Supervisor, Transportation Network Management

IEHP

Rancho Cucamonga (CA)

On-site

USD 80,059 - 106,059

Full time

14 days+

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Benefits offered by this job

Competitive salary

Medical insurance with dental and vision

Career advancement opportunities

Wellness programs

CalPERS retirement

Job summary

IEHP is seeking a Supervisor for Transportation Network Management to manage daily operations ensuring compliance and service quality. In this role, you will oversee provider performance, monitor billing investigations, and manage operational activities supporting member experience goals.

The ideal candidate will have extensive experience in provider relations and transportation operations along with strong leadership skills. This position offers a competitive salary and comprehensive benefits package.

Qualifications

4+ years in provider relations and transportation operations.
2+ years in leadership, coaching, and performance management.
Valid California Driver's license and auto insurance.

Responsibilities

Manage transportation unit operations for compliance and quality.
Oversee provider performance through audits and inspections.
Monitor billing investigations and credentialing processes.

Skills

Provider relations

Transportation operations

Compliance policies

People leadership

Performance management

Voice of Member (VoM)

Customer Experience (CX) programs

Data analysis

Education

Associate’s degree in relevant field

Bachelor’s degree preferred

Lean Six Sigma/CHC certification preferred

Tools

Microsoft Excel

Microsoft Word

Job description

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.

Responsibilities

The Supervisor, Transportation Network Management is responsible for managing day‑to‑day transportation unit operations to ensure compliance, service quality, and member satisfaction. This role oversees provider performance through audits, inspections, scorecards, and action improvement plans (PIPs/CAPs), while ensuring Voice of Member initiatives and outreach programs are executed effectively. The Supervisor monitors billing investigations, credentialing enforcement, and quality assurance processes, running transportation provider, trip, and Quality Assurance reports to identify trends and issues. The position facilitates Fraud, Waste, and Abuse signals by routing cases to the Special Investigations Unit/Compliance through the Manager, and provides guidance and support to Team Members, ensuring adherence to standards, proper documentation, and effective issue resolution. The role requires strong organizational skills, attention to detail, and the ability to lead operational activities that support IEHP’s transportation strategy and member experience goals.

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.

Benefits

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

Education & Requirements

Four (4+) years of experience in a combination of provider relations and transportation operations.
Two (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 experience in managed care claims, encounters, and billing investigations.
Preferred 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.
In lieu of the required Associate’s degree, a minimum of two (2) years of additional relevant work experience is acceptable.
Bachelor’s degree in Business Administration, Public Administration, Healthcare Administration, or a related field from an accredited institution is preferred.
Lean Six Sigma and/or CHC certification is preferred.
Must have a valid California Driver’s license and valid automobile insurance.
Must qualify and maintain a driving record suitable for driving company vehicles, with no more than three (3) points per IEHP standards.

Key Qualifications

Knowledge of NEMTAC standards and competency guidelines.
Understanding of healthcare compliance standards, including CMS, DHCS, DMHC, and Medi‑Cal transportation benefit regulations.
Experience with provider performance management frameworks, including scorecards and action improvement plans.
Understanding of dispatch optimization principles and trip assignment best practices.
Familiarity with 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 is 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.