Recruiter will serve as a trusted advisor to executives, senior leaders, and chiefs, assisting in developing and implementing hiring strategies that directly support IEHP's business and strategic goals. The incumbent will be expected to identify and engage high-caliber candidates who not only bring the strategic capability needed to support IEHP's goals, but also reflect and enhance the organization's mission-driven culture. This position also involves collaborating with cross-functional teams, such as HR Business Partners, Compensation, and senior leaders, to deliver tailored recruitment strategies, provide market insights, and ensure an outstanding candidate experience from initial contact to final offer.
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
Lead full-cycle recruitment for Director-level and above positions, including physician and clinical leaders.
Partner with senior executives and HR business partners to deeply understand workforce needs, define ideal candidate profiles, and develop tailored recruitment strategies.
Serve as a strategic advisor to hiring leaders, providing guidance, market insights, and influence throughout the hiring process.
Provide a high touch, highly personalized and attentive candidate experience while ensuring confidentiality and professionalism throughout the process.
Utilize a variety of sourcing strategies, including passive outreach, referrals, and networking, to identify and attract top-tier executive talent.
Facilitate high-level intake meetings, advise on job descriptions, compensation insights, and hiring timelines.
Screen, assess, and present qualified candidates with thoughtful summaries and recommendations.
Coordinate executive interviews, debrief sessions, and selection processes, while managing expectations and communications with discretion.
Maintain a strong candidate pipeline even during periods of low requisition volume, supporting strategic sourcing initiatives as needed.
Represent the organization with executive candidates and external partners; promote our mission, leadership, and strategic direction with clarity and credibility.
Lead compensation negotiations and close candidates in collaboration with HR and hiring executives; ensure alignment between candidate expectations and organizational capacity.
Track, report, and analyze recruitment metrics to inform and improve executive recruitment strategies.
Perform any other duties as required to ensure Health Plan operations and department business needs are successful.
Qualifications
Education & Requirements
Seven (7) years of experience in executive search, talent sourcing, or executive recruitment, with a strong focus on identifying and engaging senior-level/executive talent required
Experience developing and negotiating job offers
Experience preferably within healthcare, managed care, or a similarly complex industry
Bachelor's degree from an accredited institution required
In lieu of the required degree, a minimum of four (4) years of additional relevant work experience is required for this position
This experience is in addition to the minimum years listed in the Experience Requirements above.
Master's degree in HR, Business, Healthcare Administration from an accredited institution preferred
Preferred certification in AIRS Recruiter Academy or AIRS Certified Social Sourcing Recruiter
Key Qualifications
In-depth knowledge and understanding in the following areas:
Full-cycle executive recruitment, including strategic sourcing, candidate assessment, and high-touch recruitment
Executive compensation structure, incentive programs, market competitiveness, and complex negotiation strategies
Navigating confidential, sensitive executive searches with discretion and professionalism
Adept use of technology including Excel, Word, PowerPoint (or related creative platform)
Use of Applicant tracking system (ATS), Human Resources information system (HRIS), and reporting functions preferred
Exceptional customer service skills and strong focus on candidate experience.
Proven ability to:
Develop collaborative and positive relationships, understand cross-functional operations, and identify opportunities for improvement
Work autonomously with effective communication and interpersonal skills
Be results-oriented with learning agility
Understand and maintain varying degrees of confidentiality
Possess high emotional intelligence, resilience, and adaptability in a fast-paced environment
Start your journey towards a thriving future with IEHP and apply TODAY!
Work Model Location
This position is on a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga, CA.)
Pay Range USD $118,601.60 - USD $157,144.00 /Yr.
Auto-ApplyCommunity Wellness Center Specialist (Victorville)
Victorville, CA job
What you can expect!
Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!
Under the general supervision of a Manager within the Community Wellness Center department, the Community Wellness Center Specialist must be fully competent to perform a variety of time sensitive responsibilities. Projects may include statistical analyses, operations support, policy, procedure, database management, program implementation, develop and maintain contractual agreements, regulatory oversight, and other areas. This position will also interact with center participants, which include IEHP members and prospective members. Interaction entails quality assurance programs, class announcements, and supporting key organizational measures.
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
Monitor agreements between Community Wellness Center and local Community Based Organizations and County entities for adherence to scope of work.
Oversee contractors' performance through observations to ensure the provisions of the contract are fulfilled.
Assist with development and creation of ongoing training materials, training schedules, curriculums, and working in team setting with other Team Members, as well as maintaining positive communication with other departments.
Develop and maintain written project plans, projected timelines, milestones, and deliverables.
Conduct daily quality review activities to ensure Quality Assurance Program procedures are followed. Collaborate with department management and supervisors regarding development, implementation, tracking, and feedback components related to quality standards.
Maintain well documented dashboards and databases, demonstrating Community Wellness Center operations.
Maintain productivity reports, including data from various systems such as MediTrac, Medhok, Workfront, Access, Excel, etc.
Support the Community Wellness Center department in the development, implementation, and usage of reporting systems including but not limited to, special projects, operational processes, process improvement and system processes.
Create program cards for referral intakes using Access Database, Connect IE, and/or other software platforms to support outreach and IEHP member engagement initiatives, such as community equity clinics, social activities for all populations.
Track and monitor individual Program Policies, Regulatory Policies and Procedure updates, follow-up on outstanding updates or overdue responses, and provide status reports to Management that document progress, all in coordination with internal departments and outside agencies.
Develop and maintain good working relationships and cooperate actively with department staff and internal departments to meet program goals.
Responsible for collecting and interpreting data into presented forms such as charts, ad hoc reports, and graphs as directed by Manager.
Maintaining files in a secured centralized location.
Support Community Wellness Center Department operations, by assisting in daily inbound phone queue and outbound calls for events hosted internally and externally, along with completion of documentation of telephone calls. Perform any other duties as assigned to ensure unit operations are successful.
Perform any other duties as required to ensure Health Plan operations and department business needs are successful.
Qualifications
Education & Requirements
At least two (2) years of experience in a managed care environment
High School Diploma or GED required
Associate's degree from an accredited institution preferred
This is a bilingual position. Identified bilingual team members in this role must take a language proficiency assessment and must receive a passing score
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 computer programs such as Microsoft Excel, Microsoft Access, Microsoft Word
SQL knowledge preferred
Interpersonal skills, including but not limited to, appropriate communication, including resolving conflict, excellent teamwork, and relationship skills, speak confidently and clearly to large audiences, active listening, and strong writing ability
Relationship skills, including but not limited to compassion, motivational interviewing, sensitivity to multi-cultural communities
Professional skills, including but not limited to, balancing multiple projects, constant learning, observing ethical and legal rules, identifying situations calling for mandatory reporting, ability to objectively report data, critically review data and identify targeted areas for program activity
Candidate must possess analytical skills and strong communication skills both written and orally
Ability to build effective working relationships
The Program Specialist is expected to exercise adequate time management and strong ability to multitask
Start your journey towards a thriving future with IEHP and apply TODAY!
Work Model Location
Onsite
Pay Range USD $25.90 - USD $33.02 /Hr.
Auto-ApplyDirector, CAHPS Performance
Rancho Cucamonga, CA job
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 Director of CAHPS Performance is responsible for designing, leading, and executing strategies to improve Consumer Assessment of Healthcare Providers and Systems (CAHPS) performance across all of IEHP's product lines (Medi-Cal, Medicare DSNP, Covered CA). This role drives measurable improvement in member experience, Star Ratings, Health Plan Ratings and quality performance by integrating voice-of-the-member insights into enterprise strategy, operations, and provider engagement. The Director serves as a change leader and subject matter expert, ensuring the organization consistently delivers exceptional member experience that meets regulatory expectations and strengthens market competitiveness.
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.
IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.
* Competitive salary
* State of the art fitness center on-site
* Medical Insurance with Dental and Vision
* Life, short-term, and long-term disability options
* Career advancement opportunities and professional development
* Wellness programs that promote a healthy work-life balance
* Flexible Spending Account - Health Care/Childcare
* CalPERS retirement
* 457(b) option with a contribution match
* Paid life insurance for employees
* Pet care insurance
Education & Requirements
* A minimum of eight (8) years of progressive leadership experience in health plan quality, member experience, or related roles required.
* Proven success in designing and implementing CAHPS/member experience improvement strategies required.
* Bachelor's degree in healthcare administration, public health, business, or related field from an accredited institution required.
* Master's degree in healthcare administration, public health, business, or related field from an accredited institution preferred.
Key Qualifications
* Deep knowledge of CAHPS survey methodology, Star Ratings, and Medicaid quality requirements.
* Member-centered mindset, with passion for improving care experiences.
* Strong analytical, communication, and change management skills.
* Data-driven and outcomes-focused.
* Ability to lead cross-functional initiatives and influence at all levels of the organization.
* Strategic and operational balance: able to set vision while driving execution.
* Collaborative leader skilled at provider and stakeholder engagement.
Pay Range
* $169,312.00 USD Annually - $232,793.60 USD Annually
IT Business Relationship Manager
Rancho Cucamonga, CA job
What you can expect!
Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!
The Business Relationship Manager (BRM) is responsible for ensuring business project requests are aligned to IEHP strategic goals, initiatives, and efforts. As a liaison with IEHP business and Compliance units, the BRM is dedicated to foster productive, value-producing relationship between business and IT by aiming for customer satisfaction and understanding and relaying customer needs to the IT team. By adopting a customer-centric approach this position will assist IT Strategic Programs leadership to advance technology agenda aligning business strategy and goals. The BRM will work regulatory, statutory & strategic programs and policies in collaboration with Program Managers and IT Leadership Team. The BRM is responsible for ensuring projects, work plans, and initiatives are implemented meeting business goals and objectives, in addition to collaboration with, inter-departments to ensure member needs are met while simultaneously building strong peer relationships.
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.
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
1. Act as a liaison between several functional departments to ensure projects and issues are tracked, updated, and reported out to ensure business stakeholders are appraised on program planning, implementation and/or execution status.
2. Understand and advocate for business and IT units, balancing the needs of our Members, Providers, and business units against the capabilities and resources to drive the appropriate technology for business success and increased performance.
3. Establish and maintain effective, positive, and productive working relationships at all levels with business and IT to ensure positive collaboration to identify, assess, and prioritize upstream and downstream impact of initiatives throughout the organization.
4. Engage with the Strategy Management department to update, track and monitor projects submitted via the Enterprise Project intake process ensuring projects are transitioned to IT for solution development and deployment.
5. Manage multiple large, high complexity, and high-risk issues and projects inclusive of business, regulatory, or technology deployments in coordination with IT PMO and/or business Special Project Managers.
6. Lead relevant committees, project governance workgroups while actively engaging stakeholders
7. Effectively lead large and small workgroups. Act as a liaison to the various cross functional team and ensures interdependencies are coordinated and aligned.
8. Effectively communicate the status of assigned projects to Executive leadership including risks, issues, barriers and recommended solutions.
9. Assist the work with external vendor(s) if needed in planning and implementing specific initiatives, and to manage the term of the vendor service agreement.
10. Coordinate, prepare, and monitor assigned department projects, documentation, and report outs to business stakeholders and IT leadership.
11. Monitor ongoing work plans and initiatives to ensure that interventions are completed to mitigate risks, issues, or project scope creep. Lead workgroups to solve specific business issues in coordination with IT PMO and/or business Special Programs Managers.
12. Measure and evaluate IT organization's program activities and outcomes in partnership with program sponsors by managing stakeholder expectations and analyzing performance metrics to ensure stakeholder satisfaction.
13. Lead and/or engage with business partners / stakeholders in preparation of program / project materials (data, reports, and any other documentation) for presentation to key program governance groups.
14. Coordinate and prepare documentation for standing IT Strategic Programs / leadership meetings where projects are reviewed and assessed by IT leadership.
15. Provide research, reporting, analytical support, and project management in the areas of issue resolution, implementation of regulatory changes and strategic projects, and processes that are in the best interest of supported business units. Conducts data gathering and analysis to understand business strategy requirements.
16. Capture process efficiencies developed through projects and incorporate LEAN and AGILE methodologies into project practices.
17. Engage with internal and external partners to identify opportunities for collaboration and align actions and processes to maximize program impact and efficacy.
18. Foster a technology-first approach is maintained across program strategic initiatives to support business growth plans.
19. When required or requested, lead, or assist with the development of Request for Proposals (RFP) for external products and/or services supporting IT Strategic Programs leadership.
20. Gather details for budgets needed and analysis for special projects or issue resolution as requested by department leadership.
Qualifications
Education & Experience
Minimum of seven (7) years of Information Systems experience with a strong background in program management, program development, program evaluation, strategic planning, program operations and business acumen
Bachelor's degree in Computer Science, Information Management or similar technical field from an accredited institution required
In lieu of the required degree, a minimum of four (4) years of additional relevant work experience is required for this position. This experience is in addition to the minimum years listed in the Experience Requirements above
Key Qualifications
Must have a valid California Driver's License.
Knowledge and proven track record of:
Current business practices and computing systems; IT development methodologies and operations.
IEHP's business processes and functional landscape.
IEHP's IT systems and operations.
Working with Compliance teams to determine solutions to help comply with regulations, APLs etc.
Supporting strategic, regulatory and statutory programs and initiatives.
Understanding of CMS and DHCS protocols and mandates.
Program and project management and planning as well as Business process mapping.
Complex heterogeneous technologies and the ability to synthesize new technical information into existing structures.
Healthcare Industry and appreciation of IEHP's application landscape.
Strong understanding of:
Managed Care programs.
Ability to consume CMS APLs & other documents and translate it for the IT teams.
Legacy / Core Healthcare Payer systems integration with internal digital assets and external systems.
Healthcare issues, trends, and concerns.
Conceptualizing business strategies while implementing information systems and technology strategic direction.
New IT landscape and solutions to help align the programs to new IT landscape.
Excellent communication, verbal and written skills, and collaborative approach.
Strong planning, organization, critical thinking, decision-making and problem-solving skills.
Group presentation, analytical and organizational skills.
Build and maintain business relationships.
Express action-oriented and creative approaches to IT system issues and problems.
Present issues and challenges to IT and/or business leadership.
Listen effectively, respond to sensitive inquiries or complaints, be flexible with an ambiguous or changing environment.
Work with a team of professionals from various disciplines.
Start your journey towards a thriving future with IEHP and apply TODAY!
Work Model Location
This position is on a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga, CA)
Pay Range USD $135,200.00 - USD $179,129.60 /Yr.
Auto-ApplyAnalyst II - Policy & Regulatory Operations
Rancho Cucamonga, CA job
What you can expect!
Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!
Under the Policy & Regulatory Operations Manager's general supervision, the Analyst II - Policy & Regulatory Operations helps ensure Health Services, Quality Systems, Provider Services, and Member Services remain in compliance with Local, State, Federal, contractual and accreditation requirements and supports these departments' operational strategies by completing compliance assessments, regulatory reviews and audit‐related submissions; managing cross‐functional regulatory implementation, operational and system enhancement projects.
The Analyst II - Policy & Regulatory Operations is responsible for Local, State, Federal, contractual and accreditation requirements interpretation, gap analysis, project scope develop and initiation, resource planning, risk identification and project implementation, as well as timely comprehensive review and maintenance of internal and Provider policies. for the purpose of gap analysis, project scope development and initiation, resource planning, risk identification, and project implementation, as well as timely and comprehensive review of internal and Provider policies. To do these effectively, the Analyst II - Policy & Regulatory Operations must have a clear understanding of IEHP business operations and the responsibilities of various departments in Health Services, Quality Systems, Provider Services, and Member Services, and demonstrated ability to effectively and consistently manage multiple projects and priorities concurrently.
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
Responsible for planning and managing cross‐functional projects, which may include, but not be limited to projects that support regulatory compliance, system enhancement, process development, and improvement within a single or multiple departments in Health Services, Quality Systems, Provider Services, and Member Services. This responsibility includes: developing and defining the project scope, goals, and deliverables; developing, monitoring, and maintaining a detailed project plan; managing changes to the scope, schedule, and deliverables; communicating potential risks; ensuring successful relationships between project stakeholders and resources to ensure timely delivery of project outcomes; reporting and escalating project status and barriers to management, as needed; and creating and maintaining comprehensive project documentation.
In collaboration with department policy owners, review, update and manage internal and Provider policies for their assigned department(s) to ensure that these are kept current, accurate and in accordance with applicable regulatory and accreditation requirements. This responsibility includes supporting the management and publication of IEHP Provider Manual of Policies and Procedures, electronic Data Interchange (EDI) Manual and internal department manuals; researching, reviewing and citing regulatory and accreditation requirements, plan policies, and other relevant sources; identifying compliance and/or operational risks as well as upstream and downstream impacts of policy changes on other department(s) and/or documents; and defining and summarizing the degree and description of change.
Facilitate the timely and comprehensive assessment or examination of current policies and standard procedures against new regulations for the purpose of identifying the health plan's state of compliance, regulatory and process gaps, and action plan.
Responsible for identifying, gathering, developing, and bookmarking evidence and/or narratives for regulatory and/or audit‐related submissions.
Facilitate cross‐functional implementation projects that support compliance with Local, State, Federal, contractual and accreditation requirements. This responsibility includes requirements interpretation, gap analysis, project scope development and initiation, resource planning, risk identification, implementation, and ensuring the development and implementation of compliance monitoring at the department level.
At the direction of the Policy and Regulatory Operations Manager, support departments in the completion of their system enhancement and/or process development requests by facilitating the development and documentation of process flow, standard work, and business requirements, as well as testing and validating system enhancements prior to implementation.
Serve as the primary analyst reviewer and support for their assigned department(s). This responsibility includes preparing draft work output for quality assurance review by the Policy and Regulatory Operations Manager or Analyst III.
Perform a broad range of project management and research activities, using analytical and critical thinking skills.
Support departments in Health Services, Quality Systems, Provider Services, and Member Services to make Lean business decisions by identifying and communicating identified opportunities for process improvements.
Qualifications
Education & Requirements
At least three (3) years of experience providing analytical and/or project implementation support, including but not limited to regulatory review and analysis in a healthcare setting
Bachelor's degree from an accredited institution required
Key Qualifications
Must have a valid California Driver's license
Working knowledge of project management software such as Workfront, MS Project or equivalent
Knowledge of managed care industry practices and standards including Local, Federal, State and/or accreditation standards, is preferred
Must have strong organizational skills
Must have strong critical thinking, research, verbal, and written communication skills
Demonstrated proficiency in Microsoft Office products: Word, Excel, Visio, and Power Point, sufficient for use in all aspects of an office environment
Must have the ability to manage multiple projects with competing deadlines and changing priorities
Must have the ability to work well in a team environment and build effective relationships with Team Members at all levels
Must be detail oriented
Exceptional follow‐through to track all outstanding tasks and ensure these are completed timely
While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and lift or move up to 25 pounds
Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus
Start your journey towards a thriving future with IEHP and apply TODAY!
Work Model Location
This position is on a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga, CA.)
Pay Range USD $80,059.20 - USD $106,059.20 /Yr.
Auto-ApplyQuality Improvement Facilitator I
Rancho Cucamonga, CA job
What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! Under the direction of management, the Quality Improvement (QI) Facilitator I assists in the facilitation of quality improvement initiatives, including planning, implementation, assessment, and monitoring. The QI Facilitator I possesses knowledge of fundamental quality improvement concepts; and is able to apply the techniques of system design, project management, continuous quality improvement (e.g., brainstorming, cause and effect analysis, root cause analysis), and outcomes measurements with minimal coaching or oversight.
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
* 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 demonstrated experience, at a professional level, in process/project management including participation in quality improvement projects or operations.
* Prior experience in the health care setting preferred.
* Bachelor's degree from an accredited institution required, degree preferably in Public Health, Health Administration, or other health care related field from an accredited institution.
* Project Management Professional (PMP) Certification, Certified Professional of Healthcare Quality (CPHQ), or other recognized quality improvement certificate preferred.
Key Qualifications
* Foundational knowledge of:
* Project management techniques, basic tools of continuous improvement, and work process redesign
* Standard coding sets as they are used in quality measurement including ICD-10, CPT, CPT Category II, HCPCS, LOINC, NDC.
* Strong analytical and critical thinking skills. Proficient in all Microsoft Office applications, with an emphasis on Excel, PowerPoint, and Visio. Strong communication skills (verbal, written and listening) with ability to interact effectively. Skilled in reading and interpreting data.
* Ability to:
* Must exhibit high attention to detail
* Perform complex tasks, prioritize multiple projects and work under pressure to meet deadlines in a fast-paced environment
* Successfully contribute to quality improvement projects to achieve optimal potential.
Pay Range
* $80,059.20 USD Annually - $106,080.00 USD Annually
Quality Improvement, RN
Rancho Cucamonga, CA job
What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! Reporting to Director of Hospital Relations, the Quality Improvement, RN will facilitate quality improvement initiatives across the continuum of care (i.e. acute care hospitals, skilled nursing facilities, hospice agencies, etc.) to enhance the overall quality of care delivered to members. This position is responsible for identifying, developing, coordinating, promoting, supporting, and implementing assigned clinical quality, and/or service improvement projects and programs. The Quality Improvement, RN supports evidence-based practice integration, provider training/education, policy review/development, and regulatory/accreditation interpretation. The incumbent develops continuous and targeted activities to improve performance related to Centers for Medicare & Medicaid Services (CMS) Star Ratings, HEDIS, CAHPS, HOS, P4P and other identified performance measures. The Quality Improvement, RN provides direct support for multiple initiatives aimed at improving the quality and effectiveness of health care delivery and/or health care services. This position communicates with external partners, internal quality leaders, and stakeholders to ensure multi-disciplinary teams have the resources and information they need.
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
* Minimum four (4) years of clinical/health care experience, including at least two (2) years performing quality improvement analysis or project coordination functions required
* Bachelor's degree in science or health/healthcare related field from an accredited institution required
* Master's degree in science or health/healthcare related field from an accredited institution preferred
* Certified Professional of Healthcare Quality (CPHQ), or other recognized quality improvement certificate required or obtained within one (1) year of hire (maintained through employment)
* Possession of an active, unrestricted, and unencumbered Registered Nurse (RN) license issued by the California BRN required
Key Qualifications
* Working knowledge of healthcare quality performance and measurement sets including CMS quality withhold, Managed Care Accountability Set, NCQA Quality Improvement Standards and HEDIS
* Ability to apply knowledge of tools of continuous improvement, and work process redesign
* Knowledge of advanced clinical processes and/or hospital operations
* Requires knowledge of the local healthcare market, patient demographics and needs and plan-specific information
* Good analytical and critical thinking skills
* Proficient in all Microsoft Office applications, with an emphasis on Excel and PowerPoint
* Effective communication skills (verbal, written and listening) with ability to interact with key stakeholders
* Must exhibit attention to detail
* Ability to successfully apply facilitation techniques to quality improvement project teams
* Demonstrates problem solving, conflict management, and team collaboration to contribute to a productive work environment and achievement of goals
* Ability to read and interpret data
* Able to manage and prioritize assigned tasks and work efficiently under pressure to meet deadlines in a fast-paced environment
* Ability to support the application of basic facilitation techniques within quality improvement project groups
Start your journey towards a thriving future with IEHP and apply TODAY!
Pay Range
* $91,249.60 USD Annually - $120,910.40 USD Annually
Manager, Clinical Programs
Rancho Cucamonga, CA job
What you can expect!
Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!
The Manager, Clinical Programs designs and implements clinical programs, initiatives, and pilots to strategically advance IEHP strategic priorities and goals to improve quality to members, providers, and hospital partners.
In this role, the Manager, Clinical Programs provides oversight of identified initiatives, including planning, organizing, and collaborating with key internal and external stakeholders. In this role, the individual also ensures the programs are in line with IEHP strategic quality goals and objectives and are conducted and executed effectively. This position provides support to all hospitals and ancillary services, ensuring that the Joint Operation Meetings are running smoothly, mitigating issues, finding resolution, managing daily operations of the work groups and activities of the team, and working with internal and external stakeholders to leverage their part of the program.
Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.
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
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
Guide others at a strategic business level to ensure initiatives, programs, or pilots are in line with IEHP strategic goals that foster clinical care transformation.
Develop innovative solutions and optimize services in collaboration with internal and external stakeholders (i.e., Hospital Partners, SNFs, PCPs, etc.) that are efficient and effective that better serve Members.
Oversee all aspects of program operations: initiation, planning, development, and monitoring.
Participate in the research and selection process of vendors.
Track contract expectations, communication, budgets, performance metrics and timelines.
Prepare, oversee, and review documents that are related to assigned clinical projects.
Consult with all levels of senior management, make recommendations, and influence decision making that may involve the creation of new projects or programs to mitigate challenges being experienced.
Evaluate the availability of necessary resources for the execution of hospital-related and ancillary-related clinical projects.
Leverage cross functional relationships with vendors, hospital partners, external consultants, and IEHP Team Members to review and create programs and services.
Collaborate closely with Quality and Compliance for alignment with data reporting and project compliance.
Determine key business issues including resolution; take part in procedure/process improvement initiatives and mitigate enterprise risk.
Demonstrate thought leadership and cross functional collaboration within the IEHP environment.
Hire, train, and manage support staff, while monitoring and evaluating outcomes. Conduct performance reviews of each Team Member within IEHP guidelines.
Perform any other duties as required to ensure Health Plan operations and department business needs are successful.
Qualifications
Education & Requirements
Minimum of at least five (5) years of prior relevant experience
Requires at least three (3) years of experience in health plan or hospital setting
Experience in Quality improvement and utilization management
Writing clinical procedures and other clinical documents is preferred
Bachelor's degree in any Science or Health Related field from an accredited institution required
Master's degree in any Science or Health related field from an accredited institution preferred
PMP Certification Preferred
Possession of an active, unrestricted, and unencumbered license issued by appropriate California state board required:
LVN
RN
LCSW/LMFT
Other active, unrestricted, and unencumbered related licenses (PT, OT, ST, etc.)
In lieu of a professional clinical license, five (5) additional years of hospital operations experience will be accepted (ten (10) years of experience in total including the minimum experience requirements listed above)
Key Qualifications
Knowledge of:
Health Plan or Hospital Federal, State and Accreditation Requirements
Care Coordination and Transition Management processes
Principles of performance improvement and program design
Risks and liabilities, as well as budget and performance metrics
Good problem-solving, organizational, and leadership skills are required
Proficient user of basic computer applications for the execution of daily project operations
Must possess excellent communication skills so as to be able to effectively convey messages across to both study team members and other external parties like vendors and external consultants
Ability to organize and motivate other members in the project team.
Must be able to work as part of a team.
Attention to detail at all times.
Must be able to work within a dynamic environment, including managing multiple projects, and pivot or change direction as needed.
Start your journey towards a thriving future with IEHP and apply TODAY!
Work Model Location
This position is on a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga, CA)
Pay Range USD $118,601.60 - USD $157,144.00 /Yr.
Auto-ApplyDeveloper I - BI & Analytics
Rancho Cucamonga, CA job
What you can expect!
Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!
Under the direction of the Supervisor, BI & Analytics, the Developer I - BI & Analytics is responsible for creating, maintaining and updating IEHP enterprise reports and dashboard. The position also serves as the technical support for all reporting projects within the BI & Analytics team. The role is expected to design and develop scalable solutions using AI tools and machine-learning models; utilizes big data computation and storage tools to create prototypes and datasets. Proficient with multiple AI tools such as Python, Java, or R and machine learning frameworks like Spark, TensorFlow, or Sciket-learn.
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
Model and support enterprise data warehouse, data marts and cubes in the creation of a modern, highly effective enterprise reporting platform at IEHP following industry best practices and patterns
Contribute to the technical development of reporting and analytical solutions for IEHP business stakeholders that provide critical insight into business performance.
Collaborate with other IEHP departments and data stewards to assess and prioritize needs, and assist with developing strategies, plans, policies and procedures related to providing effective reporting solutions.
Identify, analyze and interpret trends or patterns in complex data sets, draw meaningful business insight and translate them to a self-service report
Identify and communicate issues and risks to management in a timely manner
Contribute towards reporting security requirements, architecture, design and implementation, including the definition of comprehensive security controls to enforce the IEHP security strategy
Contribute to development and enforcement of IEHP reporting standards
Gather, select, compile and analyze health plan data, with emphasis on data maintained with data warehouse
Establish and maintain effective working relationships with others throughout the IEHP organization
Demonstrate a commitment to support IEHP's strategic priorities to become a 5-Star Health Plan and incorporate LEAN principles into daily work.
Qualifications
Education & Requirements
One (1) or more years in analytics, data science and business intelligence
Experience in developing reporting using Business Intelligence tools (such as Tableau, Microsoft Power BI, MicroStrategy)
Experience in report writing and analysis, including experience working with large data sets that have complex relational designs and with unstructured data sets
Experience in database design, query development, table joins and report development and creation
Data analysis experience in the areas of medical or health services is preferred
Bachelor's degree in a quantitative field from an accredited institution required
Key Qualifications
Working knowledge of diagnosis and procedure coding, medical terminology, knowledge of managed care, claims payment processes, and insurance terminology required
Knowledge of data visualization and Business Intelligence tools is required (such as Tableau, Microsoft Power BI, MicroStrategy)
Strong data analysis, data presentation, spreadsheet, and database capabilities
Strong expertise in the Microsoft platform for business intelligence and reporting: Microsoft SQL Server, SSAS, Power BI, SSRS, Access and Excel
Strong analysis and critical thinking skills
Excellent interpersonal/ communication skills
Proven ability to:
Multi-task while maintaining careful attention-to-detail
Handle multiple projects, data input, and strong problem-solving capability
Be an independent self-starter who is driven to success, takes great pride in accomplishments and works with a sense of urgency to meet deadlines and address competing priorities
Start your journey towards a thriving future with IEHP and apply TODAY!
Work Model Location
This position is on a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga, CA.)
Pay Range USD $91,249.60 - USD $120,910.40 /Yr.
Auto-ApplyGovernment Affairs Manager
Rancho Cucamonga, CA job
What you can expect!
Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!
Reporting to and under the general direction of the Director of Government Affairs, the Government Affairs Manager is responsible to lead the management and oversight of the execution of the government affairs role for Medi-Cal, Medicare, and commercial lines of business. The Government Affairs Manager plays a key role in crafting and shaping federal and state legislative and regulatory policy issues for the benefit of IEHP. The Government Affairs Manager has an active and visible lead role with the state and federal advocacy associations and legislative offices.
The Government Affairs Manager serves as a lead liaison for IEHP with state and federal trade associations and legislative staff, and positions IEHP as a key influencer, maintaining relationships with advocacy groups and legislative staff. This position works collaboratively with other departments within the Plan acting as a resource to provide analysis and interpretation of draft state and federal legislative and regulatory guidance, and work with Business Units to ensure advocacy issues are presented accurately and in a compelling manner.
Additionally, the Government Affairs Manager works closely with the managers in the Compliance Department to ensure seamless services to Business Units and effective advocacy, as well as with other Managers within the Plan to ensure alignment, understanding and follow through of priorities.
Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.
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
In collaboration with the Director of Government Affairs, lead the day-to-day operations of the Government Affairs Department in the most effective manner to meet Plan, department, and unit objectives while ensuring quality and accuracy of the work. Implement standardized processes to maximize efficiency.
Train and educate Government Affairs Team Members to ensure they are equipped to provide and carry out actionable legislative and regulatory advocacy recommendations.
Develop and implement a government affairs calendar of duties.
Identify, direct, and maintain Government Affairs metrics for the purpose of driving process improvements and efficiencies.
Assume a lead role within the organization and oversee the interpretation of complex federal and state legislative and regulatory draft and final guidance. Guide the Government Affairs TMs to serve as a resource to ensure that Business Units are provided with legislative and draft regulatory support to ensure understanding and early identification to barriers for compliance. This includes overseeing the interpretation, and distribution of draft federal regulations, All Plan Letters (APLs), Policy Letters (PLs), Covered California guidance, etc.
Lead, guide, manage, and attend, as appropriate, relevant committees and work groups, make presentations, prepare reports, data, or other materials. These may include workgroups convened by trade associations, legislators, and regulatory agencies.
Lead and oversee Government Affairs active participation of various trade association and regulatory agency calls.
Work closely with the Director of Government Affairs to support the CEO, and Plan leadership, in fostering strong relationships with legislators and regulatory agencies. Oversee and manage the development of memos to provide analysis on key emerging issues.
Serve as the primary state and federal trade association liaison by establishing collaborative working relationships with all contracted lobbyists and advocacy associations. Partner with the Compliance Department to ensure advocacy concerns are coordinated and shared directly with regulators.
Oversee and facilitate resolution of high-visibility, escalated requests, and issues from elected official offices, including but not limited to Member cases, Provider cases, and Enforcement Matters.
Communicate to all levels of the Plan to ensure support, awareness, and effectiveness of new and emerging issues impacting Federal and State statutes, and regulations impacting all lines of business.
Cultivate an effective system for ensuring that legislative and regulatory compliance concerns are continually reviewed and creative opportunities for addressing concerns are sought.
Organize and plan for visits from legislators and legislative staff, as well as state and federal trade associations.
Partner with operational areas to ensure continual understanding of internal operational policies and procedures for all lines of business.
Develop, centralize, and maintain policies, procedures, training materials and oversees training completion.
Perform any other duties as required to ensure Health Plan operations and department business needs are successful.
Qualifications
Education & Requirements
: Five (5) years with managed care health plan or other relevant healthcare industry experience specific to government affairs legislative and regulatory advocacy
Comprehensive advocacy experience, with direct experience interacting with regulators, legislative staff and state and federal trade associations
Preferred: A minimum of one (1) year experience in project management
: Bachelor's degree in Public/Business Administration, Health, Political Science, Public Policy or a relevant field from an accredited institution required
Preferred: Master's degree in Public/Business Administration, Health, Political Science, Public Policy or a relevant field
Key Qualifications
Must have a valid California Driver's license
Strong knowledge and understanding in the following areas:
Medicaid, Medicare, and commercial health insurance
Managed care and government-sponsored health care delivery systems
County, state, and federal legislative and budget processes
Policy, legislative and regulatory implications to an organization and effective advocacy strategy and tactics
Principles of effective project management, effective survey tools, business impact analysis and report writing
Team building, strategic planning, and organizational and project management
Cross-organization coordination
Understanding and sensitivity to a multi-cultural environment and community.
State and federal legislative and budget process
Effective advocacy strategies, including effective partnerships with state and federal trade associations
Federal and state regulatory requirements related to lines of business included in IEHP's business portfolio
Possesses strong skillsets in the following areas:
Strong leadership and excellent interpersonal skills
Excellent verbal and written communication skills
High level analytical skills and ability to analyze complex regulatory and legislative proposals
Project management skills
Issue management skills
Microcomputer applications: spreadsheet, database, and word processing
Ability to translate legislation and regulatory guidance into meaningful and actionable information
Strong writing, interpersonal communication, organizational skills
Proven ability to:
Understand, incorporate, and demonstrate the mission, vision, and values of the Plan in behaviors, practices, and decisions
Maintain a high level of diplomacy
Be resourceful and independent in problem solving and self-direction
Establish and maintain effective working relationships with internal departments and external agencies and offices of elected officials
Embrace and champion change to accommodate evolving organizational and regulatory processes
Work independently and collaboratively within a team environment
Manage multiple projects with competing deadlines and changing priorities
Possess a strong attention to detail and exceptional follow through
Start your journey towards a thriving future with IEHP and apply TODAY!
Work Model Location
This position is on a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga, CA.)
Pay Range USD $104,041.60 - USD $137,841.60 /Yr.
Auto-ApplyPhysical Therapist needed in Victorville, CA
Healthplus Staffing job in Victorville, CA
Job Description
Quick job details:
Setting: Outpatient
Schedule: Full time ideally, will consider part time
Hours: Day Shift
Job Requirements: Physical Therapy License & CPR Certification
Compensation: $50k-$60k (commensurate on experience)
Benefits: Full benefits
About Us:
HealthPlus Staffing is National Leader in the Healthcare Staffing Industry. We partner up with top facilities nationwide with the focus of finding them highly qualified candidates.
Our Promise:
We will put you in front of the decision makers.
We will provide feedback on your application.
We will work on your behalf to obtain as much info as you need to make a well-informed decision.
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!
The HealthPlus Team.
Engineer III - Network
Rancho Cucamonga, CA job
What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! Under the direction of the Director, Technology - Infrastructure Services, the Engineer III - Network will be responsible for administration and maintenance of the IEHP's Local Area Network (LAN) and Wide Area Network (WAN) which are Cisco Network systems. The Engineer III responsibility will be to ensure the stable operation of the in-house computer and systems network(s). This includes planning, developing, installing, configuring, maintaining, supporting, and optimizing all Network Appliance Hardware and software, and all communication circuits.
Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.
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
* Minimum eight (8) years of Network Design and Administration hands on experience with Palo Alto Networks, Cisco routers, switches and security solution and Cisco recommended best practices
* Bachelor's degree with a major in computer related field or similar technical field from an accredited institution required
* Cisco Certified Network Professional (CCNP) certification preferred
Key Qualifications
* Must have a valid California Driver's License
* Extensive knowledge in TCP/IP and multi-routing protocols
* Working knowledge of all Cisco Platforms, including Cisco-ACI, DNAC, ISE, SDA, Catalyst, Nexus, ISR, ASR, ASA and Wireless Controller with AirOnet Access Point, Palo Alto Firewalls and T1, Layer 2, MPLS WAN circuits
* Strong planning, organization, critical thinking, decision-making and communication (verbal and written) skills
* Projects involving lift server appliance weighs up to 50 lbs. and heavy eye strain with computer monitors
Start your journey towards a thriving future with IEHP and apply TODAY!
Pay Range
* $118,601.60 USD Annually - $157,144.00 USD Annually
Nurse Informaticist
Rancho Cucamonga, CA job
What you can expect!
Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!
Under the direction of Manager, Clinical Informatics and in collaboration with IT and Quality Leadership, the Nurse Informaticist leverages critical thinking, clinical workflow expertise, analytics, and change management strategies to identify and facilitate the adoption of clinical information systems and technologies that support and improve the accurate capture and reporting of data elements that ultimately improve the clinician and patient experience, quality reporting and outcomes.
The Nurse Informaticist serves as the primary liaison between external clinical teams and IEHP operations, quality and information technology. The Nurse Informaticist identifies opportunities and facilitates the identification and implementation of solutions utilizing evidence-based practices, data, regulatory requirements, and quality improvement techniques. The Nurse Informaticist is responsible for enhancing the nursing and clinical teams' use of technology and analytics to improve the health of populations.
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
Utilize data to drive process, workflow, and behavior change as it relates to appropriate and efficient use of electronic health records and clinical technologies. This includes standardization of templates to capture and report metrics that impact outcome and quality measures.
Facilitate the development and incorporation of clinical guidelines for major reportable disease conditions and measures using established (and yet to be established) subcommittees, advisory councils and similar structures as approved by the organization.
Document specifications that will translate into the development of tools, reports, and systems that support organizational priorities.
Utilize industry-standard tools (e.g. spreadsheets, swim lane diagrams, etc.) to document and analyze systems to ensure comprehensive solutions that meet process improvement goals and integrate into clinical workflows.
Identify, evaluate, and develop plans for introducing technology-based innovations that will increase efficiency, reduce waste, or solve problems within the organization.
Maintain a working knowledge of licensing, regulatory, and compliance factors related to clinical information system usage.
Collaborate in the development and ongoing review of system related policies, procedures, and competencies. Assure that technologies and workflows align where appropriate.
Serve as a resource for end users for information systems and technology. Effectively communicate and educate system changes, workflow process changes, downtime procedures, and relevant information to clinical teams.
Collaborate and consult with internal and external clinicians, vendors, academic programs, and healthcare organizations to share knowledge and experiences to determine the best possible technologies and solutions for the organization and improve patient care.
Incorporate informatics theories, principles, and concepts to evaluate the impact of technology on clinical practice and patient outcomes and informs opportunities for optimization and improvement.
Act as a change agent, driving organizational change management to ensure successful adoption and maximize value for the healthcare team and patient care. knowledge and information.
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 or more of nursing experience inclusive of two (2) or more years of experience in informatics functions
Experience in enterprise grade EMR build/maintenance, preferably Epic or Cerner preferred
Bachelor's degree in Nursing from an accredited institution required
Accompanying Bachelor's degree in Informatics or a related field from an accredited institution preferred
Master's degree in Informatics or a related field from an accredited institution preferred
Quality-based certification a plus
Certification in informatics or related fields preferred
Possession of an active, unrestricted, and unencumbered Registered Nurse (RN) license issued by the California BRN required
Key Qualifications
Advanced knowledge and understanding of:
Informatics and Quality principles.
Healthcare Data Analytics
Compliance management
Stakeholder management
Change management
Nursing principles
Project management
Excellent written and verbal communication and interpersonal skills
Strong organizational skills
Strong critical thinking skills required
Strong word processing skills involving computer keyboard and screens
Proven ability to:
Demonstrate sound analytical reasoning.
Manage multiple projects with competing deadlines and changing priorities and be detailed oriented.
Work well in a team environment and build and maintain effective working relationships with Team Members and stakeholders at all levels.
Start your journey towards a thriving future with IEHP and apply TODAY!
Work Model Location
This position is on a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga, CA.)
Pay Range USD $104,041.60 - USD $137,841.60 /Yr.
Auto-ApplyPrimary Care Physician needed in San Jacinto, CA
Healthplus Staffing job in San Jacinto, CA
Setting: Fully outpatient
Schedule: Monday-Friday
Hours: 8:00 AM-5:00 PM - No weekends.
Requirements: Must be Board Certified in Family Medicine
Credentialing: Can be expedited
Position type: Permanent
Compensation: $300-310k Plus $30k sign on bonus
If interested, please submit an application immediately or call us at 561-291-7787.The HealthPlus Team
Medical Director needed for Occupational & Industrial Medicine Clinic outside of Los Angeles, CA
Healthplus Staffing job in Vernon, CA
Job Description
Quick job details:
Setting: Outpatient, 90% Occ Med & 10% Urgent Care
Schedule: Monday through Friday
Hours: 40 hours, 8 hr. shifts
Patient Volume: 15 patients per day average
Job Requirements: FM, IM or OM trained with Occ. Med & Leadership experience
Compensation: $280k base salary
No benefits - Malpractice Insurance, PTO & Sick Days offered
About Us:
HealthPlus Staffing is National Leader in the Healthcare Staffing Industry. We partner up with top facilities nationwide with the focus of finding them highly qualified candidates.
Our Promise:
We will put you in front of the decision makers.
We will provide feedback on your application.
We will work on your behalf to obtain as much info as you need to make a well-informed decision.
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!
The HealthPlus Team.
NP or PA needed for Primary Care group in Palm Springs, CA
Healthplus Staffing job in Palm Springs, CA
Job DescriptionHealthPlus Staffing is assisting an outpatient Primary Care clinic with their search for a NP or PA to join their team in Palm Springs, CA
Job Title: NP/PA - Float Provider (Outpatient)
Compensation: $142,400-$178,000/yr
Schedule: Full-time
Requirements:
• Active CA NP or PA license
• DEA + BLS required
• Minimum 1 year experience
• NP: ANCC/AANP certified
• PA: NCCPA certified
• Must have valid driver's license & ability to travel between clinic sites
• EMR experience (Epic preferred)
• Spanish preferred
Responsibilities:
• Float between local outpatient clinic sites
• Provide primary care exams, diagnose, treat, prescribe
• Order/interpret labs & diagnostics
• Document accurately in EMR
• Collaborate with physicians and clinic staff
• Support multiple locations as needed
If interested, please submit an application immediately or call us at 561-291-7787.The HealthPlus Team