Manager, Network Development
IEHP Rancho Cucamonga, CA
Security verification
IEHP Rancho Cucamonga, CA
3 weeks ago
See who IEHP has hired for this role
Security verification
Save job
Welcome back
Sign in to save Manager, Network Development at IEHP.
- Report this job
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 Provider Network, the Network Development Manager is responsible for the successful screening and assessment of potential network Providers. The Network Development Manager is responsible for ensuring the successful onboarding of Providers that will aid IEHP in addressing concerns around network adequacy. In this role, the Manager will lead a team that is responsible for maintaining a list of high priority specialties, collaborate with leaders in prioritizing the onboarding of the needed specialties, and remove any barriers that delay the onboarding of Providers addressing network gaps. The Manager will also be responsible for supporting our recredentialing efforts by ensuring IEHP does not lose any Providers that will create a gap in our network. To accomplish this, the Manager must have the ability to build strong internal and external relationships while driving for operational effectiveness that support IEHP’s strategic initiatives. The Network Development Manager must have experience in cross-functional business units, Medicare, Medi-Cal, and Covered California lines of business requirements, organizational design, and business process improvement methods. This Manager will work closely with the Provider Network Manager and Credentialing Manager to develop and implement network strategies for recruitment and retention of physicians to aid IEHP in meeting network adequacy requirements.
Key Responsibilities
- Analyze and develop business plans to include the scope, oversight, and coordination of resources related to the onboarding of new Providers and retention of existing network Providers.
- Lead in the successful intake, assessment, decisioning of potential network Providers. The Manager must be able to effectively oversee the end-to-end process of onboarding a Provider. If there are delays, the Manager should be able to properly assess the current state, identify the root-cause of the problem, and lead the team in developing solutions to deliver the desired result.
- Create transparency around the onboarding process to reduce unnecessary hand-offs and friction with our network partners.
- Manage the fiscal, legal, and external resources to develop and implement strategies to successfully onboard needed Providers.
- While the onboarding of needed specialties is an integral part of this role, the Manager will also be responsible for collaborating with the Credentialing Manager on Provider retention. The Manager will lead a team to identify the associated risks for specific Providers not meeting recredentialing compliance standards.
- In collaboration with the Healthcare Informatics team, lead the team in reviewing utilization of out-of-network Providers and determine what course of action is needed to bring these Providers in-network.
- Responsible for providing technical and business support of Lean efforts, including administrative activities and reporting. Work with the Director of Provider Network on process improvement and regulatory process change projects.
- Provide support to LEAN initiatives as technical subject matter expert in ensuring LEAN activities in all Provider Services departments have appropriate reporting and data collection to ensure successful outcomes.
- Assist in facilitating and coordinating all Provider Incentive Programs, including those with IPAs and Providers.
- Responsible for maintaining comprehensive knowledge of regulatory and IEHP requirements including IEHP policies and procedures, reporting requirements, DOFR, IPA reporting requirements related to delegation oversight and IPA delegated activities.
- Lead, monitor, and maintain a detailed project plans that identify all required tasks, deliverables, and associated timelines. Define project success criteria, identify concerns; report and communicate project status to Management as appropriate.
PerksIEHP is not only committed to healing and inspiring the human spirit of our Members; we also aim to match our Team Members with the same energy by providing prime benefits and more.
- CalPERS retirement
- 457(b) option with a contribution match
- Generous paid time off- vacation, holidays, sick
- State of the art fitness center on-site
- Medical Insurance with Dental and Vision
- Paid life insurance for employees with additional options
- Short-term, and long-term disability options
- Pet care insurance
- Flexible Spending Account – Health Care/Childcare
- Wellness programs that promote a healthy work-life balance
- Career advancement opportunities and professional development
- Competitive salary with annual merit increase
- Team bonus opportunities
Education & Experience
- At least three (3) years of experience with direct responsibilities for project management, including assigning, tracking, and monitoring project tasks. Evidence of leading workgroups in meeting prescribed deliverables.
- Experience in a healthcare setting is preferred. Experience in an HMO, managed care, knowledge in Medi-Cal and Medicare programs preferred.
- Bachelor's degree from an accredited institution required.
Key Qualifications
- Strong understanding of process development and oversight.
- Strong organizational skills.
- Proficient in Microsoft Office applications.
- Strong written and oral communication skills.
- Strong organizational skills and sound decision-making skills required.
- Skilled in writing policies and procedures, developing business plans and LEAN related documentation and metrics.
- Must be detail oriented.
- Exceptional follow-through abilities to track all outstanding tasks and coordinate with assigned owners to ensure tasks are completed timely.
- Ability to manage multiple projects of varying complexity, priority levels and deadlines.
- Ability to critically review data and implement operational recommendations.
- Highly organized to balance multiple projects to meet deadlines.
- Highly organized with the ability to balance multiple projects and meet deadlines.
- Ability to work independently with the ability to develop concepts and business operations.
Start your journey towards a thriving future with IEHP and apply TODAY!
-
Seniority level
Mid-Senior level -
Employment type
Full-time -
Job function
Information Technology -
Industries
Hospitals and Health Care
Referrals increase your chances of interviewing at IEHP by 2x
See who you know
Get notified about new Network Development Manager jobs in Rancho Cucamonga, CA.
Sign in to create job alert
Similar jobs
-
Director of Network Development and Provider Relations
Director of Network Development and Provider Relations
Prime Healthcare
Ontario, CA $99,840.00 - $133,120.00
-
General Manager - Telecom Construction
General Manager - Telecom Construction
Pramira
Brea, CA $90,000.00 - $120,000.00
-
Area Manager 2024 - California
Area Manager 2024 - California
WayUp
Riverside, CA $60,000.00 - $69,400.00
-
VP Supply Chain
VP Supply Chain
UPG Enterprises LLC
Riverside County, CA
-
Organization Design and Development, Senior Manager - Hybrid
Organization Design and Development, Senior Manager - Hybrid
City of Hope
Irwindale, CA $49.00 - $79.00
-
General Manager
General Manager
Bray International, Inc.
Ontario, CA
-
Enterprise Talent Development Manager - Hybrid
Enterprise Talent Development Manager - Hybrid
City of Hope
Irwindale, CA $45.00 - $72.00
-
Area Manager 2024 - California
Area Manager 2024 - California
WayUp
Moreno Valley, CA
-
Store Manager - Macy's West Covina
Store Manager - Macy's West Covina
Pandora
West Covina, CA
-
Regional Sales Manager – HVAC & Refrigeration Controls – Base Salary to 130k/year - Brea, CA
AllSearch Recruiting
Brea, CA $120,000.00 - $130,000.00
-
Network Security (NS) Business Development Manager
Network Security (NS) Business Development Manager
AIC Inc.
Walnut, CA $80,000.00 - $120,000.00
-
Learning & Talent Development Program Manager - Hybrid
City of Hope
Irwindale, CA $41.00 - $64.00
-
Regional Sales Manager
Regional Sales Manager
Barth Agency
Riverside, CA
-
Regional Sales Manager
Regional Sales Manager
BodyBilt
San Bernardino County, CA
-
Regional Sales Manager
Regional Sales Manager
Knight Transportation
Fontana, CA $85,000.00 - $120,000.00
-
Western Regional Sales Manager
Western Regional Sales Manager
DAS Technology Group
California, CA
People also viewed
-
Regional Sales Manager
Regional Sales Manager
Custom Truck One Source
Fontana, CA
-
Regional Sales Manager
Regional Sales Manager
PACKLAB
Corona, CA $68,600.00 - $117,600.00
-
Regional Sales Manager - Southern California
Regional Sales Manager - Southern California
Nenni and Associates
California, CA
-
Regional Sales Manager (West Coast Region) Individual Contributor Role
Regional Sales Manager (West Coast Region) Individual Contributor Role
Texwrap Packaging Systems
Fontana, CA
-
Sales Representative/Business Development Representative (Trainee) - B2B (Entry Level)
Sales Representative/Business Development Representative (Trainee) - B2B (Entry Level)
Crown Equipment Corporation
La Verne, CA $23.00 - $25.00
-
Regional Sales Manager (West Coast Region) Individual Contributor Role
Regional Sales Manager (West Coast Region) Individual Contributor Role
Texwrap Packaging Systems
Riverside, CA
-
Controls Field Engineer
Controls Field Engineer
Carrier
City of Industry, CA $92,856.00 - $130,206.00
Similar Searches
- Expansion Manager jobs 18,564 open jobs
- Dental Director jobs 10,444 open jobs
- Treasury Specialist jobs 35,335 open jobs
- Service Manager jobs 380,044 open jobs
- Training Facilitator jobs 15,321 open jobs
- Network Manager jobs 54,969 open jobs
- Human Resources Coordinator jobs 26,593 open jobs
- Business Manager jobs 409,182 open jobs
- Nurse jobs 714,247 open jobs
- Development Manager jobs 317,820 open jobs
- Manager jobs 2,003,890 open jobs
- Director of Engineering jobs 22,553 open jobs
- Developer jobs 344,797 open jobs
- Network Consultant jobs 20,269 open jobs
- Sales Executive jobs 145,700 open jobs
- Senior Business Manager jobs 28,485 open jobs
- Senior jobs 1,142,468 open jobs
- Sales Manager jobs 348,591 open jobs
- Director jobs 1,374,979 open jobs
- Network Security Manager jobs 4,801 open jobs
- Human Resources Development Manager jobs 19,160 open jobs
- Contract Manager jobs 112,703 open jobs
- Sales Director jobs 92,736 open jobs
- Senior Manager jobs 230,444 open jobs
- Regional Manager jobs 116,098 open jobs
Explore collaborative articles
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
Explore More