Provider Services Advocate

LSMA Management Inc • Redlands, CA

43d

About The Position

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 Low Desert area—to strengthen relationships, reinforce standards, and identify improvement opportunities that enhance access, quality, and service.

Requirements

• High school diploma or GED required.
• At lease two years of experience in managed care, healthcare administration, MSO, IPA, medical group, health plan, or provider office environment.
• Knowledge of managed care operations, provider 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.

Nice To Haves

• Bachelor's degree in healthcare administration, public health, or related field.
• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED