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- ...with capitated/PMPM or managed care models . ~ Experience with eClinicalWorks (ECW) . ~ Familiarity with payer portals such as IEHP, Molina, Anthem, or CalOptima. ~ Experience in ECM, population health, or value-based care. ~ CPC, CPB, or similar certification...SuggestedFull time
Heritage Health Network
Riverside, CA22 days ago $25 - $28 per hour
...effective discharge planning to ensure the continuity Member's care needs are met timely and readmission prevention is anticipated for IEHP Members. Major Functions (Duties and Responsibilities): Assisting with data collection for utilization review, including...SuggestedHourly payFull timeWork experience placement$118.6k - $157.14k
...projects, mentors coding activities, and ensures efficient, high‑quality solutions. 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...SuggestedTemporary workFlexible hours$80.06k - $106.06k
What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! The Analyst III is responsible for leading cross-functional, advanced analytical...SuggestedTemporary workFlexible hours$104.04k - $137.84k
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 Data Engineer II assists in the implementation of methods to improve...SuggestedTemporary workWork experience placementFlexible hours$25 - $30 per hour
...Manager I provides entry-level Enhanced Care Management (ECM) and Community Supports (CS) services to Medi-Cal members enrolled through IEHP and Molina Healthcare under California's CalAIM initiative. The Case Manager I serves as the primary point of contact for assigned...SuggestedHourly payWork experience placementWork at office$30.72 - $39.94 per hour
Overview 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 guidance of IT Workplace Services leads, the IT Specialist...SuggestedTemporary workWork at officeFlexible hoursAfternoon shift- What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! The Manager, Benefits is responsible for the administration and management...SuggestedContract workTemporary workWork at officeFlexible hours
- 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 Supervisor, Quality Engineering is both a leadership and hands‑on QE...SuggestedTemporary workFlexible hours
- What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! The Business Relationship Manager (BRM) is responsible for ensuring business...SuggestedTemporary workWork experience placementFlexible hours
- ...reproductive options. Ability to efficiently manage a full caseload of patients Applicants already credentialed with Cal Optima or IEHP Health Plans strongly preferred. Experience working with the LGBTQ community, survivors of trauma/sexual assault, and people with...SuggestedRemote jobFull timeWork experience placementWork at office
$63.9k - $83.08k
Overview This position is a Short-term Assignment with IEHP. What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! Under the...SuggestedTemporary workImmediate startRemote workFlexible hours$118.6k - $157.14k
Overview What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! Under the direction of the Department Leadership, the Data Engineer...SuggestedTemporary workRemote workMonday to FridayFlexible hours- What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! The Manager, Data Science leads a team of data scientists, ML engineers, and...SuggestedTemporary workFlexible hours
$91.25k - $120.91k
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 Quality Systems Leadership Team, the Healthcare...SuggestedTemporary workWork experience placementFlexible hours$91.25k - $120.91k
Overview 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 Quality Systems Leadership Team, the...Temporary workWork experience placementRemote workFlexible hours- ...Enhanced Care Management (ECM) & Case Management: Oversee and support ECM and case management services in alignment with payer (e.g., IEHP) and regulatory requirements Provide clinical oversight for high-risk and complex patients, including care planning, risk...Temporary workFlexible hours
$80.06k - $106.06k
...Annually Hybrid Schedule, Monday & Friday are work from home days, Tuesday - Thursday onsite in Rancho Cucamonga, CA. Medical Insurance with Dental and Vision Career and professional development CalPERS retirement, 457(b) option with a contribution match #J-18808-Ljbffr IEHPWork experience placementWork from homeMonday to Friday- ...coordination across the full ECM Population of Focus categories, leads interdisciplinary care team meetings, and ensures compliance with IEHP, Molina, Kaiser and DHCS programmatic and documentation standards. Minimum Qualifications Master of Social Work (MSW)...
SIMPLE SOLUTIONS PSYCHOTHERAPY
Rancho Cucamonga, CA20 days ago - ...ensuring compliance with regulations, and supports the FWA Program. Candidates should have a bachelor's degree or equivalent professional experience. The position offers a hybrid work schedule and includes benefits like medical and retirement plans. #J-18808-Ljbffr IEHP
- IEHP in Rancho Cucamonga, California, is seeking a Manager, Benefits. This role involves managing comprehensive employee benefit programs, overseeing compliance with regulations, and fostering a collaborative team environment. The ideal candidate has a robust background...
- ...invoices, and supporting documentation for housing-related expenditures. Ensure compliance with DHCS, CalAIM, Community Supports, IEHP, Molina, and organizational documentation standards. Participate in quality assurance activities, supervision, and ongoing...Permanent employment
SIMPLE SOLUTIONS PSYCHOTHERAPY
Rancho Cucamonga, CA20 days ago - ...formulates with the provider a plan of care appropriate for the patient. Communicates with other case managers/program managers i.e. (IEHP), health professionals and coordinators with regard to patient's situation. Facilitates and ensure recommendations are communicated...Full timeWork visaMonday to Friday
$27.43 - $35.66 per hour
...Pharmacy Medication Management Specialist This is a short-term assignment. 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...Temporary workWork at officeRemote workAfternoon shift- ...passionate, motivated, and compassionate Community Health Worker (CHW) to support our Enhanced Care Management (ECM) program serving IEHP members. In this vital role, you will act as a bridge between healthcare providers and the community by helping patients navigate...Local area
- ...participate in their medical and/or behavioral health care by overcoming barriers to care, and sharing information on barriers with IEHP and Providers to improve the home health team (HHT). Model the highest ethical behavior in relationships with co-workers, supervisors...
- ...approval across SCCS’s full payer mix, including Cigna/Evernorth, Aetna, Blue Shield of California, Kaiser, Magellan EAP, Carelon/Anthem, IEHP, CalOptima, and any additional contracted payers. Submission must be completed before the client’s first authorized appointment....Work at office
- ...that is clinical in nature. Accompanies ECM Student to office visits, as needed, and in the most easily accessible setting, within IEHP guidelines. Engages Students in the hospital through in-person visits when able. Engages those eligible but not yet enrolled,...Permanent employmentContract workWork at officeLocal areaShift work
- ...assessor and advisor in governance, risk, and compliance functions. This position is responsible for the assessing and advancing of IEHP’s cybersecurity posture and capability to safeguard its digital assets. The purpose of this position is to provide highly skilled...
$70k - $85k
...are appropriately triaged and connected to care. Document all encounters accurately and timely in Care Director in compliance with IEHP ECM program requirements, CalAIM standards, and HIPAA. Serve as subject matter expert in team dependent topics such as harm...Local area
