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$49

$81

How much do iehp provider jobs pay per hour?

As of Jul 24, 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 July 2026, with employment types broken down into 7% Locum Tenens, 23% As Needed, 67% Contract, and 3% Nights. Highlights an 95% Physical, 4% Hybrid, and 1% Remote job distribution, with an average salary of $103,298 per year, or $49.7 per hour.
Senior Medical Director - Policy & Outcomes

Senior Medical Director - Policy & Outcomes

Inland Empire Health Plan

Rancho Cucamonga, CA

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 25 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!

 

Reporting to the Vice President of Health Services, the Senior Medical Director Policy & Outcomes (Sr. Medical Director - P&O) is responsible for the strategic oversight of IEHP Medical Policies and clinical leadership around member health outcomes. The Sr. Medical Director - P&O oversees the day-to-day operations as it relates to developing, executing, leading and updating guidelines, policies, clinical pathways, and communications enabling effective health outcomes, as well as effective health plan performance as per DHCS, DMHC, CMS, and CCA clinical requirements. This leader  serves as the accountable medical leader for clinical activities related to key activities including quality management, grievance and appeals, delegation oversight, and population health management. The Sr. Medical Director - P&O also works in partnership with the appropriate cross functional departments to monitor the impact of policy outcomes through regular reporting, metrics, initiatives, and other improvement activities. This position is responsible for leading regulatory audits for all its relevant domains.

 

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
  • 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
  • Lead the development and execution of creating and/or updating medical policies and procedures to align with health plan regulatory requirements. Ensure guidelines and clinical pathways are updated with best practices, along with appropriate downstream connections to utilization management, population health, and other compliance and regulatory activities
  • Lead, develop and implement clinical programs and medical policies to align with IEHP's strategic priorities in order to improve member safety, quality of care and outcomes
  • Lead clinically, through strong partnerships with other departments for activities related to member outcomes, quality improvement, grievance and appeals, and network corrective action plans. Develop and increase collaborative relationships with internal departments. Assure interdepartmental collaboration and communication with key business departments, including, but not limited to, compliance, member experience, provider relations, and claims.
  • Serve as a liaison with providers, county public health partners and oversight agencies as assigned.
  • Monitor network performance proactively to ensure adherence to policy standards. Develop and implement appropriate internal initiatives to address any issues impacting member outcomes
  • Co-leadership with the Sr. Medical Director of Health Servies to advance IEHP's Mission, Vision and Values. Work in partnership with the Senior Medical Director focusing on UM to coordinate daily huddles, develop work schedules, adherence to department metrics and KPIs, and training of medical staff.
  • Manage medical directors, as well physician reviewers, working in the domains of policy, outcomes, quality management and clinical guideline development.
  • Provide clinical direction to the Health Service team and act as a resource to all IEHP departments responsible for providing or coordinating clinical services to IEHP members.
  • Direct, implement, and/or enhance medical policy, internal policies, and job aids as it relates to member safety and quality management activities, clinical guideline development, delegation and oversight, credentialing, peer review, and compliance related activities.
  • Ensure medical decisions are rendered by qualified medical personnel, unhindered by fiscal or administrative management, with timely and appropriate use of UM criteria and guidelines.
  • Direct clinical and workflow training for medical directors and physician reviewers within their oversight.
  • Ensure medical personnel of the Plan and its delegates follow IEHP policies, protocols and rules of conduct consistent with the values of IEHP.
  • Identify gaps in policies or activities relating to member outcomes and implement strategic, effective solutions.
  • Serve as a primary point of contact for clinical, quality and performance issues for medical directors at delegated IPAs, as well as for providers in the IEHP direct network.
  • Support other departments as needed to ensure timely completion of member grievances and appeals as required for regulatory compliance.
  • Provide clinical leadership, support and/or guidance including, but not limited to, the following areas:
    • Pre-admission authorization
    • Prospective, concurrent and retrospective review
    • Inpatient case review
    • Inpatient claims reviews
    • Utilization review
    • Member case management
    • Provider incentive programs
    • Credentialing, Peer Review and Member Safety Subcommittees
    • Pharmacy and Therapeutics Subcommittee
    • NCQA Accreditation
  • Reviews State mandated benefits to ensure IEHP is in full compliance through its providers.
  • Perform any other duties as required to ensure Health Plan operations and department business needs are successful
    • Qualifications

    Education & Requirements 

    • Seven (7) years of post-residency experience in a recognized medical specialty or practice, which must have included at least (3) years of medical administrative experience required
    • Minimum of five (5) years of managed care or health plan leadership experience with proven track record of leading high performing physician teams
    • Experience working with clinical practice guidelines and evidenced based criteria sets
    • Has exposure to working with regulatory agencies
    • Medical Director for an IPA, medical group, or CA HMO highly desirable
    • Medical specialty/practice experience preferably in the state of California
    • Doctorate of Medicine from an accredited institution required
    • Certification by one (1) of the American Specialty Boards required
    • Completion of an accredited residency program required. Possession of an active, unrestricted, and unencumbered Physician's and Surgeon's Certificate issued by the State of California required
      • A physician certified in a state other than California may be employed prior to receipt of California certification provided that an application for a California physician and surgeon's certificate is filed in the state of California prior to date of appointment.

    Key Qualifications

    • Valid California Driver's License preferred
    • Possesses in depth comprehensive knowledge of:
      • Managed Care principles
      • Administrative practices and procedures (including but not limited to: credentialing and risk management, rules regulations, policies, and standards related to managed care)
      • Principles of effective supervision and organization; methods, techniques, practices, principles, and literature in the broad field of medical sciences
      • The principles of medical practice in a variety of settings (inpatient, outpatient, subacute, etc)
      • Familiarity with local healthcare organizations and/or local practice experience is preferred
    • Highly Organized, Effective Communication Skills, Microcomputer applications such as Microsoft Word, Excel, and Access. Proven execution skills
    • Assertive communicator
    • Demonstrate effective leadership of other physicians and clinical staff
    • A track record of leading with accountability is required
    • Travel within California

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

    Work Model Location

    This position is on a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga, CA.)

    Travel within California

    Pay RangeUSD $280,841.60 - USD $393,182.40 /Yr.Employment Type: FULL_TIME

    Apply