Top 14 Mgr provider relations Jobs in California

Provider Relations Manager- CHS IPA
COPE Health Solutions —Fresno, CA
- $90,800 - $116,600 a year
- Full-time
- Microsoft Excel
- 5 years
- Mid-level
- Paid parental leave
- Parental leave
6d
Senior Project Manager, Provider Engagement Enablement
CVS Health —California
- $67,900 - $182,549 a year
- Full-time
- Remote
- 3 years
- Analysis skills
- Bachelor's degree
- Health insurance
- Dental insurance
Senior Developer Relations Manager – Cloud Provider AI Factory
NVIDIA —California
- $224,000 - $356,500 a year
- Full-time
- Computer science
- Computer Science
- 5 years
Manager of Provider Relations
Self-Help for the Elderly —San Francisco, CA
- $130,000 - $135,000 a year
- Full-time
- Marketing
- Mid-level
- 3 years
Quick Apply
Provider Relations Manager
Salma Health —Laguna Hills, CA
- $80,000 - $100,000 a year
- Full-time
- Hybrid work
- Mid-level
- 3 years
- Neurology
- Health insurance
- Dental insurance
Healthcare Provider Network Contract Manager
UnitedHealthcare —Cypress, CA
- $72,800 - $130,000 a year
- Full-time
- Pass drug screening
- Mid-level
- 3 years
SENIOR MANAGER, PRACTICE OPERATIONS & PROVIDER RELATIONS
American Advanced Management, Inc —Stockton, CA
- $72,800 - $97,760 a year
- Full-time
- Nursing
- Surgery
- Hospital
Manager, Provider Network Operations
Santa Clara Family Health Plan —San Jose, CA
- $133,757 - $207,324 a year
- Full-time
- Clean driving record
- Microsoft Outlook
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Provider Network, Credentialing and Provider Disputes Manager
CCHP Health Plan —San Francisco Bay Area, CA
- $84,510 - $126,651 a year
- Full-time
- Hybrid work
- Microsoft Office
- 3 years
- Master's degree
Program Manager, Provider Network - Covered California
CalOptima —Orange, CA
- Weekends as needed
- Background check
- Microsoft Outlook
- Customer service
- Tuition reimbursement
- Paid time off
Provider Relations Manager I
ModivCare Solutions, LLC —Orange, CA
- $52,900 - $71,400 a year
- Multiple hires
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Paid parental leave
- AD&D insurance
Quick Apply
Provider Network Manager (Gateway Region)
Astrana Health, Inc. —El Monte, CA
- $80,000 - $90,000 a year
- Email
- Hybrid work
- 5 years
- Office
- Bachelor's degree
Quick Apply
Business Development Manager - Physician Liaison, Outpatient Interventional Radiology
ELMNT IR —Los Angeles, CA
- From $120,000 a year
- Full-time
- Driver's License
- Bachelor's degree
- Driving
- Health insurance
- Dental insurance
Quick Apply
Provider Network Manager
Independent Living Systems —Glendale, CA
- $105,000 - $125,000 a year
- Full-time
- CPR Certification
- Microsoft Excel
- HIPAA
Quick Apply

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Provider Relations Manager- CHS IPA

COPE Health Solutions -
Fresno, CA

Apply Now

Job Details

Full-time
$90,800 - $116,600 a year
6 days ago

Benefits

Paid parental leave
Parental leave

Qualifications

Customer communication

Full Job Description

The Provider Relations Manager plays a key role in supporting the contracting and credentialing operations of CHS IPA. This position partners closely with Business Development Managers and other internal teams to ensure timely onboarding, compliance, and engagement of network providers. The coordinator serves as a vital liaison between COPE Health Solutions and its provider community, helping to strengthen relationships and ensure operational excellence across the IPA network.

FLSA Status

Exempt

Salary Range

$90,800 - $116,600

Reports To

Assistant Vice President – IPA Leadership

Direct Reports

Location

Fresno, CA

Travel

Up to 20%

Work Type

Regular

Schedule

Full Time

Position Description:

Provider Relationship Management

Develop and maintain strong relationships with physicians, medical groups, hospitals, ancillary providers, and practice administrators.
Serve as the primary point of contact for participating providers regarding contracting, onboarding, operational support, and ongoing provider relations.
Conduct regular provider visits to strengthen relationships, educate providers on CHS IPA initiatives, and identify opportunities for improvement.
Promote provider engagement and participation in value-based care initiatives, quality programs, and organizational objectives.
Coordinate provider orientations, educational meetings, and communication initiatives.

Reporting & Analytics

Maintain provider recruitment, contracting, credentialing, and onboarding reports.
Develop dashboards and reports within Salesforce to monitor:
- Contracting pipeline
- Credentialing status
- Provider onboarding
- Network growth
- Provider engagement
- Network adequacy
Identify workflow bottlenecks and recommend operational improvements.
Contracting & Provider Support
Partner with Business Development Managers to support provider recruitment and contracting efforts.
Prepare, assemble, distribute, and track provider participation agreements and contract packets.
Monitor contract execution and follow up on outstanding agreements.
Coordinate provider signatures and ensure contracts are executed timely.
Maintain accurate contracting records within Salesforce and other internal systems.
Track contract effective dates, renewals, amendments, and terminations.

Credentialing & Document Management

Review all credentialing submissions for completeness (e.g., licenses, DEA, malpractice insurance, board certifications, CAQH attestation).
Proactively outreach to providers/practice staff to obtain missing or expired documents.
Liaise with ProSource MSO to submit credentialing packets and resolve deficiencies.
Track credentialing and recredentialing timelines, ensuring compliance with payer and regulatory standards.
Maintain organized digital records within Salesforce/CRM or shared systems.
Provider Communication & Relationship Management
Serve as a first-line contact for provider inquiries related to contracting and credentialing.
Support scheduling of provider recruitment meetings and orientations.
Coordinate logistics for provider information sessions, community meetings, and trainings.
Deliver excellent customer service to enhance provider satisfaction and engagement.

Data Entry & Reporting

Enter and update provider demographic, contract, and credentialing data in CRM/roster systems.
Generate weekly/monthly reports on contract pipeline, credentialing status, and onboarding progress.
Flag potential delays or risks in contracting/credentialing workflows for BDM and leadership review.
Ensure accuracy of provider data for network adequacy reporting and payer submissions.
Compliance & Quality Assurance
Monitor expirables (licenses, DEA, malpractice, etc.) and send reminders ahead of deadlines.
Ensure all provider records comply with internal policies, payer requirements, and audit standards.
Support internal and external audits by providing documentation and status updates.
Cross-Functional Collaboration
Work closely with Business Development, Credentialing, Operations, Network Management, Compliance, Quality, and ProSource MSO.
Assist with implementation of provider initiatives and organizational projects.
Participate in health plan meetings, provider advisory meetings, and operational workgroups.
Support strategic initiatives related to network expansion and value-based care.
Provider Issue Resolution
Respond to provider questions regarding contracting, credentialing, claims routing, provider portals, operational workflows, and participation requirements.
Research and resolve provider issues by collaborating with internal departments and delegated vendors.
Escalate complex operational or contractual issues to leadership when appropriate.
Monitor provider satisfaction and recommend process improvements.

Qualifications

Bachelor's degree in Healthcare Administration, Business Administration, Public Health, or related field preferred.
Five (5) or more years of experience in provider relations, provider network management, managed care, IPA/MSO operations, provider contracting, or credentialing.
Experience working with delegated provider networks, health plans, IPAs, MSOs, or medical groups preferred.
Working knowledge of CMS, NCQA, DHCS, Medicare Advantage, Medi-Cal, commercial managed care, and delegated model operations.
Experience using Salesforce or similar CRM platform strongly preferred.
Proficiency with Microsoft Office Suite, including Excel and PowerPoint.

Benefits:

As a firm passionate about health care, we’re deeply committed to the health and wellness of our own team members. We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness-related activities and a paid parental leave program. You can learn more about our benefits offerings here: https://copehealthsolutions.com/careers/why-cope-health-solutions/.

About COPE Health Solutions
COPE Health Solutions is a national tech-enabled services firm powering success for health plans and for providers in risk arrangements. Our comprehensive NCQA certified population health management platform and highly experienced team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers. CHS de-risks the roadmap to advanced value-based payment and improves quality and financial performance for providers, health plans and self-insured employers. For more information, visit CopeHealthSolutions.com.

To Apply:

To apply for this position or for more information about COPE Health Solutions, visit us at https://copehealthsolutions.com/careers/open-positions/.

Apply Now

Refine Your Search

mgr provider relations jobs in california

Provider Relations Manager- CHS IPA

Senior Project Manager, Provider Engagement Enablement

Senior Developer Relations Manager – Cloud Provider AI Factory

Manager of Provider Relations

Provider Relations Manager

Healthcare Provider Network Contract Manager

SENIOR MANAGER, PRACTICE OPERATIONS & PROVIDER RELATIONS

Manager, Provider Network Operations

Provider Network, Credentialing and Provider Disputes Manager

Program Manager, Provider Network - Covered California

Provider Relations Manager I

Provider Network Manager (Gateway Region)

Business Development Manager - Physician Liaison, Outpatient Interventional Radiology

Provider Network Manager

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