Provider Services Advocate - Riverside/Corona

LSMA Management, Inc.; San Bernardino (CA); Hybrid; USD 46,000 - 50,000; Full time

Job summary

LSMA Management, Inc. is seeking a Provider Services Advocate to serve as the main liaison between a California-based IPA and its contracted provider network, ensuring satisfaction and operational performance by resolving inquiries and educating offices on IPA processes.

The role involves visits to clinics, collaboration across departments, and travel within the assigned area to strengthen relationships and improve access and service.

Qualifications

• Minimum: High School diploma or equivalent.
• Preferred: Bachelor’s degree in healthcare administration, public health, or related field.
• Minimum: 2+ years of experience in managed care, healthcare administration, MSO, IPA, medical group, health plan, or provider office environment.
• Experience working in California managed care environment and with MSO, IPA, or delegated managed care operations.

Responsibilities

• Serve as a primary liaison between a California-based IPA and its contracted provider network.
• Resolve provider inquiries and educate offices on IPA processes (authorizations, referrals, claims/payment, eligibility, delegated functions).
• Facilitate issue resolution across internal departments and external partners.
• Conduct routine and as-needed clinic visits, including travel to the assigned area, to strengthen relationships and improve access, quality, and service.

Skills

Managed care operations

Provider support

Communication skills

Problem solving

Microsoft Office

Education

High School diploma or equivalent

Bachelor’s degree in healthcare administration or related field

Tools

Microsoft Office

Excel

Outlook

Job description

JOB SUMMARY

The Provider Services Advocate serves as a primary liaison between a California-based Independent Practice Association (IPA) and its contracted provider network (primary care, specialists, ancillary providers, and clinic staff). This role supports provider satisfaction and operational performance by resolving provider inquiries, educating offices on IPA processes (authorizations, referrals, claims/payment, eligibility, and delegated functions), and facilitating issue resolution across internal departments and external partners. The Advocate conducts routine and as-needed clinic visits – including travel to the assigned area – to strengthen relationships, reinforce standards, and identify improvement opportunities that enhance access, quality, and service.

Description

The Provider Services Advocate serves as a primary liaison between a California-based Independent Practice Association (IPA) and its contracted provider network (primary care, specialists, ancillary providers, and clinic staff). This role supports provider satisfaction and operational performance by resolving provider inquiries, educating offices on IPA processes (authorizations, referrals, claims/payment, eligibility, and delegated functions), and facilitating issue resolution across internal departments and external partners. The Advocate conducts routine and as-needed clinic visits – including travel to the assigned area – to strengthen relationships, reinforce standards, and identify improvement opportunities that enhance access, quality, and service.

Requirements

MINIMUM & PREFERRED QUALIFICATIONS

Education/Training

Minimum: High School diploma or equivalent required.

Preferred: Bachelor’s degree in healthcare administration, public health, or related field.

Experience

Minimum: 2+ years of experience in managed care, healthcare administration, MSO, IPA, medical group, health plan, or provider office environment.

Preferred: Experience supporting provider relations, claims, credentialing, or health plan operations. Experience working in California managed care environment. Experience working with MSO, IPA, or delegated managed care operations.

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 managed care operations, providers networks, and healthcare delivery systems.
• Knowledge of claims processing, eligibility, and credentialing processes.
• Knowledge of Medicare, Medi-Cal, Commercial, PPO, and HMO plan structures.
• Strong customer service and provider support skills.
• Excellent verbal and written communication skills.
• Strong problem-solving and analytical skills.
• Ability to manage multiple tasks and prioritize workload.
• Strong attention to detail and organizational skills.
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook).
• Ability to maintain confidentiality and handle sensitive information.
• Ability to work independently and collaboratively in a team environment.

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, computer use, and telephone communication. The role requires sustained attention to detail, problem-solving, and multitasking to resolve provider issues efficiently. Occasional lifting or moving of materials up to approximately 15–20 pounds may be required. The position requires the ability to communicate effectively with providers, staff, and external partners while maintaining professionalism and confidentiality.

PAY RANGE

$33.65 - $36.06 / hourly