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- ...Member and Provider legal rights to access the Grievance and Appeals Resolution Process, within the respective Provider Organization and IEHP. 3. Ensure compliance with the IEHP Grievance and Appeals Resolution Process, in accordance with all Health Plan regulatory...SuggestedWork at officeImmediate start
Lancesoft INC
Rancho Cucamonga, CA22 days ago - ...approval. Submit and track referrals through various web portals, including Medpoint Management, Optum, eConsult, Molina Direct, IEHP, and others. Educate providers on referral timeframes and processes to ensure compliance and timely patient care. Assign unassigned...SuggestedWork at officeFlexible hours
$23 - $30 per hour
...purpose of conducting follow-up investigations Request facility site reviews from appropriate source (i.e. CalOptima, HealthNet, IEHP, etc) on applicable providers Responsible for completion of recredentialing files within 36-month timeframe Update new information...SuggestedHourly payWork at office- 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 is responsible for...SuggestedTemporary workFlexible hours
$118.6k - $157.14k
...recommend enhancements, ensures audit readiness, and safeguards the confidentiality of team member data. 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....SuggestedContract workTemporary workWork at officeFlexible hours- Company Description Inland Empire Health Plan (IEHP) is one of the nation’s top 10 largest Medicaid health plans and the largest not-for-profit Medicare-Medicaid public health plan in the United States. Founded in 1996, IEHP serves more than 1.5 million residents of Riverside...SuggestedFull time
- ...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) Responsible for engaging with members, both in-person and on the phone, in a manner...SuggestedFull timeTemporary workWork at officeFlexible hours
- ...reside in Southern California. What You Will Do: Manage grievance and appeal cases in compliance with CMS, DHCS, DMHC, NCQA, and IEHP regulatory standards. Coordinate with providers, hospitals, IPAs, and internal departments to investigate and resolve member...SuggestedWork at officeImmediate startRemote work
$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! Reporting to the department Director, the Transportation Program Administrator...SuggestedTemporary workLocal areaFlexible 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, IT PMO leads and drives Agile Program and Project Management...SuggestedTemporary workWork experience placementFlexible hours
- 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! The role of an Engineer III - Quality Assurance at IEHP is to Lead...SuggestedTemporary workWork experience placementFlexible 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 role of a Quality Assurance Engineer II at IEHP is to coordinate the...SuggestedTemporary workWork experience placementFlexible 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
$91.25k - $120.91k
...organizational effectiveness practices to translate business needs into impactful development experiences. 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....SuggestedTemporary workFlexible hours$40 - $45 per hour
...Partnership Management Identify, engage, and formalize relationships with local service providers, health systems, insurers (including IEHP), mental health agencies (such as DMCC and Care Solace), and legal organizations. Develop, negotiate, and maintain Memorandums of...SuggestedHourly payFull timePart timeSummer workSeasonal workWork at officeLocal area$63.9k - $83.08k
Overview This is a short-term assignment. 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 Grievance & Appeals Nurse...Temporary workImmediate startFlexible hours- ...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 technical...
$91.25k - $120.91k
Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and pivot from a “job” opportunity to an authentic experience. Reporting to the Director of Hospital Relations, the Quality Improvement RN facilitates quality improvement...Temporary workWork at officeLocal areaFlexible 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...Temporary workWork experience placementFlexible hours
$104.04k - $137.84k
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! The Organizational Effectiveness Manager (OE Manager) is a key...Temporary workRemote 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...Temporary workWork experience placementFlexible hours$91.25k - $120.91k
...Job Title 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! Job Description Reporting to Health Services department leadership, this position...Temporary workRemote workFlexible hoursShift work$38.46 - $47.12 per hour
...field, not managing from a distance. The Supervisor ensures services are delivered in accordance with CalAIM program requirements, IEHP and Molina managed care plan guidelines, and organizational standards for quality and ethics. The role carries direct accountability...Hourly pay- 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 Governance Analyst plays a key role in advancing the organization...Temporary workWork experience placementFlexible 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! Under the direction of the Department Leadership, the Data Engineer III is...Temporary workFlexible hours
- 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 Encounters & EDI Leadership Team, the Engineer III is responsible for...Temporary workWork experience placementWork at officeFlexible hours
$89k - $106k
...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 substance...Remote jobDaily paidFull timePart timeWork experience placementInterim roleWork at officeWork from homeNight shiftDay shiftAfternoon 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, Data Science leads a team of data scientists, ML engineers,...Temporary workFlexible hours
$80.06k - $106.06k
Overview 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 Product System Configuration Supervisor, the Product Configuration Quality...Temporary workWork experience placementFlexible hoursAfternoon shift- ...Power Point, and Access, sufficient for use in all aspects of an office environment. A minimum requirement of 55-60 wpm (as tested by IEHP). Excellent interpersonal and communication skills. Abilities Requirement : Ability to establish and maintain effective working...Remote jobPermanent employmentWork experience placementWork at officeVisa sponsorship
