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Provider Manager Jobs in Riverside, CA (NOW HIRING)

Senior Doc

Inpatient Palliative Provider

Orange, CA · On-site

$85 - $120/hr

This role focuses on providing hospital-based palliative care consultations, symptom management, goals-of-care discussions, and support for patients with serious or chronic illnesses. Why Join Us?

Senior Doc

Inpatient Palliative Provider

Riverside, CA · On-site

$85 - $120/hr

We are seeking a compassionate and experienced Palliative Care Nurse Practitioner or Physician Assistant to provide patient-centered care focused on symptom management, pain control, and quality of ...

Senior Doc

Inpatient Palliative Provider

Riverside, CA · Hybrid

$115K - $129K/yr

We are seeking a compassionate and experienced Palliative Care Nurse Practitioner or Physician Assistant to provide patient-centered care focused on symptom management, pain control, and quality of ...

Brault

Provider Assignment Clerk

San Dimas, CA

$17 - $20/hr

Provides status reports to Operations Manager as requested. * Complies with all internal policies and procedures. Other Duties Please note this is not designed to cover or contain a comprehensive ...

Brault

Provider Assignment Clerk

San Dimas, CA · On-site +1

$17 - $20/hr

Provides status reports to Operations Manager as requested. * Complies with all internal policies and procedures. Other Duties Please note this is not designed to cover or contain a comprehensive ...

DAP Health

Medical Provider, MD

San Jacinto, CA

$15K/yr

Provides continuing, comprehensive health maintenance and medical care to entire families ... Quality Management: * Contributes to the success of the organization by participating in quality ...

DAP Health

Medical Provider, MD

San Jacinto, CA · On-site

$294K - $338K/yr

Provides continuing, comprehensive health maintenance and medical care to entire families ... Quality Management: * Contributes to the success of the organization by participating in quality ...

DAP Health

Medical Provider, MD

San Jacinto, CA · On-site

$294K - $338K/yr

Medical Provider, MD Hot Job San Jacinto Health Center - San Jacinto, CA 92583 Overview Salary ... Quality Management * Contributes to the success of the organization by participating in quality ...

The Management Trust

GENERAL MANAGER

Highland, CA · On-site

$140K - $160K/yr

... Provide management services in compliance with the terms of the management contract • Prepare annual budget estimates for Board action and approval • Assist Board and homeowners with problem ...

Acuity Eye Group

OD/Referring Provider Liaison

Orange, CA · On-site

$62K - $82K/yr

The liaison serves as a relationship manager, educator, and operational bridge between referring providers and surgical practices. Success in this role is measured by growth in referral volume ...

Acuity Eye Group

OD/Referring Provider Liaison

Santa Ana, CA · On-site

$60K - $80K/yr

The liaison serves as a relationship manager, educator, and operational bridge between referring providers and surgical practices. Success in this role is measured by growth in referral volume ...

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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 Jul 14, 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.

Is being a MOA a good entry level job?

A Medical Office Assistant (MOA) role is often considered an entry-level position in healthcare, requiring basic administrative skills, communication, and familiarity with medical terminology. It provides a foundation for those interested in healthcare careers and can lead to more advanced roles with experience and additional training.

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 is the highest paying job in healthcare administration?

The highest paying roles in healthcare administration include Chief Executive Officers (CEOs) of healthcare organizations and Chief Medical Officers (CMOs), with salaries often exceeding $200,000 annually. These positions require extensive experience, leadership skills, and often advanced degrees such as an MBA or healthcare administration certification.

What does a provider network manager do?

A provider network manager oversees the relationships between healthcare providers and an organization, ensuring network adequacy, compliance, and quality standards. They coordinate provider contracts, monitor network performance, and work to optimize service delivery within the healthcare system.

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.

How much does a provider relations manager make?

A provider relations manager in California typically earns between $80,000 and $130,000 annually, depending on experience, location, and the size of the organization. Compensation may also include benefits such as health insurance and bonuses, and the role often requires strong communication and negotiation skills.
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 Dispute Resolution Specialist

LSMA Management Inc

San Bernardino, CA • On-site

$33.50 - $39.50/hr

Other

Re-posted 15 days ago

Job description

Description

JOB SUMMARY

The Provider Dispute Resolution Specialist is responsible for the accurate, timely, and compliant review and resolution of provider disputes and appeals related to claims adjudication, reimbursement, coding, and authorization determinations. This role ensures compliance with applicable California state and federal regulations, contractual obligations, and internal policies while supporting positive provider relations.

Requirements

MINIMUM & PREFERRED QUALIFICATIONS


Education/Training

Minimum: High school diploma or equivalent.

Preferred: Coursework or training in healthcare administration, medical billing, or related field.

Experience 

Minimum: 5+ years of experience processing managed care health claims.

Preferred: 2+ years of direct Provider Dispute Resolution and/or Appeals experience within Medicare, Medi-Cal/Medicaid, Commercial, PPO, and/or HMO environments.

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

Strong working knowledge of managed care claims operations and regulatory requirements, including dispute and appeal timeliness standards.

Proficiency with medical coding concepts (ICD-10, CPT, HCPCS, DRG, ASC).

Experience with UB-04 and CMS-1500 claim forms.

Ability to analyze complex data, identify discrepancies, and apply contract terms accurately.

Strong written and verbal communication skills in English.

Effective time management skills with the ability to manage competing priorities and workload volumes.

Intermediate proficiency with Microsoft Office applications, including Word and Excel.

Demonstrated problem-solving skills and attention to detail.


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. This position primarily involves sedentary work with routine use of a computer and standard office equipment. The role may require occasional light physical activity (up to 10 pounds) and brief periods of bending, reaching, or filing. The employee must be able to maintain concentration for extended periods, analyze detailed information, and meet regulatory deadlines, with or without reasonable accommodation.


PAY RANGE

$33.50 - $39.50 / hourly

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