Grievance & Appeals Regulatory Nurse coordinating member care and resolving cases for healthcare compliance. Serving as a resource between providers and regulatory agencies for quality care initiatives.
IE
IEHP
Currently Hiring
About the company
With a mission to heal and inspire the human spirit, Inland Empire Health Plan (IEHP) is one of the top 10 largest Medicaid health plans, the largest not-for-profit Medicare-Medicaid public health plan in the country, and for the fourth year in a row, certified as A Great Place To Work®.
Founded in 1996, IEHP supports more than 1.5 million Riverside and San Bernardino County residents enrolled in Medicaid or IEHP DualChoice (those with both Medi-Cal and Medicare).
As of 2024, IEHP also offers Covered California plans, further ensuring health care access for even more IE residents.
Today, IEHP has a robust network of quality doctors throughout our two counties and nearly 4,000 team members who are fully committed to the vision: We will not rest until our communities enjoy optimal care and vibrant health.
To learn more, go to iehp.org.
Comprehensive Benefits
Competitive salary and a benefits package with a value estimated at 35% of the annual salary, including medical, dental, vision, team bonus, and retirement plan.
Mission: To heal and inspire the human spirit.
Vision: We will not rest until our communities enjoy optimal care and vibrant health.
Values: We do the right thing by: Placing our Members at the center of our universe; unleashing our creativity and courage to improve health and well-being; bringing focus and accountability to our work; and never wavering in our commitment to our Members, Providers, Partners, and each other.
Winning Team Culture
Certified as A Great Place To Work® four years in a row.
Open jobs
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16 jobs found
Community Supports Program Administrator at IEHP providing strategic guidance and operational oversight for healthcare programs. Managing initiatives, ensuring compliance, and optimizing provider performance for member outcomes.
Medical Director overseeing hospital and ancillary relations at IEHP. Leading clinical operations and improving care quality in the healthcare sector.
Director of Medicare Stars overseeing and improving CMS Star Ratings program for IEHP. Leading cross - functional initiatives to enhance quality outcomes and member experience.
Community Engagement Manager responsible for implementing engagement strategies and managing community partnerships for the IEHP Foundation. Driving collective impact initiatives across the Inland Empire region.
Vice President of Pharmacy overseeing pharmacy - related functions at IEHP. Responsible for strategic direction, compliance, and operational excellence in medication access for members.
Care Manager, RN at IEHP providing high - quality care management to members in California through collaborative and effective healthcare strategies.
Care Manager, RN providing effective patient management and coordinating care at Inland Empire Health Plan. Engaging members and promoting health behaviors through collaboration with healthcare teams.
Analyst III providing actuarial analytic support to departments at IEHP. Conducting financial analyses and building models for business and strategic decisions.
Care Manager, RN providing effective care management and outreach for IEHP members. Collaborating with multidisciplinary teams to promote whole health principles and quality of care.
Community Engagement Ambassador at IEHP developing and maintaining relationships with community organizations and members. Responsible for outreach, education, and promoting IEHP services across the Inland Empire.
Director overseeing quality engineering and business systems analysis for IT solutions at IEHP. Leading strategic initiatives in software quality and application testing processes.