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Calaim Jobs in Riverside, CA (NOW HIRING)

CityNet

Field Supervisor

Riverside, CA · On-site

$70K - $75K/yr

Knowledge, understanding and implementation of CalAIM Housing Services and Enhanced Care Management policies & procedures Administrative Support * Audit all case management systems and files for ...

MERCY HOUSE

ECM Lead Care Manager (5869)

Santa Ana, CA · On-site

$23.75 - $25.25/hr

The ECM Lead Care Manager collaborates closely with the CalAIM Community Supports Program to deliver team-based, patient-centered care for clients experiencing or at risk of homelessness. Essential ...

Mercy House

ECM Lead Care Manager (5869)

Santa Ana, CA · On-site

$23.75 - $25.25/hr

The ECM Lead Care Manager collaborates closely with the CalAIM Community Supports Program to deliver team-based, patient-centered care for clients experiencing or at risk of homelessness. Essential ...

MERCY HOUSE

ECM Lead Care Manager (5173)

Santa Ana, CA

$23.75 - $25.25/hr

The ECM Lead Care Manager collaborates closely with the CalAIM Community Supports Program to deliver team-based, patient-centered care for clients experiencing or at risk of homelessness. Essential ...

Mercy House

ECM Lead Care Manager (5173)

Santa Ana, CA · On-site

$23.75 - $25.25/hr

The ECM Lead Care Manager collaborates closely with the CalAIM Community Supports Program to deliver team-based, patient-centered care for clients experiencing or at risk of homelessness. Essential ...

MERCY HOUSE

ECM Lead Care Manager (4618)

Santa Ana, CA · On-site

$23.75 - $25.25/hr

The ECM Lead Care Manager collaborates closely with the CalAIM Community Supports Program to deliver team-based, patient-centered care for clients experiencing or at risk of homelessness. Essential ...

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All JobsCalaim JobsCalaim Jobs in Riverside, CA

Calaim information

What are the key skills and qualifications needed to thrive as a California Advancing and Innovating Medi-Cal (CalAIM) Program Manager, and why are they important?

To thrive as a CalAIM Program Manager, you need expertise in Medi-Cal policy, program implementation, and healthcare administration, often supported by a degree in public health, healthcare management, or a related field. Familiarity with state healthcare systems, data analytics tools, project management software, and regulatory compliance is typically required. Outstanding organizational, leadership, and stakeholder communication skills help drive collaboration and effective program delivery. These skills are crucial for successfully managing complex healthcare initiatives that aim to improve care coordination and outcomes for Medi-Cal beneficiaries.

What is CalAIM and how does it work?

CalAIM (California Advancing and Innovating Medi-Cal) is a statewide initiative to improve Medi-Cal health care delivery by integrating services, expanding access, and promoting whole-person care. It involves new policies, care coordination, and data sharing to better serve Medi-Cal beneficiaries and reduce disparities.

What jobs pay 4000 a week without a degree?

Jobs that can pay $4,000 a week without a degree often include roles such as sales managers, real estate brokers, or skilled trades like electricians and plumbers, especially with experience and licensing. High-paying freelance or entrepreneurial work, such as consulting or online business, can also reach this income level, but typically require significant skills, effort, and client base development.

Who pays for CalAIM?

CalAIM is a statewide initiative funded by the California Department of Health Care Services, which allocates resources to improve health outcomes for Medi-Cal beneficiaries. Employment roles related to CalAIM may be funded through government budgets or grants, depending on the organization and project scope.

What are some common challenges faced by professionals working in CalAIM implementation roles, and how can they be addressed?

Professionals working in CalAIM (California Advancing and Innovating Medi-Cal) implementation often encounter challenges such as coordinating care across multiple providers, navigating evolving state guidelines, and managing complex member needs. Success in these roles requires strong communication and collaboration skills, as well as adaptability to policy changes and new workflows. Building effective relationships with community-based organizations and regularly participating in training or knowledge-sharing sessions can help address these challenges and ensure smooth program execution.

What is CalAIM?

CalAIM stands for California Advancing and Innovating Medi-Cal. It is a multi-year initiative by the California Department of Health Care Services (DHCS) to improve and transform the Medi-Cal program. CalAIM aims to streamline services, better coordinate care for individuals with complex needs, and address social determinants of health such as housing and behavioral health. The initiative focuses on whole-person care and integrating healthcare delivery across physical, behavioral, and social services.

What jobs make $3,000 a day?

High-earning jobs such as specialized surgeons, anesthesiologists, and certain corporate executives can earn $3,000 or more per day, often due to high skill levels, certifications, and demanding schedules. Freelance consultants, top-tier lawyers, and successful entrepreneurs may also reach this level of daily income depending on their industry and client base.

What is the difference between Calaim vs Claims Adjuster?

AspectCalaimClaims Adjuster
Required CredentialsCertification in insurance claims processing, relevant licensesInsurance license, certification in claims adjusting often preferred
Work EnvironmentInsurance companies, third-party claims firmsInsurance companies, independent adjusting firms
Industry UsageUsed mainly in insurance claim processing rolesCommonly used in insurance claim assessment and settlement

Both Calaim and Claims Adjuster roles involve evaluating insurance claims, but Calaim typically refers to a specialized certification or platform, whereas Claims Adjuster is a broader job title for professionals assessing and settling claims. Understanding these differences helps job seekers target the right roles and certifications in the insurance industry.

What are popular job titles related to Calaim jobs in Riverside, CA? For Calaim jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Calaim jobs in Riverside, CA look for? The top searched job categories for Calaim jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Calaim jobs? Cities near Riverside, CA with the most Calaim job openings:
Calaim jobs near you
Infographic showing various Calaim job openings in Riverside, CA as of July 2026, with employment types broken down into 87% Full Time, and 13% Temporary. Highlights an 87% In-person, and 13% Remote job distribution.
Senior Director, Population Health

Senior Director, Population Health

Inland Empire Health Plan

Rancho Cucamonga, CA • On-site

$220K - $302K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 22 days ago

Job description

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 Vice President of Population Health, the Senior Director, Population Health provides leadership in the development and implementation of the IEHP Population Health strategy and program, with direct oversight over population health management regulatory requirements related to low-risk Members. The Senior Director works closely with key stakeholders and partners to ensure IEHP compliance with population health requirements under NCQA, Medi-Cal, and Covered California. The position directly supervises the IEHP Health Education, Promotion, and Prevention Department, the Community Behavioral Health Department, as well as the Population Health Unit, and coordinates activities with other IEHP leaders and external partners. The position is key in our partnership work with county public health departments on initiatives such as Community Health Assessments and Community Health Improvement efforts. The position also oversees partnership meetings and MOUs related to Population Health, as required in the 2024 Medi-Cal contract. The position may also have a key role in IEHP strategic plan initiatives under Optimal Care and Vibrant Health.
The Senior Director, Population Health reports to the Vice President, Population Health & CalAIM. This classification is characterized by the responsibility to work collaboratively with senior management teams at IEHP and partner agencies, both locally and at the State/Nation level, to ensure that the strategic priorities of the organization are met, with a focus on improving population health in the Inland Empire. The Senior Director is motivated to work in a setting with a social mission.
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
  1. Develop and implement IEHP's population health management strategy and approach.
  2. Collaborate with key internal and external leaders, which includes conducting periodic population needs assessments, implementing strategies to systematically move farther upstream to impact the social determinants of health for IEHP members, identifying health disparities and system gaps in care, as well as ensuring that the health delivery system is focusing on evidence-based interventions and programming for the various segments of the population.
  3. Participate in the development and implementation of evidence-based approaches to address social determinants of health and community health assessment/improvement projects, in collaboration with internal departments, local and state agencies, local stakeholders, and funders.
  4. Oversee the department of Health Education, Promotion, and Prevention and the Community Behavioral Health Department and their functions, staff, and programs. Potentially other departments pending restructure.
  5. Oversee the department of Population Health and its functions, staff, and programs, inclusive of the Health Services Evaluation Team.
  6. Serve as a representative and spokesperson for IEHP in support of integration and population health activities in the Inland Empire with key county partners as well as State and National organizations and conferences.
  7. Ensure IEHP compliance with population health management regulatory requirements under NCQA, CalAIM/Medi-Cal 2024 contract, and Covered California.
  8. Oversee partnership joint operating meetings (ex. with counties) and MOUs related to population health as required in the 2024 Medi-Cal contract.
  9. May have a lead role in IEHP Strategic Plan initiatives in Optimal Care and Vibrant Health.
  10. Participate in State and industry work groups such as DHCS, DMHC, CHCF, NCQA, ACAP and CAHP to expand IEHP's influence on benefit design, regulations, and policy direction.
  11. Hire, train, and manage support staff, while monitoring and evaluating outcomes. Conduct performance reviews of each team Member within IEHP guidelines.
  12. Perform any other duties as required to ensure Health Plan operations and department business needs are successful.

Qualifications
Education & Requirement
  • Ten (10) years of experience in a population health-related role, inclusive of at least five (5) years in a health plan or health system required
    • Experience in public health programming, research and evaluation, community collaborative work and/or policy analysis preferred
  • Master's degree in a related field from an accredited institution required
    • In lieu of a Master's degree, both items listed below are required:
      • Bachelor's degree in a related field from an accredited institution
      • Possession of an active, unrestricted, and unencumbered clinical licensure issued by the appropriate California State Board are required (RN, LCSW, LMFT, MD/DO or similar)

Key Qualifications
  • Administrative practices and procedures (including but not limited to quality assessment and improvement, program development and evaluation, evidence-based practice guidelines and pathways; principles of effective supervision and organization)
  • Understanding of Managed Care Plan regulatory requirements
  • Microcomputer applications such as Microsoft Office, Word, Excel, and Access helpful

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 $220,043.20 - USD $302,536.00 /Yr.

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