Provider Relations Representative jobs in Florida

Provider Relations Representative supports, develops and maintains service relationships with all participants (physicians, providers and administrators) of a provider network. Responds to electronic and direct inquiries from clients about policies, rates, changes, referrals, eligibility, credentialing, etc. Typically requires a bachelor's degree. Being a Provider Relations Representative typically reports to a supervisor or manager. The Provider Relations Representative works on projects/matters of limited complexity in a support role. Work is closely managed. To be a Provider Relations Representative typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)

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Provider Relations Representative
  • ttg Talent Solutions
  • Beach, FL FULL_TIME
  • Physician Relations Representative
    Full time - Monday- Friday
    Field rep- 3 travel days within the territory
    3 positions: Miami-Dade, Broward, Palm Beach


    The Physician Relations Representative is responsible for fostering a strong and satisfied network of healthcare providers in a designated area. They serve as the main liaison between practices, the company, and health plan partners. Their main focus is to work closely with providers to improve performance in areas like cost reduction, revenue optimization, quality enhancement, and provider satisfaction.

    Requirements

    • 4 years in healthcare or a related field
    • 2 years in Provider Relations, Network Management, Contracting, or Credentialing
    • Experience with an ACO, MSO, Managed Care, Medicare Advantage Plan or related
    • Bachelor's degree in Marketing, Healthcare or related ( or work experience)
    • Valid driver's license and reliable transportation required
    • Ability to travel up to 60% within designated counties- 3 days in the field/ 2 admin days remote
    • Strong interpersonal and communication skills
    • Experience in presentations
    • Analytical and problem-solving skills
    • Time management and organizational skills
    • Attention to detail and reliability
    • Proficiency in MS Office programs and Excel
    • Knowledge of HEDIS, CMS Star Rating System, and Medicare Risk Adjustment preferred
    • Bilingual in Spanish and English, for Miami territory



    Key Responsibilities:

    • Provider Education and Support: Provide comprehensive education and tools to help providers meet quality and financial goals.
    • Accountability and Performance: Understand and improve the financial performance of practices, ensuring they meet key performance indicators.
    • Provider Training and Orientation:Conduct orientation sessions and ongoing training for providers and their staff.
    • Provider Retention: Work to retain providers by ensuring their satisfaction with the organization.
    • Provider Collaboration: Facilitate meetings to enhance patient outcomes and operational efficiencies.
    • Performance Improvement Plans:Develop, implement, and monitor improvement plans for provider groups.
    • Provider Negotiations:Negotiate contract terms and analyze proposals.
    • Communication and Issue Resolution: Maintain open communication channels and resolve issues promptly.
    • Strategic Planning: Collaborate to implement strategic interventions.
    • Onsite Provider Visits: Spend most of the workweek visiting providers, with clear objectives for each visit.
    • Engagement with Specialists: Focus on engaging high-quality specialists and improving coordination of care.
    Compensation:
    Base salary $70K (salary under review) plus bonus; $350 Car allowance, 18 days PTO, fully subsidized health benefits, Holidays, 401k

    Please submit your resume in a word document . If you are a match, a ttg Talent Solutions recruiter will contact you by phone, email or text. Please monitor your inbox.




    At ttg, “We believe in making a difference One Person at a Time” ttg OPT.
  • 3 Days Ago

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Representative, Provider Relations
  • Independent Living Systems
  • Miami, FL FULL_TIME
  • ABOUT USJoin us in making a career in Independent Living Systems, an industry leader in managing home and community-based programs for over 20 years. Independent Living Systems, LLC and its subsidiari...
  • 4 Days Ago

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Internal Provider Relations Representative
  • Health Network One
  • Fort Lauderdale, FL FULL_TIME
  • Health Network One is the leader in managing specialty healthcare networks. Founded in 1999, we are a rapid growing, private equity-backed company that delivers cost savings to our health plan custome...
  • 5 Days Ago

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Provider Relations Representative
  • ttg Talent Solutions
  • Miami, FL FULL_TIME
  • Provider Relations Representative Full time - Monday- Friday Miami, Florida The Provider Relations Representative is responsible for fostering a strong and satisfied network of healthcare providers in...
  • 7 Days Ago

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Provider Relations Representative
  • Premier Medical
  • The Villages, FL FULL_TIME
  • Premier Medical Associate, one of the leading healthcare providers in central Florida, is looking for qualified and professional Provider Relations Representatives. Primary responsibilities will inclu...
  • 9 Days Ago

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Senior Provider Relations Representative
  • MAXhealth
  • Tampa, FL FULL_TIME
  • MaxHealth is looking to hire a Senior Provider Relations Representative for the greater Tampa area. This position is responsible for the development and growth of positive long-term relationships with...
  • 12 Days Ago

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Guest Relations Representative
  • Great Escape
  • Queensbury, NY
  • What You Will Be Doing Assist Guests with the purchase of in park Admission and Group Sales Tickets as well as On-line T...
  • 3/27/2024 12:00:00 AM

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Senior Provider Relations Representative
  • University Health System
  • San Antonio, TX
  • Full Time 12238 Silicon Drive Professional Non-Nursing Day Shift POSITION SUMMARY/RESPONSIBILITIES Working with Departme...
  • 3/27/2024 12:00:00 AM

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Donor Relations Representative
  • Christus Health
  • Irving, TX
  • Description Summary: Responsible for gift processing and donor relations including: responding to all donor inquiries, r...
  • 3/27/2024 12:00:00 AM

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Customer Relations Representative
  • Catalyst Career Group
  • Dallas, TX
  • Job Description Job Description Collaborative. Respectful. A place to dream and do. These are just a few words that desc...
  • 3/27/2024 12:00:00 AM

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Provider Relations Representative
  • Molina Healthcare
  • Long Beach, CA
  • Job Description ***Remote and must live in the Riverside or San Bernardino areas*** Job Description Job Summary Molina H...
  • 3/25/2024 12:00:00 AM

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Provider Relations Representative
  • MBI Health Services
  • Los Angeles, CA
  • Job Description Job Description Position Title: Provider Relations Representative Job Type: Full-Time / Hybrid Departmen...
  • 3/25/2024 12:00:00 AM

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Provider Relations Representative (Buffalo/WNY Territory)
  • Univera Healthcare
  • Buffalo, SC
  • Job Description: This position serves as the primary contact between Providers and the organization. The position is res...
  • 3/24/2024 12:00:00 AM

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Guest Relations Representative
  • Six Flags Great Adventure
  • Jackson, NJ
  • Assist Guests with questions, comments, concerns they may have about their experience while visiting Six Flags. Resolve ...
  • 3/24/2024 12:00:00 AM

Florida (/ˈflɒrɪdə/ (listen); Spanish for "land of flowers") is the southernmost contiguous state in the United States. The state is bordered to the west by the Gulf of Mexico, to the northwest by Alabama, to the north by Georgia, to the east by the Atlantic Ocean, and to the south by the Straits of Florida. Florida is the 22nd-most extensive (65,755 sq mi or 170,300 km2), the 3rd-most populous (21,312,211 inhabitants), and the 8th-most densely populated (384.3/sq mi or 148.4/km2) of the U.S. states. Jacksonville is the most populous municipality in the state and the largest city by area in th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative jobs
$50,772 to $64,953