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Iehp Provider Jobs (NOW HIRING)

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Iehp Provider information

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$5

$49

$81

How much do iehp provider jobs pay per hour?

As of Sep 1, 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 an IEHP provider?

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.

What are the key skills and qualifications needed to thrive as an IEHP provider?

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 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.

More about Iehp Provider jobs
Infographic showing various Iehp Provider job openings in the United States as of August 2026, with employment types broken down into 1% Locum Tenens, 2% As Needed, 76% Full Time, 16% Part Time, and 5% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $103,298 per year, or $49.7 per hour.

Special Programs Manager I - Commercial Products

Inland Empire Health Plan

Rancho Cucamonga, CA • On-site

$80K - $106K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 13 days ago


Inland Empire Health Plan rating

6.8

Company rating: 6.8 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

270th of 315 rated insurance


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 Director of Product Implementation - Medicare & Commercial, the Special Programs Manager I - Commercial Products ensures advancement of IEHP's commercial product initiatives. The Covered California Product Specialist is responsible for supporting the development, implementation, maintenance, and regulatory compliance of Individual products offered through the Covered California marketplace. This role serves as a liaison between internal departments and external stakeholders to ensure successful product filings, regulatory compliance, operational readiness, and ongoing product performance align with IEHP's Mission, Core Values and Strategic Priorities as defined by IEHP Executives and Leadership.
This role collaborates closely with Compliance, Finance, Actuarial, Sales, Enrollment, Operations, Claims, Provider Network, Marketing, and Covered California representatives to support annual product renewals, regulatory changes, and strategic initiatives.
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. Product Development & Management:
    • Support the annual Covered California product development and renewal cycle. Coordinate benefit design updates, plan changes, and product enhancements. Maintain product inventories, benefit grids, and product documentation. Assist with evaluating market trends, competitor products, and regulatory requirements. Support implementation of new product offerings and product modifications.
  2. Regulatory & Compliance Support:
    • Monitor Covered California guidance, regulations, and policy updates. Coordinate review and implementation of Covered California contractual and regulatory requirements. Assist with product filings, Summary of Benefit (SBC), Schedule of Benefit (SOB), Evidence of Coverage (EOC), and benefit documents. Ensure product materials align with state and federal requirements. Participate in regulatory audits and compliance reviews as needed.
  3. Cross-Functional Collaboration:
    • Serve as a key liaison between Product, Compliance, Operations, Enrollment, Finance, Actuarial, and Marketing teams. Facilitate meetings and track action items related to Covered California initiatives.
    • Support enterprise readiness activities for annual renewals and special enrollment periods.
    • Coordinate implementation timelines and project deliverables.
  4. Performance Monitoring & Reporting:
    • Analyze membership, enrollment, retention, and product performance data. Develop reports and presentations for leadership and cross-functional stakeholders. Identify opportunities to improve member experience and product competitiveness. Support strategic planning and roadmap development for Covered California products.
  5. Operational Readiness:
    • Assist with testing and validation of benefit configurations and system updates. Coordinate business readiness activities related to product launches and renewals. Support development of training materials and operational procedures. Participate in issue resolution and corrective action planning.
  6. Perform any other duties as required to ensure Health Plan operations and department business needs are successful.

Qualifications
Education & Requirements
  • A minimum of three (3) years of experience in health plan product management, health insurance operations, regulatory affairs, or related healthcare field required
  • Experience working with Covered California, ACA products, or Individual Marketplace products preferred
  • Experience coordinating cross-functional healthcare projects preferred
  • Experience with benefit design, enrollment operations, or healthcare analytics preferred
  • Project Management certification or equivalent experience preferred
  • Bachelor's degree in business administration, Healthcare Administration, Public Health, Finance, or related field 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
  • Master's degree from an accredited institution preferred

Key Qualifications
  • Understanding of project lifecycle methodologies and LEAN methodologies
  • Knowledge of managed care, healthcare, health plans, government products, and/or health plan accreditation principles and practices, enough to effectively lead projects within the organization
  • Knowledge of health plan operations, including downstream impacts, to effectively implement initiatives
  • Knowledge of CMS, DHCS, and Covered California requirements preferred
  • Excellent interpersonal skills
  • Excellent organizational skills
  • Excellent communication skills: verbal and written
  • Excellent organization, process, and project management skills
  • Skilled in Microsoft Office programs including, but not limited to, Word, Excel, PowerPoint, Outlook, Access, and Project
  • Ability to work in a complex, rapidly evolving environment which requires high-level initiative
  • Ability to make quick adjustments to project deadlines or assignments
  • Ability to work independently and collaboratively within a team environment
  • Ability to effectively prioritize and manage multiple projects with competing deadlines
  • Ability to apply knowledge and guide self
  • Excellent attention to detail
  • Proven ability to interact effectively at all levels of the organization
  • Ability to work independently with little or no supervision and able to meet deadlines with little or no planning

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.)
Pay Range
USD $80,059.20 - USD $106,059.20 /Yr.

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