Supervisor, Transportation Network Management
IEHP · Rancho Cucamonga, CA · 3 wk ago
Business Development$80k/yrFull-time
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!
Commitment to Quality
The IEHP Team is committed to incorporating IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.
Perks
- 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
- Paid life insurance for employees
- Pet care insurance
Education & Requirements
- Four plus (4+) years of experience in a combination of provider relations and transportation operations required
- Two plus (2+) years of experience in people and/or process leadership, including coaching and performance management
- Background in compliance policies, SOP development, and vendor/provider relationship management.
- Preferred: Preferred experience in the following areas:
- Experience with managed care claims, encounters, and billing investigations
- Experience with Voice of Member (VoM) and Customer Experience (CX) programs, including IVR/text configuration, analytics, and closed-loop improvement processes
- Associate’s degree in Business Administration, Public Administration, Healthcare Administration, or a related field from an accredited institution required
- In lieu of the required Associate’s degree, a minimum of two (2) years of additional relevant work experience is required for this position
- Bachelor’s degree in Business Administration, Public Administration, Healthcare Administration, or a related field from an accredited institution preferred
- Lean Six Sigma and/or CHC certification preferred
- Must have a valid California Driver’s license and valid automobile insurance
- Must qualify and maintain driving record to drive company vehicles based on IEHP insurance standards of no more than three (3) points.
Key Qualifications
- Knowledge and understanding in the following areas:
- NEMTAC standards and competency guidelines.
- Healthcare compliance standards, including CMS, DHCS, DMHC, and Medi-Cal transportation benefit regulations.
- Provider performance management frameworks, including scorecards and action improvement plans.
- Dispatch optimization principles and trip assignment best practices.
- Standard operating procedures for Standing Orders (STO), PCS forms, and credentialing enforcement.
- Basic principles of billing integrity and fraud detection protocols.
- Strong understanding of transportation workflows and the impact of missed or delayed trips on member experience.
- Familiarity with IEHP transportation policy, Medi-Cal regulations, and NEMT authorization processes preferred.
- Intermediate proficiency in Microsoft Excel (pivot tables, VLOOKUP) and Word (policy documentation).
- Ability to run and interpret trip-level and provider performance reports.
- Familiarity with scheduling and dispatch platforms for trip assignment optimization.
- Competence in using data analysis tools for KPI tracking and VoM analytics.
- Basic knowledge of AP processes and assembling billing evidence packages.
- Familiarity with provider portals and/or dispatching software.
- Strong analytical and documentation skills for audits, billing investigations, and compliance.
- Strong communication skills for policy interpretation and provider coaching.
- Ability to build effective relationships with providers, facilities, and internal teams.
- Problem-solving skills to resolve trip-level issues and operational challenges under time constraints.
- High adaptability and organizational skills for managing multiple priorities in a fast-paced environment.
- Attention to detail to ensure accurate documentation and compliance readiness.
- Proven ability to collaborate with cross-functional teams, including AP, Finance, and Operations.
Pay Range
$80,059.20 USD Annually - $106,059.20 USD Annually