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 Contracting, the Sr. Director provides strategic leadership and operational oversight of Provider Contracting. The Sr. Director leads complex contract negotiations and ensures all contracting activities align with regulatory requirements and organizational priorities. This position collaborates closely with multiple departments across the organization to build and maintain a network that supports IEHP’s growth, financial sustainability and operational excellence.
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.
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.
Provide strategic leadership in developing, implementing, and overseeing organization‑wide contracting strategies to ensure a robust, high‑performing network that supports current and future product lines and organizational goals.
Oversee and guide complex negotiations, ensuring timely execution, operational feasibility, and compliance with organizational and regulatory requirements.
Champion cross‑departmental collaboration with Compliance, Finance, Legal, Product, Provider Experience, and Quality to ensure smooth contract implementation and optimal provider performance.
Develop and implement contracting strategies that support compliance with state and federal regulations as well as NCQA requirements.
Drive operational excellence across the full contract lifecycle, from intake to execution. Establish clear SLAs, prioritization frameworks, and performance metrics for all contracting activities.
Identify and implement system enhancements that improve efficiency and user experience. Ensure accurate tracking, visibility, and reporting of contract volumes, cycle times, and bottlenecks.
Own the development, maintenance, and continuous improvement of contract templates and standard language. Collaborate with subject matter experts to ensure accuracy and relevance.
Ensure executive leadership has clear, ongoing visibility into contracting activities, trends, and risks.
Foster a high-performing, solutions-oriented culture focused on quality, consistency, and strong cross-functional partnership.
Hire, train, and manage support staff, while monitoring and evaluating outcomes. Conduct performance reviews of each Team Member within IEHP guidelines.
Perform any other duties as required to ensure Health Plan operations and department business needs are successful.
Start your journey towards a thriving future with IEHP and apply TODAY!
This position is on a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga, CA.)
USD $229,195.20 - USD $265,387.20 /Yr.
With a mission to heal and inspire the human spirit, Inland Empire Health Plan (IEHP) is one of the top 10 largest Medicaid health plans, the largest not-for-profit Medicare-Medicaid public health plan in the country, and for the fourth year in a row, certified as A Great Place To Work®. Founded in 1996, IEHP supports more than 1.5 million Riverside and San Bernardino County residents enrolled in Medicaid or IEHP DualChoice (those with both Medi-Cal and Medicare). As of 2024, IEHP also offers Covered California plans, further ensuring health care access for even more IE residents. Today, IEHP has a robust network of quality doctors throughout our two counties and nearly 4,000 team members who are fully committed to the vision: We will not rest until our communities enjoy optimal care and vibrant health. To learn more, go to iehp.org.
Comprehensive Benefits
Competitive salary and a benefits package with a value estimated at 35% of the annual salary, including medical, dental, vision, team bonus, and retirement plan.
Mission: To heal and inspire the human spirit.
Vision: We will not rest until our communities enjoy optimal care and vibrant health.
Values: We do the right thing by: Placing our Members at the center of our universe; unleashing our creativity and courage to improve health and well-being; bringing focus and accountability to our work; and never wavering in our commitment to our Members, Providers, Partners, and each other.
Winning Team Culture
Certified as A Great Place To Work® four years in a row.
