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Provider Manager Jobs in Riverside, CA (NOW HIRING)

LEAP of California

Home Provider - SGPRC

Santa Ana, CA · Remote

$13.75 - $17.75/hr

Willingness to learn how to provide personalized care and support tailored to each individuals needs--including assistance with daily activities such as medication management, meal preparation, etc.

Unity ILS Inc

Director Service Provider

Anaheim, CA · On-site

$20/hr

Your role involves providing personal care, assisting with mobility, managing medications, and offering emotional support. Responsibilities: * Assist with personal care like bathing, grooming, and ...

Unity ILS Inc

Director Service Provider

Anaheim, CA · On-site

$20/hr

Your role involves providing personal care, assisting with mobility, managing medications, and offering emotional support. Responsibilities: * Assist with personal care like bathing, grooming, and ...

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Provider Manager information

See Riverside, CA salary details

$20.9K

$78K

$144K

How much do provider manager jobs pay per year?

As of Aug 6, 2026, the average yearly pay for provider manager in Riverside, CA is $77,951.00, according to ZipRecruiter salary data. Most workers in this role earn between $45,900.00 and $93,900.00 per year, depending on experience, location, and employer.

How do I become a provider manager?

To become a provider manager, candidates typically need a bachelor's degree in healthcare administration, business, or a related field, along with relevant experience in healthcare or provider relations. Strong communication, organizational skills, and knowledge of healthcare policies are essential, and some roles may require certification such as Certified Provider Relations Professional (CPRP). Gaining experience in healthcare operations or provider networks can also improve prospects for advancement into this role.

What are some common challenges provider managers face when coordinating between healthcare providers and insurance companies?

Provider Managers often navigate complex relationships between healthcare providers and insurance companies, which can involve resolving contract disputes, ensuring compliance with regulatory standards, and streamlining credentialing processes. They frequently manage competing priorities, such as maintaining strong provider networks while meeting organizational cost and quality goals. Effective communication, negotiation skills, and up-to-date knowledge of industry regulations are crucial for overcoming these challenges and maintaining productive partnerships.

What are the key skills and qualifications needed to thrive as a provider manager, and why are they important?

To thrive as a Provider Manager, you need expertise in healthcare administration, provider relations, and a solid understanding of regulatory compliance, typically supported by a bachelor’s degree in healthcare management or a related field. Familiarity with provider network management systems, credentialing software, and data analytics tools is highly valued. Strong interpersonal skills, negotiation abilities, and effective communication are essential for building relationships with providers and leading teams. These skills and qualities are crucial for ensuring high-quality provider networks, regulatory adherence, and efficient healthcare delivery.

What is a provider manager?

A Provider Manager is a professional responsible for overseeing relationships with healthcare providers, such as physicians, clinics, or hospitals, within an organization like a health insurance company or healthcare network. Their duties often include recruiting new providers, negotiating contracts, ensuring quality standards are met, and serving as a liaison between providers and the organization. Provider Managers play a key role in maintaining a strong provider network, resolving issues, and supporting operational efficiency to ensure members receive high-quality care.
What cities near Riverside, CA are hiring for Provider Manager jobs? Cities near Riverside, CA with the most Provider Manager job openings:
Provider Manager jobs near you

Provider Data Integrity Specialist

LSMA Management Inc

San Bernardino, CA • On-site

$26 - $29/hr

Full-time

Re-posted 21 days ago

Job description

Job Type
Full-time
Description
JOB SUMMARY
The Provider Data Integrity Specialist is responsible for maintaining accurate provider demographic, participation, and contractual data across organizational systems and health plan reporting platforms. This role supports provider onboarding, roster submissions, provider directory accuracy, and system updates to ensure compliance with regulatory, contractual, and operational requirements. The Specialist works closely with Credentialing, Provider Relations, and Health Plan Operations teams to ensure provider data accuracy and support network operations.
Requirements
MINIMUM & PREFERRED QUALIFICATIONS
Education/Training
Minimum: High School diploma or equivalent.
Preferred: Associate's or Bachelor's degree in Healthcare Administration, Business Administration, or related field.
Experience
Minimum: 2+ years of provider data management, credentialing, or healthcare administrative experience.
Preferred: Experience in MSO, IPA, or health plan environment.
Any combination of educational and work experience that would be equivalent to the stated minimum requirements would qualify for consideration of this position.
Skills, Knowledge & Abilities
• Knowledge of provider data management and healthcare systems.
• Proficiency with provider management systems such as EZ Cap, EPIC, or similar.
• Strong attention to detail and accuracy.
• Strong organizational and communication skills.
• Ability to maintain confidentiality and data integrity.
• Ability to manage multiple tasks and meet deadlines.
PHYSICAL, MENTAL & ENVIRONMENTAL REQUIREMENTS
The physical, mental, and environmental demands described here are representative of those required to successfully perform the essential functions of this job. Work is primarily performed in a standard office or hybrid office environment and requires prolonged periods of sitting, frequent use of computers, telephones, and office equipment. The role requires sustained mental concentration, attention to detail, and the ability to review and verify credentialing documentation accurately. Occasional lifting or moving of materials up to approximately 15-20 pounds may be required. This role requires the ability to communicate effectively with providers, staff, and external partners, and to maintain confidentiality of sensitive credentialing information.
PAY RANGE
$26.00 - $29.00 / hourly
Salary Description
$26.00 - $29.00 / hourly

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