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Provider Operations Manager Jobs in California (NOW HIRING)

CIRCULAR CRV ASSOCIATION

Operations Manager

Los Angeles, CA · On-site

$110K - $130K/yr

Provide regular updates to Association leadership concerning redemption operations, with a focus on ... Manage and oversee third-party redemption contractors to ensure compliance with all contractual ...

CIRCULAR CRV ASSOCIATION

Operations Manager

Los Angeles, CA · On-site

$110K - $130K/yr

Provide regular updates to Association leadership concerning redemption operations, with a focus on ... Manage and oversee third-party redemption contractors to ensure compliance with all contractual ...

UOVO

Operations Manager

South San Francisco, CA · On-site

$130K - $140K/yr

Operations Manager, UOVO South San Francisco UOVO, the nation's leading provider of storage and services for art, archives, and collectibles, seeks an Operations Manager to join its dynamic and ...

Sabrosura Foods

CA Operations Manager

Vernon, CA · On-site

Reporting directly to the Plant Manager, this position provides leadership across Production and Warehouse operations and provides day-to-day operational direction to the Logistics Coordinator. The ...

New

JLL

Assistant Operations Manager

San Jose, CA · On-site

$70K - $90K/yr

The position provides operational leadership and coordination across Engineering Operations, Facilities Management, Planning, Parts, Construction/Projects, Finance, vendors, and client lab teams.

Sabrosura Foods

CA Operations Manager

Commerce, CA · On-site

Reporting directly to the Plant Manager, this position provides leadership across Production and Warehouse operations and provides day-to-day operational direction to the Logistics Coordinator. The ...

New

Wellpath

Area Operations Manager

Fresno, CA · On-site

Overview The Area Operations Manager provides operational and administrative support to healthcare leadership teams while helping ensure effective delivery of healthcare services across assigned ...

Tidal Vision

Operations Manager

Signal Hill, CA · On-site

$110K - $150K/yr

Operations Manager REPORTS TO: VP of Operations, Clear Water Services STATUS: Full-time/Exempt ... Established in 1998, we continue to provide innovative stormwater, groundwater, and process water ...

Tidal Vision

Operations Manager

Signal Hill, CA · On-site

$110K - $150K/yr

Operations Manager REPORTS TO: VP of Operations, Clear Water Services STATUS: Full-time/Exempt ... Established in 1998, we continue to provide innovative stormwater, groundwater, and process water ...

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Provider Operations Manager information

What is a provider operations manager?

A Provider Operations Manager is responsible for overseeing the daily operations and performance of healthcare provider networks within an organization. They ensure that providers comply with company policies, regulatory requirements, and quality standards. Their duties often include managing provider onboarding and credentialing processes, resolving operational issues, and improving provider relations. By streamlining these processes, they help maintain efficient healthcare delivery and enhance patient outcomes.

What are the key skills and qualifications needed to thrive as a provider operations manager?

To excel as a Provider Operations Manager, you need strong leadership abilities, analytical skills, and a background in healthcare administration—often supported by a bachelor’s or master’s degree in a related field. Familiarity with healthcare management software, data analytics tools, and compliance systems such as HIPAA is typically required. Exceptional communication, problem-solving, and relationship-building skills help you coordinate effectively with providers and internal teams. These competencies are crucial for ensuring operational efficiency, regulatory compliance, and high-quality service delivery in healthcare organizations.

What are some common challenges faced by provider operations managers, and how can they be addressed?

Provider Operations Managers often encounter challenges such as streamlining communication between healthcare providers and administrative teams, ensuring compliance with regulatory standards, and optimizing operational workflows. Addressing these challenges requires implementing clear protocols, leveraging technology for data management, and fostering a collaborative team environment. Proactive problem solving and continuous training are also key to adapting to evolving regulations and maintaining efficient operations.

What is the difference between Provider Operations Manager vs Provider Network Coordinator?

AspectProvider Operations ManagerProvider Network Coordinator
CredentialsBachelor's degree, industry certifications often preferredHigh school diploma or equivalent, relevant certifications beneficial
Work EnvironmentOffice-based, managerial oversight, strategic planningOffice or remote, administrative support, coordination tasks
Employer & Industry UsageHealth insurance companies, healthcare providersHealthcare networks, insurance providers, provider organizations

The Provider Operations Manager typically oversees broader operational functions, including strategy and team management, while the Provider Network Coordinator focuses on maintaining provider relationships and network logistics. Both roles are essential in healthcare organizations but differ in scope and responsibilities.

What are popular job titles related to Provider Operations Manager jobs in California?

For Provider Operations Manager jobs in California, the most frequently searched job titles are:

What job categories do people searching Provider Operations Manager jobs in California look for?

The top searched job categories for Provider Operations Manager jobs in California are:

What cities in California are hiring for Provider Operations Manager jobs?

Cities in California with the most Provider Operations Manager job openings:

Provider Operations Manager jobs near you
Infographic showing various Provider Operations Manager job openings in California as of August 2026, with employment types broken down into 84% Full Time, 12% Part Time, 2% Temporary, and 2% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution.

Provider Operations Coordinator

Circadia Health

El Segundo, CA • Remote

$50K - $70K/yr

Full-time

Medical, Dental, Vision, Retirement

Posted 20 days ago

Job description

About Circadia Health

Circadia Health is a growth-stage healthcare AI company on a mission to prevent avoidable hospitalizations and transform senior-care operations. Our Circadia Intelligence Platform combines:

  • Contactless sensing that monitors respiration and motion with medical-grade accuracy

  • Native predictive models that detect 85% of preventable adverse events several days in advance

  • Enterprise integrations that operationalize predictions directly inside EHR, care-coordination, billing, and compliance workflows

Today, our technology touches 40,000+ post-acute patients daily across skilled-nursing, home-health, and home-care networks. We are backed by leading healthcare and AI investors and headquartered in El Segundo, CA.


About the Role

As Circadia's Provider Ops Coordinator, you'll work directly with our Provider Operations team to manage the full lifecycle of incoming medical records requests, coordinating closely with the RCM team as needed. You'll be the person who logs, tracks, prepares, and reviews these requests to make sure the right documentation goes out accurately and on time.
This role is based out of our headquarters in El Segundo, CA.
What You'll Do
  • Log and track all incoming medical records requests across payer portals, fax, mail, and email, maintaining accurate records of deadlines, reference numbers, and status.
  • Prepare and consolidate required documentation into complete, organized packets for each request.
  • Review packets for accuracy, including patient identity, dates, and completeness, prior to submission.
  • Submit completed packets to the requesting payer or entity through the appropriate channel and confirm receipt when required.
  • Identify and escalate missing, inconsistent, or questionable documentation before it impacts a submission.
  • Collaborate with the Revenue Cycle Management (RCM) team and Physician Operations to source claims, billing, and provider documentation needed for audit responses.
  • Maintain and update the request tracking log, escalating at-risk deadlines proactively.
  • Maintain organized digital recordkeeping to support compliance and audit readiness.
How Success is Measured (KPIs)
  • Submission packets are accurate and complete, with no cross-patient or documentation errors, prior to submission.
  • Zero missed payer deadlines across the active caseload.
  • Documentation gaps or inconsistencies are identified and flagged internally prior to submission.
  • The request tracking log remains current and accurate at all times.
Must-Have Qualifications
  • Minimum 2 years of experience in a high-paced medical office setting, managing incoming medical records requests and compiling clinical documentation.
  • Working knowledge of medical records workflows, HIPAA requirements, and release-of-information processes.
  • Experience working with EHR systems.
  • High attention to detail, with the ability to accurately cross-reference dates, patient identifiers, and documentation across multiple sources.
  • Strong organizational skills, with the ability to coordinate multiple requests and deadlines simultaneously without losing track of status or priority.
  • Comfortable learning and adapting to new software tools and digital filing systems.
  • Strong written and verbal communication skills.
  • Ability to thrive in a dynamic, evolving startup environment.
Nice-to-Haves
  • Experience with payer audits, ADRs, SIU requests, or Medicare Risk Adjustment/HCC documentation.
  • Familiarity with remote patient monitoring (RPM/RTM) billing and CPT coding basics.
  • Experience working in or with skilled nursing facilities (SNFs).
  • Experience with esMD, Kiteworks, or other secure health information exchange portals.
  • Proficient with PDF tools, spreadsheets, and document assembly software.
$50,000 - $70,000 a year

As a full-time Provider Ops Coordinator, you will be employed by Circadia Health, Inc. The anticipated annual base salary range for this full-time position is $50,000 - $70,000. The base range is determined by role and level, and placement within the range will depend on a number of job-related factors, including but not limited to your skills, qualifications, experience, and location.

Annual salary is only one part of an employee's total compensation package at Circadia Health. We also offer:

  • 100% company-paid medical, dental, and vision coverage
  • 401(k)
  • Competitive time off with pay policies including vacation, sick days, and company holidays
  • Impact: your work will influence care decisions for tens of thousands of seniors every day.
  • Culture: hard-working, mission-driven, and collaborative - with weekly and monthly social events like yoga, beach bonfires, and Wednesday/Friday team lunches.
Circadia Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All employment decisions are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, or any other status protected by law.
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
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