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Provider Relations Jobs in Riverside, CA (NOW HIRING)

Modivcare, Inc.

Provider Relations Manager I

Orange, CA · On-site

$52K - $71K/yr

Acts as a subject matter expert in provider relations, offering guidance and mentorship to more junior team members. * Participates in other projects or duties as assigned. * Travel requirement of 70 ...

Modivcare, Inc.

Provider Relations Manager I

Orange, CA · On-site

$52K - $71K/yr

Acts as a subject matter expert in provider relations, offering guidance and mentorship to more junior team members. * Participates in other projects or duties as assigned. * Travel requirement of 70 ...

Unity ILS Inc

Director Service Provider

Anaheim, CA · On-site

$20/hr

As a Direct Service Provider, you'll support individuals with disabilities or special needs in their daily activities to enhance their quality of life. Your role involves providing personal care ...

Unity ILS Inc

Director Service Provider

Anaheim, CA · On-site

$20/hr

As a Direct Service Provider, you'll support individuals with disabilities or special needs in their daily activities to enhance their quality of life. Your role involves providing personal care ...

loanDepot

Director, Employee Relations

Irvine, CA · On-site

$130K - $179K/yr

Provide guidance and oversight on performance management practices, including performance ... Monitor employee relations trends and metrics to proactively identify systemic issues, recommend ...

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All JobsProvider Relations JobsProvider Relations Jobs in Riverside, CA

Provider Relations information

See Riverside, CA salary details

$14

$29

$43

How much do provider relations jobs pay per hour?

As of Jul 25, 2026, the average hourly pay for provider relations in Riverside, CA is $29.10, according to ZipRecruiter salary data. Most workers in this role earn between $23.32 and $32.84 per hour, depending on experience, location, and employer.

What are provider relations?

Provider relations refer to the department or professionals within a healthcare organization or insurance company who manage the relationship between the organization and its network of healthcare providers, such as doctors, hospitals, and clinics. Their responsibilities typically include onboarding new providers, negotiating contracts, resolving disputes, ensuring compliance with policies, and communicating updates or changes. Effective provider relations are vital for ensuring quality patient care, maintaining provider satisfaction, and streamlining administrative processes.

What are the key skills and qualifications needed to thrive as a Provider Relations specialist, and why are they important?

To thrive as a Provider Relations specialist, you need a solid understanding of healthcare administration, provider network management, and a bachelor’s degree in a related field. Familiarity with claims processing systems, customer relationship management (CRM) software, and knowledge of healthcare regulations are commonly required. Strong interpersonal, negotiation, and problem-solving skills help facilitate effective communication and resolve issues between providers and payers. These skills ensure smooth collaboration, regulatory compliance, and high-quality service delivery within healthcare networks.

What is the difference between Provider Relations vs Provider Network Specialist?

AspectProvider RelationsProvider Network Specialist
CredentialsTypically requires healthcare administration or related certificationsOften requires similar healthcare or insurance certifications
Work EnvironmentOffice-based, interacting with providers and internal teamsOffice or remote, focusing on network management and provider onboarding
Employer & Industry UsageHealth insurance companies, healthcare organizationsHealth plans, insurance providers, healthcare networks
Search & Comparison IntentUnderstanding roles in provider relations and network managementDifferences between provider relations and network specialist roles

Provider Relations professionals focus on building and maintaining relationships with healthcare providers, ensuring communication and compliance. Provider Network Specialists primarily manage provider networks, onboarding, and network adequacy. While both roles work closely within healthcare and insurance settings, Provider Relations emphasizes relationship management, whereas Provider Network Specialists concentrate on network operations and provider data management.

How does a Provider Relations professional typically collaborate with healthcare providers to resolve issues or concerns?

Provider Relations professionals often serve as the main point of contact between healthcare organizations and network providers. They work closely with physicians, clinics, and hospitals to address any questions or concerns related to contracts, claims processing, or service delivery. Regular communication, both in-person and via digital channels, allows them to identify issues early and provide solutions that align with organizational policies. This collaborative approach helps maintain strong relationships, ensures provider satisfaction, and supports network efficiency.

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 and clinical skills. It provides experience in patient communication, scheduling, and medical record management, making it suitable for those starting a healthcare career. However, advancement may require additional certifications or training.

What jobs make $3,000 a day?

High-paying jobs that can earn $3,000 a day include specialized medical professionals such as surgeons and anesthesiologists, top-tier corporate executives, and certain legal or financial consultants. These roles typically require advanced education, extensive experience, and often involve high-stakes decision-making or specialized skills.

What jobs pay 4000 a week without a degree?

Provider Relations roles typically do not pay $4,000 a week without a degree, as they often require healthcare or administrative experience. High-paying jobs that can reach this level without a degree include sales positions, certain real estate roles, or specialized trades like commercial driving or skilled labor, which may require certifications or licenses. These jobs often involve commission, bonuses, or overtime to achieve higher weekly earnings.

What is the role of provider relations?

Provider relations professionals serve as the link between healthcare providers and insurance companies or healthcare organizations. They manage communication, resolve issues, ensure compliance, and facilitate contracts to support smooth healthcare delivery and maintain strong provider partnerships.
What are popular job titles related to Provider Relations jobs in Riverside, CA? For Provider Relations jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Provider Relations jobs in Riverside, CA look for? The top searched job categories for Provider Relations jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Provider Relations jobs? Cities near Riverside, CA with the most Provider Relations job openings:
Provider Relations jobs near you
Infographic showing various Provider Relations job openings in Riverside, CA as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $60,521 per year, or $29.1 per hour.
Provider Relations Coordinator

Provider Relations Coordinator

UnitedHealth Group

Irvine, CA • On-site

Full-time

Retirement

Posted 7 hours ago

UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

188th of 890 rated healthcare providers

Job description

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.
The Provider Relations Coordinator serves as a liaison between Optum and its provider network, delivering responsive support, issue resolution, and administrative coordination to promote exceptional provider satisfaction and operational efficiency. This role supports the Provider Relations Team by facilitating provider communications, collaborating on provider data and onboarding processes, maintaining network records, and assisting with provider education and engagement activities. The Coordinator plays an integral role in quality improvement initiatives by preparing performance reports, scorecards, meeting materials, and action plan documentation; conducting provider and member outreach; and supporting efforts related to HEDIS, CMS, CAHPS, and other performance measures. Additionally, the position collaborates across departments to address provider concerns, support escalation management, monitor network trends, and contribute to provider growth, retention, and overall network performance.
Primary Responsibilities:
  • Service Excellence:
  • Serves as a point-of-contact to the physician network and is responsive to physician needs
  • Responds timely (within one business day) to provider issues, works with other groups/central departments to resolve issues and updates providers and office staff regularly through to resolution
  • Assists the Provider Relations team by researching and resolving issues communicated to Optum by network providers
  • Conducts outreach to provider network as needed via e-mail or telephonically to help remediate inquiries and concerns from members submitted through Optum's Patient Service Center
  • Supports Provider Relations Escalation process, through appropriate triage of issues to PR Team members, monitoring turnaround times to ensure timely resposne, and participating in provider outreach and issue resolution
  • Assists with the review, ongoing tracking and data collection for Optum's providers through the Network Services' onboarding and update processes
  • Distributes targeted network communications through email, fax and mail as directed
  • Provides administrative support to PRMs and PR Department and participates in special projects as assigned
  • Provider Training and Data Management:
  • Assists the Provider Relations team in setting up and maintaining provider e-files
  • Assists the Provider Relations team in maintaining accurate and timely provider information in Optum databases including, but not limited to, maintaining PRM database
  • Ensures that provider offices have a Curo, Optum Pro, and DataCORE "account" assigned (as applicable) and assists in the resolution of provider questions/issues related to usage of these systems and other practice tools
  • Quality Performance:
  • Supports quality performance measures (e.g., HEDIS, CMS, CAHPS) by engaging targeted provider practices and members, collaborating on improvement workplans
  • Develops and prepares monthly performance scorecards, reports, meeting materials, and action plan documentation to support PRMs' practice performance review discussions, JOMs, performance improvement initiatives and as needed/requested
  • Collaborates and aligns strategies with other regional support teams (e.g., Network Services, Population Health, Government Programs)
  • Conducts member or provider outreach in support of performance improvement initiatives including data collection, quality gap closures, appointment scheduling, quality education
  • Growth and Retention:
  • Monitors and identifies trends on membership decline and escalates to leadership as appropriate

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • Health plan, managed care organization, medical group physician office, IPA, or related work experience
  • Intermediate level of experience with Microsoft Suite
  • Experience working within a team-oriented environment
  • Proven excellent communication skills

Preferred Qualifications:
  • 2+ years of experience in a health plan, managed care organization, medical group physician office or IPA setting
  • Roles in Provider Relations or experience working with physicians/physician offices
  • Experience working collaboratively with diverse, cross-functional teams to achieve shared objectives

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 - $36.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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