HealthPlus jobs in Riverside, CA - 53 jobs

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

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! Under the direction of Vice President of Business Relationship Management and BSA Department, this position aids in the development of the quality standards, audits, Test Intake/planning process, and User Acceptance Test coordination. This position will serve as a liaison between IT and several business units to ensure Testing progress is tracked, updated, and reported out as scheduled for projects. Duties also include continuously improving processes and a variety of complex assignments that are delegated by management in terms of objectives rather than specific instructions. Provide guidance to other Analysts. Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Additional Benefits Perks IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more. Competitive salary Hybrid schedule State of the art fitness center on-site Medical Insurance with Dental and Vision Life, short-term, and long-term disability options Career advancement opportunities and professional development Wellness programs that promote a healthy work-life balance Flexible Spending Account - Health Care/Childcare CalPERS retirement 457(b) option with a contribution match Paid life insurance for employees Pet care insurance Key Responsibilities Participate and lead the development of the quality standards, educating teams on the quality standards, and conducting governance checks. Responsible for auditing the UAT activities and ensuring User Acceptance Test delivery Plays senior role in UAT Test Coordination across several business teams on several new projects, Product upgrades, releases, and CR implementations Collaborate with PMs/ BPEs/ QE Engineers/Vendors/Business teams and various other parties as part of Test Governance Participate in Test Intake/planning and Test Estimations Contribute to the UAT test strategy/test plan (task list & owner, testing scope, test data needs, test environments, configuration needs, locations/logistics, etc.) Contribute to the UAT Kickoff (status, reporting, DevOps access/training, application training, etc.) Contribute to the daily planning and execution of UAT test scripts Perform Functional Testing activities on various applications as needed Assist in the development and implementation of metrics and maintenance of Visual Management Tools Participate in daily UAT standups and report status updates Participate in scheduled calls with extended project team members Build and manage UAT test scripts in DevOps (own structure, load test scripts, and manage test scripts) Gather Test results from various Business teams as part of UAT testing and upload test results back to Test management tools (DevOps/WF) Manage UAT defects - verify the execution of test plans, manage and report on defects Contribute to data set for UAT test script execution (define Test datasets between the various business teams for End-to-End test coverages) Assist in the development and maintenance of policies and procedures related to job functions, procedures, and technical guidelines Coordinate and prepare documentation for internal/external audits Train and provide guidance to other Analysts in the team as needed Qualifications Education & Requirements Three (3) years in IT Quality Assurance Prior experience in utilizing Test Management Tools Prior Experience in coordinating UAT testing with business teams Experience successfully managing business relationships with stakeholders required Experience Health Plan Operations and Government Programs preferred Experience in healthcare is desirable Bachelor's degree in Public or Business Administration, Health Care, Computer Science, Mathematics, or Accounting or related field from an accredited institution required Key Qualifications Knowledge of Managed Care systems and client/server applications - Preferred Understanding of SDLC life cycle and QA methodologies Knowledge of health plan business operations - Preferred Principles and methods of systems analysis for data processing - Required Principles of sound testing methodologies - Required Knowledge of Test Management and Reporting Tools- Required Knowledge in Test Planning and Estimates- Required Sound research techniques - Preferred Proficient in Microsoft Office Suite programs including Visio - Required Project management understanding and skills - Preferred Excellent written, and oral communication skills - Required Proven analytical and problem-solving capabilities - Required Ability to work independently, under pressure, balances multiple projects and deadline driven - Required Ability follow-through and track all outstanding tasks and coordinate with assigned owners to ensure tasks are completed timely - Required Ability to grasp new ideas and concepts quickly - Required Ability to successfully present ideas in an audience-oriented manner - Required. Ability to manage multiple projects of varying complexity, priority levels and deadlines - Required Strong work ethic and highly self-motivating and directing - Required Successful working in a team-oriented, collaborative, and changing environment - Required Willingness and ability to learn - Required Must be detail-oriented with strong organizational skills - Required Demonstrate a commitment to support IEHP's strategic priorities to become a 5-Star Health Plan Demonstrate commitment to Team Member Engagement by participating in projects/tasks/activities that promote Team Member excitement and enthusiasm for their role, increased work effort, and commitment to the organization Makes necessary adjustments to work shift ensure completion of projects and to meet deadlines, e.g., system releases, critical milestones Start your journey towards a thriving future with IEHP and apply TODAY! Work Model Location This position is on a hybrid work schedule. (Monday & Friday - remote, Tuesday - Thursday onsite in Rancho Cucamonga, CA) Pay Range USD $80,059.20 - USD $106,059.20 /Yr.

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. 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 Develop the vision, strategy, and capabilities to deliver best-in-class Member experiences throughout the organization for all products (Medi-Cal, Medicare, and Commercial) and interactions. Foster a service-oriented work environment with an emphasis on dedication to serving Members. Provide direct leadership, oversight, and accountability for the effectiveness of the Member Services, Transportation Services, and Business Systems & Transformation teams through the development of an annual workplan that aligns with the organizational priorities which includes key infrastructure projects, training & development plans, and actions focused on continuous improvement of the team's culture and engagement. Establish assessment processes and procedures for the departmental infrastructure and staffs to ensure quality of work meets expectations. Drive engagement within the Member Services, Transportation Services, and Business Systems & Transformation leaders to build strong and clear interrelationships to ensure successful operational performance resulting in high levels of Member satisfaction. Focus on optimizing the workflows of Member Services and Transportation Services departments by utilizing process automation and Conversational Artificial Intelligence. Identify areas of improvement and leads projects and continuous improvement initiatives for the Member Services, Transportation Services, and Business Systems & Transformation teams. Anticipates operational challenges and proactively identify and execute solutions to mitigate obstacles. Monitor performance, remove barriers, develop and implement strategies to enhance Member satisfaction in coordination with IEHP's organization-wide operations, non-operations, and clinical teams. Monitor developments on the federal and state level that may impact the Member Services, Transportation Services, and Business Systems & Transformation teams. Develop appropriate strategies as necessary and implements corrective actions as appropriate. Ensure regulatory documentation prepared by the Member Services, Transportation Services, and Business Systems & Transformation teams is accurate and meets regulatory requirements. Participates in audits and interacts with regulatory agencies as a credible, influential, and respected leader. Work closely with IEHP's Vice President, Quality, Vice President, Health Services Clinical Integration & Operations, and Vice President, Provider Experience to prioritize efforts and launch improvement activities based on Member experience surveys (CAHPS), data, HEDIS, and real-time Voice of the Member feedback. Meet and communicate regularly with organization-wide operations, non-operations, and clinical leaders to evaluate existing programs, plan, and implement new programs that support identified Member needs. Cultivate and maintain positive working relationships at all levels of the organization to ensure positive collaboration to identify, assess, and prioritize upstream and downstream impacts of Member initiatives throughout the organization. Lead health plan activities to improve and ensure high performing service is available to IEHP Members. Implement new ideas to improve processes, create efficiency through implementation of new technologies (including automation and leading edge AI solutions) or improving those already deployed, ultimately to produce high performing service and quality. Identify gaps and systematic opportunities for improvement for the organization and defines and designs efforts that will improve the Member Experience focusing on using Lean principles to improve key operations and operational work systems, under the direction and guidance of the COO. Focus on driving IEHP strategies and is directly responsible for leading critical programs and initiatives designed to move the organization's strategic priorities forward. Partner with Executive Leadership team and other key stakeholders to analyze, design, document, and communicate strategic opportunities for improving the Member experience, reducing Member call and grievance drivers, service design, and technology enablers such as omnichannel, Member portal, and Member self-service. Leverage global and industry best practices and benchmarks to measure and improve Member Experience functions as well as the Member Experience itself. Create a high performing workforce and fostering an environment that supports and promotes best in class performance and a culture that supports IEHP's MVV. Qualifications 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! Work Model Location This position is on a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga, CA.) Pay Range USD $246,355.20 - USD $344,905.60 /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! 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.

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, Compute and Collaboration, the Engineer III - VMware and Windows would be responsible for helping in the design, configuration, and maintenance of the VMware virtual environment. This role will also help in build, configuration, and maintenance of Windows Server infrastructure for production, test, and development environments. 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 Implement, maintain, and Support VMware vSphere. Implement, maintain, and Support VMware vROps, Skyline and other related VMware infrastructure and monitoring tools. Implement, maintain, and Support DNS, DHCP, SSL Certificates and internal CA servers. Process changes to system software and hardware so that performance meets company's objectives and maintain SLAs in accordance with change management policy. Implement and maintain anti-virus on systems. Manage and apply necessary system security access. Analyze performance indicators to ensure that systems are operating efficiently. Build and maintain Windows servers and associated applications in a highly available, scalable, and secure environment. Install and configure ESX-i on physical hosts for vSphere. Perform root cause analysis for VMware and Windows related issues. Qualifications Education & Requirements Eight (8) or more years of hands-on experience working with VMware and Windows environments Five (5) years of experience in Systems Administration Experience with SCCM and patch management for monthly security updates and patches Hands on experience with installing/racking physical servers and appliances Exposure and experience with Azure as an extension of the Windows Server environment Bachelor's degree in a computer related field or similar technical field from an accredited institution required In lieu of the required degree, a minimum of four (4) years of additional Systems Administration experience and VCP/MCSE Certification 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 Linux Red hat and other Linux OS experience is a plus. Experience working in the Healthcare Industry will be an added advantage VCP/MCSE preferred Strong knowledge in the areas defined but not limited to in the duties and responsibilities section Strong technical knowledge of VMware ESX / ESXi and Virtual Center, SRM, vCOPs Deep knowledge and experience with PowerShell Familiarity with datacenter concepts and best practices, high-availability systems, capacity planning, system performance evaluation, diagnostic techniques, and methodologies Understanding of cloud computing operating principles, features, and benefits Advance knowledge of Microsoft Windows Server and associated products Basic knowledge of SAN/WAN/LAN networking Ability to plan, organize and document complex system design activities and to configure systems to be consistent with operational. policies/procedures Ability to communicate technical/complex information both verbally and in writing, as well as perform multiple tasks concurrently and respond to emergency situations effectively Team player and ability to work well with others 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.

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! The Medical Director of Hospital & Ancillary Relations serves as a physician advisor / dyad partner to other members of the Hospital and Ancillary Relations leadership team in providing clinical leadership and guidance toward operational and quality improvement activities aimed at achieving the strategic initiatives set forth by Plan administration as they relate to hospital and ancillary services. The Medical Director of Hospital and Ancillary Relations leverages their knowledge and experience in health care operations and team dynamics to effectively collaborate with health plan and provider leaders and departments, soliciting input and support in identifying and implementing practice activities and setting appropriate standards to improve care delivery within the hospital and ancillary setting. 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; we also aim to match our Team Members with the same energy by providing prime benefits and more. CalPERS retirement 457(b) option with a contribution match Generous paid time off- vacation, holidays, sick State of the art fitness center on-site Medical Insurance with Dental and Vision Paid life insurance for employees with additional options Short-term, and long-term disability options Pet care insurance Flexible Spending Account - Health Care/Childcare Wellness programs that promote a healthy work-life balance Career advancement opportunities and professional development Competitive salary with annual merit increase Team bonus opportunities Key Responsibilities Identify clinical practice opportunities within business unit projects and activities and apply clinical and administrative skills to guide the department in implementing strategic, organizational and departmental improvements. Provide clinical leadership to implement, manage and achieve hospital and ancillary optimal care goals utilizing existing channels (i.e., Joint Operations Meetings, Inland Empire Alliance meetings, throughput and quality workgroups, etc.), and via development of new avenues for implementation of novel approaches to identified challenges and highlighting best practices. Develop relationships with internal and external clinical leadership teams and focuses on mutual goals to improve the quality of medical and ancillary services to advance optimal care (i.e., pediatric strategy, quality network implementation for hospitalist, hospice, post-acute services) and promote appropriate utilization of resources. Inform and educate hospital and ancillary clinicians about relevant changes in clinical best practices, regulatory mandates, and other relevant information to support the health plan's strategies (i.e., palliative care initiatives, peer review program expectations). Maintain an updated and expanded knowledge base on factors that affect hospital and ancillary services, and ensures that relevant information about social, medical, and fiscal issues are incorporated into IEHP policies, procedures, and strategies (i.e., All-Plan Letters, state and federal regulations). Organize, coordinate, monitor, and promote the activities of the contracted medical providers to help ensure that the quality and appropriateness of services meets community standards. This may include collaboration with departmental leadership to educate and train clinicians in standards of care (i.e., specialty-specific care, evidenced-based practices, infection control practices, etc.). Provide recommendations for research and development activities in strengthening quality improvement efforts for the medical providers in hospital and ancillary areas. (i.e., Hospitalist Pay for Performance program). Articulate the importance and mission of the work surrounding hospice and post-acute services (i.e., SNF, long-term care, home health) to the community; specifically, how these impact hospital care quality and throughput, and Member/patient experience. Participate in the development and delivery of educational programs geared towards improving the practice of clinicians including, but not limited to, physicians, mid-level providers, etc. in various settings. Leverage knowledge of clinical, regulatory, social, political, and economic factors to provide feedback, as appropriate, to legislators and public policy makers about existing and proposed laws and regulations impacting hospital and ancillary care services. (i.e., payment practices). Monitor and improve quality of care delivered by medical providers rendering care to IEHP Members via a quality assessment and performance improvement program that encourages self- evaluation, anticipates, and plans for change, and meets regulatory requirements. Utilize results of quality assessment and performance improvement program findings to: a. Update and improve contracts, the medical provider evaluation process, financial incentives (i.e., pay for performance or value-based care integration), policies, procedures, and practices. b. Suggest, seek approval for and operationalize performance improvement activities aimed at closing gaps related to network adequacy, adequate utilization of available services (i.e., palliative care) and/or elevation of care delivery via innovative approaches. c. Identify solutions to problems that utilize a collaborative approach, including integration efforts with hospital, ancillary and community resources and services. Ensure, with other Medical Directors as appropriate, that Hospital and Ancillary Service Medical Staff and Contracted Medical Providers are providing appropriate care for IEHP Members including but not limited to availability of qualified medical consultative staff and oversight of their medical staff quality performance. Collaborate with Health Services to hold practitioners accountable for their utilization management activities (admissions, and transfers, including related orders and contracted facility case mix), engagement in interdisciplinary teams, performance, and practice, including corrective actions and adequate documentation of patient care as needed. Review recovery audit denials and appeals inclusive of second level appeal letter, second level medical necessity review, and peer to peer reviews. Perform any other duties as required to ensure Health Plan operations and department business needs are successful. Qualifications Education & Requirements Five (5) years of post-residency or licensure experience in a recognized specialty that includes but is not limited to Family Medicine, Internal Medicine, Pediatrics, and Emergency Medicine Experience in quality, care coordination, utilization management in an inpatient, ACO or FQHC environment Strong product and program management experience, product delivery, product environments, and management consulting Preferred: At least three (3) years of administrative experience. Experience is in a variety of clinical settings including inpatient, outpatient practice, and community-based care settings Medical Degree in a clinically related field (e.g., MD, DO) from an accredited institution required Preferred: Additional Master's Degree (e.g., MS, MPH, MBA) from an accredited institution Possession of an active, unrestricted, and unencumbered Physician's and Surgeon's Certificate issued by the State of California Medical Board required (A physician certified in a state other than California may be employed prior to receipt of California certification provided that an application for a California physician and surgeon's certificate is filed in the state of California prior to date of appointment.) Key Qualifications Valid California Driver's License preferred Strong knowledge and understanding of: Medical practice and understanding of clinical operations in the hospital and ancillary setting Various regulatory bodies and setting-specific requirements, including DHCS, NCQA, CMS, TJC/DNV. Current trends in health care and clinical operations Administrative practices and procedures including but not limited to quality assessment and improvement, care coordination, utilization review, peer review, credentialing and risk management Rules regulations, policies, and standards related to managed care Principles of effective supervision and organization Methods, techniques, practices, principles, and literature in the broad field of medical sciences Overview of the highly specialized techniques, procedures, and equipment used in the medical or surgical specialties Excellent Word, Excel, and PowerPoint skills. Superb communication skills, including oral and written presentation. Strong leadership skills Proven ability to: Communicate difficult concepts in a concise, elegant, and effective ways to key stakeholders, including providers, to reach consensus Be a team player with an ability to build trust with internal and external stakeholders Educate and train Be compassionate Start your journey towards a thriving future with IEHP and apply TODAY! Work Model Location This position is on a hybrid work schedule. (Monday & Friday - remote, Tuesday - Thursday onsite in Rancho Cucamonga, CA.) Pay Range USD $246,355.20 - USD $380,000.00 /Yr.

HealthPlus 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

Job DescriptionJoin a thriving neurosciences practice with nearly 40 providers and over 45 years of dedicated service to the region. This respected group operates across multiple locations and has strong hospital affiliations throughout San Diego and SW Riverside Counties, earning a stellar reputation in the field. Quick job details: Setting: Remote and Onsite closer to Job Requirements: Must be Board Certified, active California license, 3+ years of current or very recent PD, APD, or Core faculty experience in an accredited neurology GME program Compensation: First year compensation $270,000-289,000 + incentives Benefits: PTO, paid malpractice insurance, and 401(k) with a match, partnership track and full benefits including health, dental, vision, LTC, disability 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.

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 department leadership with minimal supervision, the Quality Improvement (QI) Facilitator II works closely with front line leaders, external partners, and organizational teams to plan, organize, facilitate, and lead quality improvement projects. The QI Facilitator II has a strong understanding of IEHP's strategic priorities and organizational goals and supports these goals through the development and implementation of QI program activities. The QI Facilitator II will skillfully use techniques of system design, project management, continuous quality improvement (e.g., brainstorming, cause and effect analysis, root cause analysis), outcomes measurements, and data analysis to support the development, implementation, and oversight of QI programs. 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 Lead the facilitation for all levels of IEHP staff, hospital teams, and workgroups in the development and implementation of performance improvement initiatives related to successes in reaching established goals. Oversee and monitor the development, implementation, and outcomes of quality improvement programs. Prepare and present regulatory and committee, and other reports summarizing QI initiatives and the success and/or progress in reaching established goals. Apply and teach standardized QI concepts and techniques to achieve established quality goals for both internally and externally developed quality improvement programs. Lead and support ongoing development of shared organizational and external stakeholders' quality improvement infrastructure including system design, identification of organizational QI initiatives, tracking of project evaluations/studies, tools, and resources for project monitoring. Utilize subject matter expertise to assess and identify quality gaps and opportunities, facilitate quality improvement initiatives within the organization, and ensure timely project completion and expected outcomes. Translate data into meaningful information, draws conclusions, and relates findings to industry standards. Provides recommendations to departmental stakeholders and QI Leadership Team regarding performance gaps, program implementation, and performance outcomes in order to maintain an effective QI Program Perform any other duties as required to ensure Health Plan operations and department business needs are successful. Qualifications Education & Requirements Minimum of four (4) years demonstrated experience requierd, at a professional level, in process/project management including participation in quality improvement projects or operations Prior experience in the health care setting preferred Master's degree (preferably in Public Health, Health Administration, Public Administration, or other healthcare related focus) from an accredited institution required Project Management Professional (PMP) Certification, Certified Professional of Healthcare Quality (CPHQ), or other recognized quality improvement certificate preferred Key Qualifications Strong working knowledge of: Healthcare quality performance and measurement sets including CMS quality withhold, Managed Care Accountability Set, NCQA Quality Improvement Standards and HEDIS Project management techniques, tools of continuous improvement, and work process redesign Standard coding sets 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 Ability to successfully apply facilitation techniques to quality improvement project teams to achieve optimal outcomes Possesses problem solving, conflict management, and team building skills in order to ensure a productive work environment and achievement of quality goals Skilled in reading and interpreting data Ability to: Perform complex tasks, prioritize multiple projects and work under pressure to meet deadlines in a fast-paced environment Successfully apply facilitation techniques to quality improvement project teams to achieve optimal potential Exhibit high attention to detail Start your journey towards a thriving future with IEHP and apply TODAY! #LI-TMW1 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.

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 Integrated Transition Care Department Leadership, the incumbent will work with Hospitals and Independent Physician Association (IPA) with their assigned Team Center, that may include an LCSW, CHW, Pharmacist, Pharmacy Technician, Coordinator, Care Transition, and Transportation to initiate coordinated and continuous cost-effective quality healthcare to ensure the continuity of the Member's care needs are met timely throughout the continuum of care and readmission prevention for our high-risk Members. This will be accomplished through concurrent review processes using nationally recognized criteria. The Integrated Transitional Care Nurse, RN will participate in providing transitional care services to the Members with each transition from one care setting to the next. 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 Conduct Integrated Transition Care discharge risk assessment for high risk/ high acuity Members. Oversee and perform concurrent and retrospective reviews for medical necessity per evidenced based criteria, appropriateness of service and level of care, either through Telephonic review, clinical documentation submitted by respective facilities and/or electronic medical records (EMR) access. Conduct reviews to ensure Member's treatment plan is consistent with Diagnosis(es), specifically initial review within twenty-four (24) hours to ensure Members meet specified criteria for the respective admission(s). Work in collaboration with the coordinator to ensure timely arrangements for transitions to higher or lower level of care and assist with transfer orders as needed. Ensure the concurrent or retrospective review process include referring cases that require clinical consultation with the medical director in a timely manner. Ensure cases are appropriately referred to Care Management, Behavioral health, Health Education, Housing, community health. Identify outliers and prepare documentation as well as report on potential quality of care issues as identified. Process timely completion of denials process per policy. The RN will review variances in cases followed by an LVN for possible consultation with the Medical Director to determine approval for due to medical necessity or denial of days. Conduct timely compliance and completion of documents per regulatory requirements. Serve as the IEHP Liaison between hospitals, IPAs vendors, outside agencies and provider to ensure effective communication and collaboration in an effort to meet the Member's treatment plan and goals. Oversee verification of delivery of ordered Durable Medical Equipment (DME), Health Home visits, set up hospital follow up visits with PCP, review of Medications with Member and transportation needs. Oversee and complete Discharge planning assessment. Perform medication reconciliation based on acuity and type of medications. Outreach to Member post discharge to ensure Member attended follow up appointment, Health Home starts visits, possible in-home visit by RN or assigned LCSW as appropriate. Generate additional follow up needed to assign to appropriate regional Behavioral Health & Care Management team. Qualifications Education & Requirements Two (2) or more years of Utilization Management/Case Management in a health care delivery setting in Acute or Skilled nursing, with an emphasis on Concurrent Review and Utilization Management High school diploma or GED 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 Knowledge of evidence based clinical criteria and California Children Services (CCS) Must have analytical skills. Excellent communication, interpersonal and organizational skills Self-starter and a team player Time management, and problem-solving abilities Must have a high degree of patience Position may require working onsite at an IEHP contracted provider facility location 5-days per week as a remote work location depending on business need 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 arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; and taste or smell The employee must occasionally 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 $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! Reporting to and under the general direction of the Director of Government Affairs, the Government Affairs Manager is responsible to lead the management and oversight of the execution of the government affairs role for Medi-Cal, Medicare, and commercial lines of business. The Government Affairs Manager plays a key role in crafting and shaping federal and state legislative and regulatory policy issues for the benefit of IEHP. The Government Affairs Manager has an active and visible lead role with the state and federal advocacy associations and legislative offices. The Government Affairs Manager serves as a lead liaison for IEHP with state and federal trade associations and legislative staff, and positions IEHP as a key influencer, maintaining relationships with advocacy groups and legislative staff. This position works collaboratively with other departments within the Plan acting as a resource to provide analysis and interpretation of draft state and federal legislative and regulatory guidance, and work with Business Units to ensure advocacy issues are presented accurately and in a compelling manner. Additionally, the Government Affairs Manager works closely with the managers in the Compliance Department to ensure seamless services to Business Units and effective advocacy, as well as with other Managers within the Plan to ensure alignment, understanding and follow through of priorities. Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Perks IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more. * Competitive salary * Hybrid schedule * State of the art fitness center on-site * Medical Insurance with Dental and Vision * Life, short-term, and long-term disability options * Career advancement opportunities and professional development * Wellness programs that promote a healthy work-life balance * Flexible Spending Account - Health Care/Childcare * CalPERS retirement * 457(b) option with a contribution match * Paid life insurance for employees * Pet care insurance Education & Requirements * Required: Five (5) years with managed care health plan or other relevant healthcare industry experience specific to government affairs legislative and regulatory advocacy * Comprehensive advocacy experience, with direct experience interacting with regulators, legislative staff and state and federal trade associations * Preferred: A minimum of one (1) year experience in project management * Required: Bachelor's degree in Public/Business Administration, Health, Political Science, Public Policy or a relevant field from an accredited institution required * Preferred: Master's degree in Public/Business Administration, Health, Political Science, Public Policy or a relevant field Key Qualifications * Must have a valid California Driver's license * Strong knowledge and understanding in the following areas: * Medicaid, Medicare, and commercial health insurance * Managed care and government-sponsored health care delivery systems * County, state, and federal legislative and budget processes * Policy, legislative and regulatory implications to an organization and effective advocacy strategy and tactics * Principles of effective project management, effective survey tools, business impact analysis and report writing * Team building, strategic planning, and organizational and project management * Cross-organization coordination * Understanding and sensitivity to a multi-cultural environment and community. * State and federal legislative and budget process * Effective advocacy strategies, including effective partnerships with state and federal trade associations * Federal and state regulatory requirements related to lines of business included in IEHP's business portfolio * Possesses strong skillsets in the following areas: * Strong leadership and excellent interpersonal skills * Excellent verbal and written communication skills * High level analytical skills and ability to analyze complex regulatory and legislative proposals * Project management skills * Issue management skills * Microcomputer applications: spreadsheet, database, and word processing * Ability to translate legislation and regulatory guidance into meaningful and actionable information * Strong writing, interpersonal communication, organizational skills * Proven ability to: * Understand, incorporate, and demonstrate the mission, vision, and values of the Plan in behaviors, practices, and decisions * Maintain a high level of diplomacy * Be resourceful and independent in problem solving and self-direction * Establish and maintain effective working relationships with internal departments and external agencies and offices of elected officials * Embrace and champion change to accommodate evolving organizational and regulatory processes * Work independently and collaboratively within a team environment * Manage multiple projects with competing deadlines and changing priorities * Possess a strong attention to detail and exceptional follow through Start your journey towards a thriving future with IEHP and apply TODAY! Pay Range * $104,041.60 USD Annually - $137,841.60 USD Annually

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 IT Department Leadership, the Developer III - Application Development is responsible for development, modification, and implementation of Inland Empire Health Plan's internal/external applications. The Developer III - Application Development is considered a Senior Developer position and is responsible for offering guidance to junior personnel. 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 Gather project requirements and document business solutions. Execute full lifecycle of software development (Agile/DevOps). Communicate efficiently/effectively with all internal/external business entities. Create well designed, testable efficient code. Assist in generating test cases for new and existing applications. Design, develop and implement software independently or within a team. Serve as a subject matter expert in key businesses projects. Conduct code reviews and provider manful feedback. Analyze software errors to define and create tools that help mitigate problems. Train Team Members in coding standards and best practices. Collaborate with team members and contribute ideas for improving development workflows. Implement automation tools and frameworks (CI/CD pipelines). Conduct systems test before releasing software. Perform any other duties as required to ensure Health Plan operations and department business needs are successful. Qualifications Education & Requirements At least five (5) years of experience developing multi-tiered, efficient, highly responsive web applications required Candidates must possess solid work experience in client-side browser centric or middle-tier/back-end service development Hands-on experience with Microservices architecture and event-driven model utilizing Rabbit MQ and Kafka Experience with MongoDB: schema design, indexing strategies, replication, and performance optimization for large datasets Experience in configuring an IIS/NGINX/PHP web server, Docker containers, PHP, and Linux OS (Redhat/Debian/Apline) is preferred Experience integrating data across systems preferred(e.g., APIs, flat files, cloud storage, HDFS, etc.) Bachelor's degree in a science-related field of study from an accredited institution required, degree preferably in Computer Science 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 Deep comprehensive knowledge in the following areas: Knowledge in the server-side development stack utilizing .Net, C# and SQL Server Ability to design and implement complex, scalable, and maintainable enterprise solutions using .NET and modern architectural patterns Acute analysis, observation, and good communication CI/CD pipelines, automated builds, and deployment processes Ability to utilize REST and SOAP webservices Preferred Knowledge: Knowledge of Healthcare domain Knowledge of EDI 834 message format Familiarity with data exchange standards (e.g., HL7, FHIR, CCDA). Knowledge of Python Data Domain Services: Expertise in .Net Core & .Net Framework (C#), including advanced concepts such as asynchronous programming, dependency injection, design patterns, Rest API development, Message Bus technologies, and more Microservices architecture and event-driven model utilizing Rabbit MQ and Kafka MongoDB: schema design, indexing strategies, replication, and performance optimization for large datasets Security best practices in application development and data handling Kubernetes, container orchestration, deployment strategies, scaling, and monitoring in cloud-native environments JavaScript, Type Script, Material Design, AngularJS or Agular Framework, CSS frameworks, NodeJS and .Net Core webservers, bundling and packaging of client-side solutions Knowledge of .Net Core & .Net Frameworks (C#), including advanced concepts such as asynchronous programming, dependency injection, design patterns, Rest API development, Message Bus technologies, and more Proven ability to: Work well in a team and be a strong team player with ability to mentor junior developers, perform code reviews, and enforce coding standards Quickly learn new technologies, tools, and frameworks to stay aligned with evolving project needs Take ownership of projects and drive solutions independently 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.

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 general supervision, the Human Resources Specialist - Benefits is responsible for the day-to-day administration, coordination, and communication of team member benefits programs. This position also ensures compliance with federal and state regulations, supports team members with benefit-related inquiries and processes, and assists with annual open enrollment and reporting. 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 IEHP is not only committed to healing and inspiring the human spirit of our Members; we also aim to match our Team Members with the same energy by providing prime benefits and more. CalPERS retirement 457(b) option with a contribution match Generous paid time off- vacation, holidays, sick State of the art fitness center on-site Medical Insurance with Dental and Vision Paid life insurance for employees with additional options Short-term, and long-term disability options Pet care insurance Flexible Spending Account - Health Care/Childcare Wellness programs that promote a healthy work-life balance Career advancement opportunities and professional development Competitive salary with annual merit increase Team bonus opportunities Key Responsibilities Benefits Administration & Compliance Manage benefits lifecycle, including enrollment, terminations, and status changes; ensure accurate data entry in HRIS and benefits systems. Serve as primary resource for benefits inquiries, explaining plan options, costs, and procedures to employees. Coordinate annual Open Enrollment and wellness programs; prepare communication materials and conduct informational sessions. Verify and process monthly premium statements, resolve discrepancies with carriers, and maintain statistical data on premiums and claims. Ensure compliance with regulatory requirements, including I-9 documentation and accurate recordkeeping. Employee Support & Communication Act as an HR representative, responding promptly to employee inquiries and escalating issues as needed. Conduct new hire orientation and provide guidance on benefits programs and HR policies. Prepare and review reports on benefits enrollment, deductions, and plan participation; resolve discrepancies with providers. Support employee engagement through workshops, intranet updates, and timely communication of HR initiatives. Handle employment verifications, benefit letters, garnishments, subpoenas, and audits. HR Policy & Collaboration Communicate HR policies, procedures, laws, and best practices to team members and management. Act as a trusted resource, demonstrating organizational values and fostering strong internal relationships. Perform administrative duties requiring discretion and judgment in handling sensitive and confidential information Perform any other duties as required to ensure Health Plan operations and department business needs are successful. Qualifications Education & Experience One (1) year of demonstrated experience in a Human Resources function. Demonstrate superior interpersonal and administrative skills commensurate with years of experience High school diploma or GED required Bachelor's degree from an accredited institution preferred Professional in Human Resources (PHR)/Senior Professional in Human Resources (SPHR) certification preferred Key Qualifications Word processing involving computer keyboard and screen, copying, and filing of records and/or correspondence Demonstrated proficiency in Microsoft Office products (Word, Excel, PowerPoint, Outlook, etc.) Excellent interpersonal and communication skills, strong organization skills Ability to multi-task and coordinate with others; follow and maintain processes and procedures Ability to establish and maintain effective working relationships both within and outside of the organization Attention to detail Start your journey towards a thriving future with IEHP and apply TODAY! Work Model Location This position is on a hybrid work schedule. (Monday & Friday - remote, Tuesday - Thursday onsite in Rancho Cucamonga, CA.) Pay Range USD $25.90 - USD $33.02 /Hr.

The IEHP Foundation was established in 2021 by Inland Empire Health Plan (IEHP) to ensure all individuals in the Inland Empire have access to Vibrant Health - extending beyond traditional healthcare services and addressing the social determinants of health for the region's most vulnerable populations. To advance Vibrant Health across San Bernardino and Riverside Counties, IEHP Foundation invests in strengthening the leadership and capacity of community-based organizations (CBOs) and coalitions to build healthy neighborhoods and cultivate healthy living, ensuring all residents have access to healthy and joyful lives. We Invest in Healthy Nonprofit Leadership By: * Directly investing in local CBOs and nonprofits through responsive grantmaking. * Strengthening the infrastructure of nonprofits through capacity building and training. * Leveraging public policy and advocacy alongside our community partners to better advocate for the region to help eliminate health barriers and disparities. * Funding and supporting place-based initiatives that aim to advance health equity throughout neighborhoods and communities. IEHP Foundation seeks dedicated and passionate Team Members who show up each day committed to working collaboratively - both internally and externally - to improve lives and health outcomes across the Inland Empire. Reporting to the IEHP Foundation CEO, the Community Engagement Manager will be responsible for the implementation of community engagement and impact strategies, projects, initiatives and other key activities within the Foundation. With a highly collaborative spirit and by utilizing collective impact principles, this position develops trusted relationships and partnership aimed at achieving collective results for the region. This position will provide project management support to the Foundation CEO and collaborate with internal and external stakeholders to ensure successful implementation and achievement of goals and objectives. With limited administrative support, the Community Engagement Manager will develop, plan, coordinate and maintain the operations of complex community engagement processes and philanthropic strategies. This position will shape all goals/projects related to partnership and capacity building of Community Based Organizations throughout the region. Individuals in this classification demonstrate a significant degree of independence performing a variety of responsibilities for administering and managing project objectives in alignment with governmental policies and local community needs. Preferred: Bilingual (English/Spanish) written and verbal communication skills. If authorized, the Team Member in the bilingual capacity must take a language proficiency assessment and must receive a passing score to utilize their bilingual skillsets. IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more. * Competitive salary * State of the art fitness center on-site * Medical Insurance with Dental and Vision * Life, short-term, and long-term disability options * Career advancement opportunities and professional development * Wellness programs that promote a healthy work-life balance * Flexible Spending Account - Health Care/Childcare * CalPERS retirement * 457(b) option with a contribution match * Paid life insurance for employees * Pet care insurance Education & Requirement * Five (5) years of direct program/grants management or combined years of project and program experience with progressive responsibilities in the social services or nonprofit sector * Five (5) years of solid experience working with Senior Management, Management and Team Members at an organization * Five (5) years of experience managing complex projects using project management tools. Experience with community engagement, building community engagement strategies, and/or similar exposure * Experience working with Inland Empire community organizations preferred * Bachelor's degree from an accredited institution required * Master's degree from an accredited institution preferred * Preferred: Bilingual (English/Spanish) - written and verbal skills Key Qualifications * Must possess strong working knowledge of Inland Empire nonprofit landscape and philanthropic best practices. Must possess strong knowledge of program and project management and community development best practices. * Strong program management skills to oversee the implementation of the Strategy Goals. Excellent communication skills through the use of ethical decision-making processes and good judgment. Strong skills in guiding and motivating a diverse work group to achieve the common goal(s). Excellent writing, interpersonal and communication skills. Computer applications: spreadsheet, grants management database and word processing. * Ability to provide clear and effective program reporting to varying levels of leadership. Ability to effectively prioritize and execute tasks in a high-pressure environment. Ability to work collaboratively with key internal and external leaders as needed. Start your journey towards a thriving future with IEHP and apply TODAY! Pay Range * $91,249.60 USD Annually - $120,910.40 USD Annually

Quick job details: Setting: Outpatient Position: Full time, permanent role Schedule: Monday through Friday Clinic Hours: 8:30a to 6p (40 hr. work week) Job Requirements: Physical Therapy License & CPR Certification Compensation: $93k-$108k salary commensurate on experience Benefits: Full benefits after 3 months including medical, dental & vision covered 100% by employer, PTO & sick days, 401k plan & contribution. 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.

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! Applying analytical techniques and processes, the IT Business Systems Analyst II provides guidance to IT and Business Departments, to resolve technical and project implementation deliverables for medium and complex projects. The IT Business Systems Analyst II is responsible for developing system documentation such as requirements specifications, design documents, process flows, use cases, system Integration flows, data flows, project plans, user manuals, and training procedures. The IT Business Systems Analyst II understands business requirements and often serves as a liaison among stakeholders in order to understand the structure, policies, and operations of an organization, and to recommend solutions that enable the organization to achieve its goals. Requirements include (but are not limited to): - Business Analysis Planning & Monitoring - Elicitation & Collaboration - Requirements Life Cycle Management - Strategy Analysis - Requirements Analysis - Data Analysis - Solution Evaluation 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 Work with business partners within one or more business organizations to align solutions with business needs. Support one or more moderate to complex business processes, requiring design or integration of technical solutions that may cross multiple functions of the business. Progress liaison relationship with business and IT. Conduct data gathering and analysis to understand business strategy requirements. Provide factual content to feasibility study for standard programs, projects, and enhancements. Aid in the development of UAT. Provide support in creating reports, research, and documentation for the analysis of business satisfaction. Assist with leading the investigation and statement of problems. Escalates issues as appropriate. Serve as a lead one or more moderately complex business processes, requiring design or integration of technical solutions that may cross multiple functions of the business. Establish and maintain liaison relationships with business and IT to provide effective solutions. Lead the assessment of business needs a structured requirements process (gathering, analyzing, documenting, and managing changes). Lead development and communicates business requirements and functional specifications for the design and implementation of business solutions. Provide suggestions from a business and IT perspective. Assist in the business process redesign and documentation as needed for new technology. Conduct feasibility studies and draft proposals for evaluation by appropriate users and managers. Ensure UAT strategies involve appropriate integration and process components. Investigate problems and resolves working in conjunction with technical teams. May manage stakeholder expectations and analyze performance metrics to ensure stakeholder satisfaction. May generate appropriate communication, process, and plans for mitigating the disruption of change. Participate in IT solution deployment activities. Ensures IT solutions meet business needs. Coach and transfer knowledge to less experienced Team Members. Qualifications Education & Requirements Requires five plus (5+) years of relevant technical systems analyst or business work experience Experience developing Business Requirements - project initiation document, what the needed achievements will be, and the quality measures Experience developing Functional requirements - describe what the system, process, or product/service must do in order to fulfill the business requirements Experience developing User (stakeholder) requirements - are a very important part of the deliverables, the needs of the stakeholders will have to be correctly interpreted Experience developing Quality-of-service (non-functional) requirements - are requirements that do not perform a specific function for the business requirement but are needed to support the functionality. For example: performance, scalability, quality of service (QoS), security and usability Experience developing Performance Report - define the purpose of a report, its justification, attributes and columns, owners, and runtime parameters Experience developing Requirements Traceability Matrix - a cross matrix for recording the requirements through each stage of the requirements gathering process Experience conducting facilitated workshops for requirements analysis Experience creating workflows and developing graphic representations of complex business processes Bachelor's degree in Business Administration, Computer Science, Healthcare, or related program from an accredited institution required IIBA, CBAP Preferred Key Qualifications Must have a valid California Driver's License Understanding of SDLC and various methodologies Knowledge of formal requirements gathering methodologies. Knowledge of project management principles and practices Understanding of how to interpret needs of stakeholders correctly Requires technical, analytical, and process skills Requires interpersonal skills Proficiency with Microsoft PC desktop applications including Excel, Word, MS Project, and Visio Clearly articulate both problems and proposed solutions Prioritize personal and team workloads to best meet organizational objectives Work effectively on a high-performing team Adapt in a dynamic environment through maintaining resiliency Present issues and challenges to leads and managers Work with a team of professionals from various disciplines Makes necessary adjustments to work shift ensure completion of projects and to meet deadlines, e.g., system releases, critical milestones Start your journey towards a thriving future with IEHP and apply TODAY! Work Model Location This position is on a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga, CA) 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! Reporting to the Manager of Community Supports, the IEHP Community Supports Provider Relations Manager (CS PRM) is responsible for developing and maintaining a robust network of potential and contracted Community Supports network providers to ensure service adequacy, quality, and compliance with federal, state, and local regulations. This role serves as the primary liaison and subject matter expert for all CS services associated with their assigned providers, fostering strong partnerships to drive operational excellence, facilitate redesigning efforts, introduce population health initiatives, and support achievement towards clinical outcomes and value-based care. The incumbent serves as the primary point of communication with the CS Provider and maintains oversight of the relationship from inception of the CS Provider's relationship with IEHP onwards. The CS PRM leads provider engagement, onboarding, training, and performance improvement efforts, while supporting strategic initiatives to expand and strengthen the Community Supports network in alignment with IEHP's mission and strategic goals. In addition, the CS PRM is responsible for recruiting new CS Providers into IEHP Community Support Network as well as identifying opportunities to develop the Community Supports network to meet IEHP quality metrics, service goals, and compliance standards. 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 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 Provider Engagement (Relationship / Quality / Operations / Strategic Initiatives) a. Establish and maintain Meaningful Engagement cadence with contracted and potential CS providers through regular in-person, telephonic, and virtual meetings. Provide Strategic Engagements with CS Providers as requested by other IEHP Departments, including but not limited to Quality, Health Education, Health Services, and Strategy. b. Serve as the primary point of contract for assigned providers, addressing operational needs, providing CS-specific content, escalations, and strategic initiatives. c. Maintain accurate and timely log of Provider visits in compliance with NCQA standards, and DHCS and CMS regulatory requirements. Network Development & Performance d. Recruit and onboard new CS Providers into IEHP CS Network Service using data-driven strategies, market analysis, and/or other comparable methods. Manage New CS Provider On-Boarding Checklist activities. Ensure all vetting/onboarding tools are accurately updated accordingly. e. Facilitate in service sessions for potential Community Supports providers, presenting program expectations, goals, performance metrics, and DHCS reporting requirements to executive and senior leadership stakeholders. Develop and deliver training materials for staff Executive level staff, both contracted and non-contracted CS Providers on CS requirements, workflows, reporting and system tools. f. Deliver training and technical assistance to providers on program requirements, workflows, and reporting. g. Facilitate corrective action plans and performance improvement initiatives to address gaps in service or compliance. h. Lead provider meetings, training, and workgroups focused on improving program performance and data quality. Provider Contracting & Credentialing Support i. Lead contracting activities for new CS Providers and assist with re-contracting processes. Take lead in obtaining all contracting collateral as required for new CS Providers. j. Collaborate with Contracts and Credentialing Departments to ensure timely completion of required documentation. Address Provider inquiries concerning rate/service changes and claims disputes. Provider Data & Compliance k. Ensure provider adherence to DHCS reporting requirements, data submission protocols (i.e., Secure File Transfer Protocol (SFTP)), infrastructure, and IEHP standards around CS services. l. Identify opportunities for growth and partnership while working with CS Providers. Partner with CS providers to implement the growth initiatives. m. Monitor provider performance through reviewing encounter data, reporting, documentation, and adherence to compliance requirements. Ethical and Professional Conduct & Organizational Knowledge n. Promote ethical standards and maintain proficiency in IEHP programs, policies, and procedures as they relate to the Providers of IEHP, including IEHP lines of business and member benefits. o. Perform any other duties as required to ensure Health Plan operations and department business needs are successful. Qualifications Education & Requirement Three (3) or more years of experience with customer service in a health services setting including Hospital, Managed Care, Medical Group, IPA, and/or HMO Experience with managed care Experience working in the community with community-based organizations (CBO's) 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 in Community Supports is required for this position. This experience is in addition to the minimum years listed in the Experience Requirements above. Master's degree from an accredited institution preferred 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 Community Support Services Working knowledge of Medical Group, IPA, CBO's and HMO operations Proficiency in utilization of all Provider Services databases and systems Strong organizational skills. Excellent written and verbal communication and interpersonal skills Microcomputer Applications (Microsoft Word and Excel, Access Preferred) for use in all aspects of an office environment Skilled data input Skills in proactively engaging with providers and staff to determine root cause and address business issues (such as administrative, regulatory and customer service matters) Training skills to educate providers and provider staff as needed, which may include counseling providers diplomatically, while retaining a positive working relationship Skills in network development, by monitoring and enforcing company policies and procedures, while increasing Provider effectiveness by educating and promoting participation in various IEHP initiatives Examples of such initiatives include administrative cost effectiveness, member satisfaction - CAHPS, regulatory-related, IEHP Quality programs, and taking advantage of electronic solutions (EDI, EFT, EMR, Provider Portal, Provider Website, etc.) Proven ability to: Provide clear directions, set expectations, and motivate community partners to achieve goals Make informed, timely decisions using data, judgment, and stakeholder input Communicate clearly both verbally and in writing - with diverse audiences Build strong trust-based relationships with partners and stakeholders Demonstrate a strong sense of ownership of IEHP's relationship with the Provider that recognizes the Provider as a valuable partner Independently troubleshoot and problem-solve issues as they arise, making an assessment when escalating to a CS Manager, Director, or another IEHP department as needed and initiating, coordinating, and participating in problem-solving meetings between the Provider and IEHP stakeholders, including senior leadership and Providers Take initiative in preventing and resolving issues between the Provider and IEHP whenever possible Independently deliver training and presentations to assigned Providers and their staff, answering questions that come up on behalf of IEHP. May also deliver training and presentations to larger groups, such as leaders and management of Provider offices Start your journey towards a thriving future with IEHP and apply TODAY! Work Model Location This position is on a hybrid work schedule. (Monday & Friday - remote, Tuesday - Thursday onsite in Rancho Cucamonga, CA.) Pay Range USD $71,572.80 - USD $93,038.40 /Yr. Referral Bonus Not Eligible

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

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! Under the direction of the Director, Technology - Infrastructure Services, the Engineer III - Network will be responsible for administration and maintenance of the IEHP's Local Area Network (LAN) and Wide Area Network (WAN) which are Cisco Network systems. The Engineer III responsibility will be to ensure the stable operation of the in-house computer and systems network(s). This includes planning, developing, installing, configuring, maintaining, supporting, and optimizing all Network Appliance Hardware and software, and all communication circuits. Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Additional Benefits Perks IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more. Competitive salary Hybrid schedule State of the art fitness center on-site Medical Insurance with Dental and Vision Life, short-term, and long-term disability options Career advancement opportunities and professional development Wellness programs that promote a healthy work-life balance Flexible Spending Account - Health Care/Childcare CalPERS retirement 457(b) option with a contribution match Paid life insurance for employees Pet care insurance Key Responsibilities Implement and maintain all of IEHP's Cisco Platforms, including Catalysis, Nexus, ISR, ASR, ASA and Wireless Controller with AirOnet Access Point, Palo Alto Firewalls and T1, Layer 2, MPLS WAN circuits. Provide ongoing technical support to remote area networks, Internet, and VPN communications. Troubleshoot network usage, perimeter security and all network appliances. Develop and implement policies and standards to ensure security procedures are followed. Build networks and maintains external and internal web presence, administers the networks. Perform Network Systems Appliance backups on internal and external Backbone Devices. Document network infrastructure and design. Assist with space planning associated with network infrastructure needs. Research, order, configure, and administer WAN circuits. Work with vendors, clients, carriers, and technical staff on network implementation, optimization, and ongoing management. Assist in design, installation, and management of network security solutions. Provide level 3 support on client level IT issues resulting in production downtime. Qualifications Education & Requirements Minimum eight (8) years of Network Design and Administration hands on experience with Palo Alto Networks, Cisco routers, switches and security solution and Cisco recommended best practices Bachelor's degree with a major in computer related field or similar technical field from an accredited institution required Cisco Certified Network Professional (CCNP) certification preferred Key Qualifications Must have a valid California Driver's License Extensive knowledge in TCP/IP and multi-routing protocols Working knowledge of all Cisco Platforms, including Cisco-ACI, DNAC, ISE, SDA, Catalyst, Nexus, ISR, ASR, ASA and Wireless Controller with AirOnet Access Point, Palo Alto Firewalls and T1, Layer 2, MPLS WAN circuits Strong planning, organization, critical thinking, decision-making and communication (verbal and written) skills Projects involving lift server appliance weighs up to 50 lbs. and heavy eye strain with computer monitors Start your journey towards a thriving future with IEHP and apply TODAY! Work Model Location This position is on a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga, CA.) Pay Range USD $118,601.60 - USD $157,144.00 /Yr.