Vice President, Care Coordination – Care Management

IEHP

. Establish key strategic priorities across core operational care coordination and care management functions.

Posted 4/21/2026full-timeRancho Cucamonga • California • 🇺🇸 United StatesLead💰 $280,842 - $393,182 per yearWebsite

About the role

Key responsibilities & impact

Establish key strategic priorities across core operational care coordination and care management functions.
Ensure member care strategies are harmonized, linked, and streamlined to support key priorities, including value based and quality objectives for all lines of business.
Forecast care coordination, care management, and care outcome trends and needs mapped to regulatory and compliance requirements.
Ensure that all department functions are elastic to meet the demands of a dynamic membership population across all risk types.
Executive level accountability to ensure all regulatory and compliance requirements are executed on, across all regulators, including, but not limited to, DHCS, DMHC, CMS and Covered CA.
Influence enterprise initiatives and priorities that focus on continuous improvement for member outcomes, including the use of modern tools and techniques such as artificial intelligence where applicable.
Partner and built trust with key stakeholders, including, but not limited to, Quality, Medical Management, Population Health, Pharmacy, Hospital and Ancillary Relations, and Provider Network to ensure care is managed and coordinated appropriately across all risk categories.
Serve as a lead in all regulatory audits, including representation in key state, local, and regional committees as applicable.
Develop, grow and cultivate high performing teams, while fostering a culture of accountability, collaboration, responsiveness, and performance.
Create a data informed decision-making process to optimize membership needs.
Ensure transparency, consistency, integrity, and accountability within the departments caring for IEHP members.

Requirements

What you’ll need

Minimum of twelve (12) years progressively responsible experience in managed care setting that serves the Medicaid population and/or similar populations
Eight (8) or more years of progressive healthcare leadership
Strong clinical experience in multidisciplinary team collaboration in a Medi-Cal managed care environment, as well as proficiency in care management, behavioral health, birthing pathways, complex children and all associated workflows
Proven leadership experience, mentoring, and developing a team at a leadership level
Bachelor's degree in a related field from an accredited institution required
Master's or Doctorate degree in a related field from an accredited institution preferred
Certification by one (1) of the American Specialty Boards preferred
Possession of an active, unrestricted, and unencumbered license issued by the appropriate state board in one of the following areas required: Registered Nurse (RN) license issued by the California BRN, Social Services related field issued by the California Board of Behavioral Sciences required. (LCSW or LMFT preferred.), Physician Assistant license issued by the Physician Assistant Board of California, Physician and Surgeon license or Osteopathic Physician and Surgeon license issued by either the Medical Board of California or Osteopathic Medical Board of California
Comprehensive knowledge and in-depth understanding of: Care Coordination and Care Management requirements, including, but not limited to, its application to PHM, LTSS, HEDIS and CAHPs, CMS, DMHC and NCQA regulations in both the inpatient and outpatient settings
Experience with implementing new innovative tools, such as AI, in relevant care settings
Clinical workflows and interdisciplinary team models
End-to-end understanding of member journeys, clinical pathways, and escalation mechanisms
Organizational design, workforce planning, leadership development, and building high-performing teams
Program requirements, reporting standards, audit expectations, and compliance risks for care coordination and care management
Excellent oral and written communication skills.
Excellent interpersonal skills, diplomacy, coaching and change management skills
Good Microsoft applications skills (Word, Excel, and PowerPoint)
Demonstrated problem solving and decision-making skills with ability to exercise initiative
Demonstrated ability to lead teams and achieve successful outcomes and results while fostering a climate of engagement and employee satisfaction
Ability to use analytics to guide strategy, forecast needs, and evaluate program effectiveness

Benefits

Comp & 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
Flexible Spending Account – Health Care/Childcare
CalPERS retirement
457(b) option with a contribution match
Paid life insurance for employees
Pet care insurance

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

care coordinationcare managementclinical experiencebehavioral healthcomplex children workflowsdata informed decision-makingprogram requirementsreporting standardsaudit expectationscompliance risks

Soft Skills

leadershipmentoringteam developmentinterpersonal skillsdiplomacycoachingchange managementproblem solvingdecision-makingengagement

Certifications

Registered Nurse (RN)Licensed Clinical Social Worker (LCSW)Licensed Marriage and Family Therapist (LMFT)Physician AssistantPhysician and Surgeon licenseOsteopathic Physician and Surgeon licenseAmerican Specialty Boards certification