Inland Empire Health Plan
Transportation Network Representative
Rancho Cucamonga, CA, US
Sponsorship not specifiedDetected 22 hours ago
CadenceCommunicationCollaborationMentoringOrganizational SkillsAccounts Payable
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16Unrated
Cap-exempt (no lottery)0
Sponsors this role0
Entry-level history0
PERM / green-card track0
Lottery odds40
Fits your clock70
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About the role
- We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience!
- The Transportation Network Representative serves as the frontline field role and primary point of contact for transportation providers and facilities.
- This position is responsible for provider coaching, training, onboarding, and enforcing performance standards to ensure service quality and compliance.
Responsibilities
- Maintain high-quality documentation for audits, Fraud, Waste, and Abuse investigations, and Accounts Payable processes.
- Deliver provider coaching and training sessions, support onboarding activities, and enforce performance standards through structured engagements and action improvement actions.
- Perform unannounced live trip audits and virtual/in-person vehicle inspections.
- Validate GPS and timestamp accuracy and provide improvement coaching when safety or compliance issues are observed to ensure member safety and regulatory adherence.
- Ensure providers understand compliance requirements and service expectations to maintain quality and reliability.
- Ensure on-time pickup and drop-off (OTP/OTD) and escalate safety or time-sensitive concerns per standard operating procedures (SOPs) to maintain service reliability.
- Carry out outreach cadence (e.g., 60/30/15-day reminders) to contact members and clinical providers, obtain or refresh PCS forms and STOs, and capture and file documentation accurately to support continuity of care.
- Support Accounts Payable and Billing Accuracy:
- Coach, Train, and Onboard Providers: Deliver provider coaching and training sessions, support onboarding activities, and enforce performance standards through structured engagements and action improvement actions.
- Conduct Field Audits and Inspections: Perform unannounced live trip audits and virtual/in-person vehicle inspections.
Requirements
- Occasional travel within the service region and to vendor sites is required, which may include travel outside of normal business hours for urgent operational needs or regulatory audits.
- Additionally, the role may require extended hours during peak periods, audits, or when addressing escalated issues.
- Pay Range USD $27.43 - USD $35.66 /Hr.
Compensation
- Conduct at least 10 proactive, meaningful engagements per provider/facility annually to strengthen relationships and ensure compliance.
Benefits
- Perks 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.
- Perform any other duties as required to ensure Health Plan operations and department business needs are successful.
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This listing is sourced directly from Inland Empire Health Plan's careers page and normalized into a canonical job model.