Provider Relations Representative, Sr. jobs in Florida
Provider Relations Representative, Sr. 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. May provide guidance or expertise to less experienced representatives. Being a Provider Relations Representative, Sr. typically requires a bachelor's degree. Typically reports to a supervisor or manager. The Provider Relations Representative, Sr. gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Provider Relations Representative, Sr. typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Recently Added Provider Relations Representative, Sr. jobs
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.
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. - 1 Month Ago
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...
- 1 Month Ago
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...
- 1 Month Ago
Provider Relations Representative
- Hispanic Care Coordinators Inc.
-
Miramar, FL
FULL_TIME
- Responsibilities:- Direct daily interaction with Health Care Providers and agency staff.- Educate community about our services and serve as a liaison between potential participants, the program and co...
- 2 Days Ago
Provider Relations Representative
- DOCTORS HEALTHCARE PLANS, INC.
-
Broward County, FL
FULL_TIME
- Position Purpose: Exercise the duties and responsibilities delegated to the Provider Relations Representative with the outmost professionalism and dedication.Responsibilities:Responsible for conductin...
- 7 Days Ago
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...
- 1 Month Ago
Provider Relations Representative, Sr. jobs at Popular Companies
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...
- 4/26/2024 12:00:00 AM
Donor Relations Representative
- Christus Health
-
Irving, TX
- Description Summary: Responsible for gift processing and donor relations including: responding to all donor inquiries, r...
- 4/26/2024 12:00:00 AM
Patient Relations Representative
- Gastro Health
-
Reston, VA
- Gastro Health is seeking a Full-Time Patient Relations Representative to join our team! Gastro Health is a great place t...
- 4/25/2024 12:00:00 AM
Customer Relations Representative
- Cashdollar Insurance Agency Inc
-
North Versailles, PA
- Job Description Job Description Are you outgoing and customer-focused? Do you enjoy working with the public? If you answ...
- 4/25/2024 12:00:00 AM
Customer Relations Representative
- Arete Connections
-
Lexington, KY
- Job Description Job Description Are you a dedicated, self-driven individual with a passion for providing outstanding cus...
- 4/24/2024 12:00:00 AM
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 ...
- 4/23/2024 12:00:00 AM
Community Relations Representative
- AmeriHealth Caritas
-
Hazleton, PA
- Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are pa...
- 4/23/2024 12:00:00 AM
Patient Relations Representative
- Gastro Health
-
Catonsville, MD
- Gastro Health is seeking a Full-Time Patient Relations Representative to join our team! Gastro Health is a great place t...
- 4/23/2024 12:00:00 AM
About Florida
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, Sr. jobs
$67,946 to $84,262
Most Popular Cities in Florida for Provider Relations Representative, Sr. Jobs
What does a Provider Relations Representative, Sr. do?
Provider Relations Representative, Sr. in Duluth, MN
Held meetings with providers to review new policies, products and issue resolution.
January 14, 2020
Provider Relations Representative, Sr. in Norwich, CT
The continued upward spiral in health care costs has challenged sponsors, providers and payers of health benefits to deliver high quality care in the most cost-effective manner possible.
January 21, 2020
Provider Relations Representative, Sr. in Poughkeepsie, NY
The specific duties of customer service representatives vary by industry.
December 25, 2019