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Iehp Provider Jobs (NOW HIRING)

IEHP

Developer II - SharePoint

Rancho Cucamonga, CA · On-site

$49.50 - $64.75/hr

IEHP is dedicated to healing and inspiring the human spirit, and they are seeking a Developer II - SharePoint to provide technical support for SharePoint issues and manage integrations. This role ...

IEHP

Engineer II - QA

Rancho Cucamonga, CA · On-site

$72K - $94K/yr

... providing recommendations to improve software programs based on the test results. • Work independently to accomplish QA duties required across IT at IEHP supporting testing efforts within an agile ...

IEHP

Engineer III - QA

Rancho Cucamonga, CA · On-site

IEHP is dedicated to healing and inspiring the human spirit, and they are seeking an Engineer III - ... Provide Quality Assurance support to various departments in IT • Lead testing efforts within an ...

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Iehp Provider information

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How much do iehp provider jobs pay per hour?

As of Jun 30, 2026, the average hourly pay for iehp provider in the United States is $49.66, according to ZipRecruiter salary data. Most workers in this role earn between $30.77 and $74.52 per hour, depending on experience, location, and employer.

What is the difference between Iehp Provider vs Iehp Nurse?

AspectIehp ProviderIehp Nurse
Required CredentialsMedical degree, licensing, certification in primary care or specialtyRegistered Nurse (RN) license, possibly additional certifications
Work EnvironmentPrimary care clinics, community health centers, outpatient settingsClinics, hospitals, outpatient care facilities
Employer & Industry UsageHealthcare providers, government programs, community healthHospitals, clinics, healthcare organizations
Common Search & ComparisonOften compared for roles in primary care and healthcare deliveryCompared for nursing roles in similar settings

The main difference between an Iehp Provider and an Iehp Nurse lies in their credentials and roles. Iehp Providers are typically licensed physicians or advanced practice providers delivering primary care, while Iehp Nurses are registered nurses supporting patient care within similar healthcare environments. Both roles are essential in community health settings but differ in scope of practice and responsibilities.

What are the key skills and qualifications needed to thrive as an IEHP Provider, and why are they important?

To thrive as an IEHP Provider, you need a valid medical license, clinical expertise in your specialty, and thorough knowledge of managed care and Medicaid/Medicare requirements. Familiarity with IEHP’s provider portal, electronic health records (EHR) systems, and claims processing tools is typically expected. Strong communication, cultural competency, and organizational skills help providers deliver effective care and navigate diverse patient populations. These abilities ensure compliance, high-quality patient outcomes, and efficient coordination within the IEHP network.

What are some common challenges IEHP Providers face when coordinating care for members?

IEHP Providers often encounter challenges such as communicating effectively across multidisciplinary teams, managing high patient caseloads, and ensuring timely access to specialty care for members. Navigating complex insurance requirements and documentation can also be demanding, especially when coordinating services for members with chronic or multiple health conditions. Providers typically work closely with case managers, social workers, and other healthcare professionals to deliver integrated, patient-centered care and to help members overcome barriers to receiving the services they need.

What are IEHP Providers?

IEHP Providers are healthcare professionals and organizations that are part of the Inland Empire Health Plan (IEHP) network. They deliver medical, behavioral health, and specialty services to IEHP members, which include individuals enrolled in Medi-Cal and other health programs. IEHP Providers include doctors, hospitals, clinics, specialists, and other healthcare facilities that agree to meet IEHP's quality standards and billing procedures. These providers play a crucial role in ensuring members receive timely and appropriate care. Becoming an IEHP Provider involves a credentialing process and adherence to IEHP guidelines.
More about Iehp Provider jobs
What job categories do people searching Iehp Provider jobs look for? The top searched job categories for Iehp Provider jobs are:
Iehp Provider jobs near you
Infographic showing various Iehp Provider job openings in the United States as of June 2026, with employment types broken down into 1% Locum Tenens, 2% As Needed, 80% Full Time, and 17% Part Time. Highlights an 92% Physical, 4% Hybrid, and 4% Remote job distribution, with an average salary of $103,298 per year, or $49.7 per hour.

Provider Quality Review Nurse, RN

Inland Empire Health Plan

Rancho Cucamonga, CA

Other

Medical, Dental, Vision, Life, Retirement

Posted 4 days ago

Key responsibilities

  • Investigate and complete case summaries and make recommendations for Potential Quality of Care Incidents referred to the Quality Management department.

  • Maintain direct communication with internal departments, external facilities, and providers to ensure all PQI issues are thoroughly investigated and care is coordinated in a timely manner.

  • Complete data entry into database systems and maintain updated documentation and tracking mechanisms for all cases.

Job description

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!

 

At Inland Empire Health Plan (IEHP), we believe the highest quality of care should be delivered to all in the Inland Empire.  We are thinking beyond the way Quality is viewed today - we believe it should be holistic and transformative.  IEHP's provider incentive programs serve an important role in achieving IEHP's quality goals.

Reporting to the Manager of Provider Quality Oversight, the Provider Quality Review Nurse, RN is responsible for:

  • Receive and research all PQI and QR cases as assigned, provide a summary and recommendations to the Medical Director of case assignments
  • Effectuate all action items as determined by the Medical Director to resolution of case assignments
  • Reviewing escalated issues
  • Discussing and reviewing cases with Medical Directors referred to the Quality Management (QM) department
  • Investigation of cases includes, but not limited to, the documentation of case summaries, follow up actions, outreach efforts, and communications in the QM database

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
  • Investigate and complete case summaries and make recommendations for any Potential Quality of Care Incidents (PQI) referred to the QM department.
  • Maintain direct communication with IEHP departments, external facilities including hospitals, Skilled Nursing Facilities, and/or Providers to ensure all PQI issues are thoroughly investigated, and care is coordinated in a timely manner, as needed.
  • Review requested medical records to ensure complete case documentation is received from all practitioners, providers, and entities/agencies to ensure thorough investigation of the issue.
  • Review case findings and recommendations with Medical Director. Issue Corrective Action Plans (CAP), review CAP responses, draft Opportunity for Improvement letters, and coordinate other interventions as needed to ensure all issues were addressed and future occurrences of the same issue are mitigated.
  • Complete data entry into database systems, maintain updated documentation and other tracking mechanisms for all cases.
  • Review and execute ad hoc requests, quality reviews, and/or focused audits, as needed.
  • Escalate issues of non-compliance to the Quality Systems Management team.
  • Maintain working knowledge of regulatory requirements as they relate to QM operations and protocols.
  • Complete other tasks and assignments based on department and business needs.
  • Demonstrate a commitment to incorporate LEAN principles into daily work.
    • Qualifications

    Education & Requirements 

    • Three (3) or more years of any individual or combined healthcare experience in quality assurance, quality management, quality improvement, utilization management, discharge planning, and/or case management
    • Three (3) or more years of work experience in a managed care, hospital, provider practice, or other comparable healthcare experience
    • Experience preferably in a quality/performance improvement setting
    • Bachelor's degree in Nursing 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
    • Certified Professional in Healthcare Quality (CPHQ), Certified Professional in Healthcare Risk Management (CPHRM), or Clinical certification in area specialty) 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
    • Excellent understanding of performance improvement, quality assurance, and utilization management
    • Knowledgeable in clinical analysis of health records, assessing or evaluating quality, and identifying problems or issues with care delivery
    • Microcomputer applications: spreadsheet, database, and word processing
    • Excellent written and verbal communication skills
    • Excellent coordination skills
    • Ability to communicate findings and form recommendations based on clinical case reviews
    • Ability to demonstrate critical thinking, strong problem-solving capability. Strong attention to detail
    • Ability to prioritize work to ensure adherence to project deadlines. Ability to effectively escalate issues as identified, following established protocols
    • Positive attitude and ability to work in a team setting
    • Self-direction and ability to work with minimal supervision
    • Word processing and data entry involving computer keyboard and screens, automobile travel within the Inland Empire
    • Position is eligible for telecommuting/remote work location upon completing the necessary steps and receiving HR approval

    Start your journey towards a thriving future with IEHP and apply TODAY!

    Work Model Location

    Telecommute (All IEHP positions approved for telecommute or hybrid work locations may periodically be required to report to IEHP's main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership)

    Pay RangeUSD $91,249.60 - USD $120,910.40 /Yr.Employment Type: OTHER

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