Community Supports Program Administrator

Inland Empire Health Plan•Rancho Cucamonga, CA

2d•Hybrid

About The Position

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 Director of Community Supports, the Community Supports Program Administrator provides strategic guidance, operational oversight, and programmatic expertise for Community Supports initiatives. This role is responsible for managing complex programs, leading cross-functional initiatives, ensuring regulatory compliance, and optimizing provider performance to improve member outcomes. The incumbent serves as a subject matter expert and key liaison between internal departments, provider partners, and external stakeholders. 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 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

Requirements

A minimum of five (5) years of progressively responsible experience in healthcare program management, population health, or Community Supports-related services
Demonstrated experience with CalAIM Community Supports, Medicaid managed care, or social services programs
Application experience of standard Project Management Practices
Master’s degree from an accredited institution required
In lieu of a Master’s degree, a relevant certification (i.e., PMP, PgMP, CBAP or PMI‐PBA) and a bachelor’s degree from an accredited institution is required
Advanced knowledge and understanding in the following areas: Developing plans with project management and cross-organization coordination
Key operational information and key organizational tactical / strategic information through the effective implementation of data initiatives
Data Initiatives including data trending analyses, data profiling, data mining, data analysis, and promoting a data-aware culture throughout an organization
Understanding and sensitivity to a multi-cultural environment and community
Healthcare regulations, contracts, and compliance requirements
Strong interpersonal skills, strong project management skills, and strong issue management skills.
Microcomputer applications: spreadsheet, database, and word processing
Must have excellent writing, interpersonal communication, and organizational skills
Proven ability to: Possess a high degree of patience
Show attention to detail
Work in changing, fast-paced environment
Support a culture of collaboration
Translate data into meaningful and actionable information
Manage complex programs and lead cross-functional initiatives

Nice To Haves

Valid California Driver’s License preferred

Responsibilities

Lead planning, implementation, and ongoing management of Community Supports programs, ensuring alignment with CalAIM, DHCS APLs, contract requirements, and organizational strategy.
Translate policy and regulatory guidance into operational workflows, job aids, and scalable program processes.
Identify program risks, gaps, and opportunities; develop mitigation strategies and continuous improvement plans.
Identify program risks, gaps, and opportunities; develop mitigation strategies and continuous improvement plans.
Oversee day-to-day operations of assigned Community Supports programs, ensuring performance targets, service delivery standards, and timelines are met.
Develop, maintain, and monitor program workflows, Standard Operating Procedures (SOPs), and operational tools.
Partner with Finance, Claims, IT, Compliance, and Quality teams to ensure end-to-end operational integrity (referrals, authorizations, billing, reporting).
Ensure appropriate escalation and resolution of complex operational issues.
Serve as primary programmatic lead for Community Supports providers.
Oversee provider onboarding, readiness, and ongoing monitoring activities.
Collaborate with provider partners to improve performance, resolve operational challenges, and support compliance with contractual and regulatory requirements.
Lead corrective action planning when performance, compliance, or quality issues are identified.
Ensure Community Supports programs comply with applicable APLs, policy guidance, contracts, and audit requirements.
Support internal and external audits, including documentation review, corrective actions, and response development.
Partner with Compliance and Quality teams to develop monitoring tools and oversight frameworks.
Maintain up-to-date knowledge of evolving state and federal requirements impacting Community Supports.
Define and monitor KPIs, utilization trends, provider performance metrics, and member outcomes.
Use data to drive program improvements, inform leadership decisions, and support reporting requirements.
Prepare executive-level reports, dashboards, and presentations summarizing program performance and risks.
Act as a key liaison with internal leaders, external partners, counties, and state agencies as needed.
Lead cross-functional workgroups and meetings related to Community Supports initiatives.
Communicate complex program information clearly to diverse audiences.
Provide guidance, coaching, and mentorship to Program Managers and other team members.
Lead special projects and enterprise-wide initiatives related to Community Supports.
Contribute to team development, knowledge sharing, and best practice standardization.
Perform any other duties as required to ensure Health Plan operations and department business needs are successful.