Provider Relations Manager

Company: SoTalent
Location: San Francisco
Posted on: January 30, 2026

Job Description:

Job Description Job Title: Provider Relations Manager Location : California, United States (Remote) Type: Full Time Our client is seeking a proactive and relationship?focused Provider Relations Manager to build strong partnerships across our provider network and support high?quality care delivery for the communities we serve. This role combines hands-on provider engagement, performance consulting, and operational problem-solving—ideal for someone who excels in a dynamic, field?based environment. Responsibilities As the Provider Relations Manager, you will: Provider Engagement & Relationship Management Serve as the primary contact for assigned provider groups Conduct regular in?person visits to deliver support, review performance data, and identify improvement opportunities Strengthen provider relationships through education, collaboration, and ongoing communication Lead provider onboarding, orientations, and ongoing training sessions Issue Resolution & Operational Support Triage provider concerns and coordinate solutions with internal teams Respond to questions related to claims, processes, policies, and operational requirements Investigate claim issues, communicate resolutions, and monitor follow?up Process and maintain updates to provider demographic and administrative data Performance & Network Optimization Use analytics to monitor provider performance and develop action plans for improvement Support providers in meeting goals related to: Value?based care initiatives Quality metrics (e.g., HEDIS) Cost and utilization efficiency Incentive programs and risk?based agreements Manage network performance through a consultative, account?management approach Lead or participate in special projects as assigned Compliance & Travel Maintain adherence to organizational and regulatory standards Requirements Bachelor’s degree in a related field or equivalent experience 2 years of experience in managed care, provider relations, medical group operations, quality improvement, contracting, claims, UM, or clinical operations Project management experience in a medical group, IPA, or health plan setting is preferred Strong understanding of HEDIS/quality measures, cost trends, and utilization analytics Exceptional communication, relationship?building, and problem?solving skills Ability to work independently in a field-based role Benefits Competitive salary depending on experience Comprehensive health coverage 401(k) with employer match and stock purchase opportunities Tuition reimbursement Additional incentive opportunities may be available

Keywords: SoTalent, Danville , Provider Relations Manager, Education / Teaching , San Francisco, California