Top 1145 Benefits representative Jobs in Bradenton, Fl

Provider Relations Representative
Molina Healthcare —Sarasota, FL
- $19.84 - $38.69 an hour
- Full-time
- Medical office experience
- Mid-level
- Training & development
- Health insurance
Member Services Representative - Eastern Time Zone Only
ArchWell Health —Sarasota, FL
- Full-time
- High school diploma or GED
- Clinic
- 1 year
13d
Market Account Representative
Woundtech —Sarasota, FL
- $80,000 - $85,000 a year
- Full-time
- Mid-level
- Bachelor's degree
- Home Health
- Health insurance
- Dental insurance
Quick Apply
Payroll, Benefits & Accounting Coordinator
SmartPro Financial —Bradenton, FL
- Full-time
- Microsoft Excel
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
5d
Dental Sterilization Technician - School of Dental Medicine
Lake Erie College of Osteopathic Medicine —Bradenton, FL
- Full-time
- Inventory control
- Customer service
- Computer literacy
- Opportunities for advancement
Assistant Registrar
Lake Erie College of Osteopathic Medicine —Bradenton, FL
- Full-time
- OSHA
- Word processing
- Computer literacy
- Opportunities for advancement
Claims Customer Service Representative
FCCI Services Inc. —Sarasota, FL
- $18.58 - $28.62 an hour
- Hybrid work
- Microsoft Word
- Spanish
- Computer literacy
- Profit sharing
- Paid holidays
Quick Apply
11d
Customer Service Representative and Consumer Lending
First Southern Bank —Bradenton, FL
- Full-time
- Background check
- Research
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
7d
Admissions Representative PRN
Bradenton Rehabilitation Hospital —Bradenton, FL
- PRN
- Hospital
- Customer service
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
13d
General Manager, Human Resources
City of Sarasota —Sarasota, FL
- $45.88 an hour
- Full-time
- Writing skills
- Research
- Office
6d
Medical Device Rep
Crown Medical, Inc. —Sarasota, FL
- $82,110 - $113,361 a year
- Full-time
- Driver's License
- Organizational skills
- Communication skills
Quick Apply
Hybrid Sales Representative – Flexible Schedule
Solid Ground Sales, LLC —Bradenton, FL
- $30,000 - $75,000 a year
- Choose your own hours
- Hybrid work
- Mid-level
- Office
- 3 years
- Paid training
- Health insurance
Quick Apply
Medical Office Rep - Float Team Manatee County
BayCare —Manatee, FL
- Full-time
- Float pool
- High school diploma or GED
- Home Health
- Health insurance
- Dental insurance
Leasing Agent
FL- Velo Apartments —Sarasota, FL
- $20 - $24 an hour
- Full-time
- Mid-level
- Office
- High school diploma or GED
- Wellness program
- Mileage reimbursement
Caseworker II, Supervision Unit
Sarasota County Government —Sarasota, FL
- From $22.94 an hour
- Weekends as needed
- Background check
- Writing skills
- Pass drug screening
- Wellness program
- Paid holidays
14d
Lecturer, English
State College of Florida, Manatee-Sarasota —Lakewood Ranch, FL
- $40,000 a year
- Full-time
- Background check
- Classroom
- English
- Health insurance
- Dental insurance
Technical Support Specialist
Kidde Global Solutions —Bradenton, FL
- $75,659 - $89,010 a year
- Full-time
- English
- Mid-level
- Residential
- Disability insurance
- Health insurance
5d
Transportation and Facilities Specialist
Early Learning Coalition of Manatee, Inc. —Palmetto, FL
- $42,500 - $47,500 a year
- Weekends as needed
- CDL B
- Background check
- Ability to walk for extended periods
- Health insurance
- Dental insurance
Quick Apply
Experienced Field Sales Representative - Roofing
Noland's Roofing company —Bradenton, FL
- $100,000 - $150,000 a year
- Full-time
- 18 years or older
- Mid-level
- Driver's License
- Paid training
- Health insurance
Quick Apply
Physical Therapist Assistant
Orthopaedic Medical Group of Tampa Bay —Apollo Beach, FL
- $55,000 - $65,000 a year
- Full-time
- Spanish
- Ability to walk for extended periods
- Physical & Rehabilitation Medicine
- Health insurance
- Dental insurance
Quick Apply

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Provider Relations Representative

Molina Healthcare -
Sarasota, FL

Apply Now

Job Details

Full-time
$19.84 - $38.69 an hour

Benefits

Health insurance

Qualifications

Customer communication
Managed care
Managed care organization experience
Medical office experience
Schedule management
Health insurance knowledge
Productivity software
Cross-functional collaboration
Cross-functional communication

Full Job Description

***Remote and must live in Charlotte, Lee, or Sarasota for provider visits***

JOB DESCRIPTION

Job Summary

Provides support for health plan provider relations activities. Supports network development, network adequacy and provider training and education. Serves as primary point of contact between the business and contracted providers within the Molina network. Responsible for network management including provider education, communication, satisfaction, issue intake, access/availability and ensuring knowledge of and compliance with Molina policies and procedures.

Essential Job Duties

Successfully engages high-volume, high-visibility plan providers, to ensure provider satisfaction, facilitate education on key Molina initiatives, and improve coordination and partnership between the health plan and contracted providers.
Serves as the primary point of contact between Molina health plan and the non-complex provider community that services Molina members, including but not limited to fee-for-service (FFS) and pay-for-performance (P4P) providers.
Collaborates directly with the plan’s external providers to educate, advocate and engage as valuable partners - ensuring knowledge of and compliance with Molina policies and procedures while achieving the highest level of customer service; effectively drives timely issue resolution, electronic medical record (EMR) connectivity, and provider portal adoption.
Conducts regular provider site visits within assigned region/service area; determines daily or weekly schedule, to meet or exceed the plan's monthly site visit goals. Proactively engages with the provider and staff to determine; for example, non-compliance with Molina policies/procedures or Centers for Medicare and Medicaid Services (CMS) guidelines/regulations, or to assess the non-clinical quality of customer service provided to Molina members.
Provides on-the-spot training and education as needed, including counseling providers diplomatically, while retaining a positive working relationship.
Independently troubleshoots provider problems as they arise, and takes initiative in preventing and resolving issues between the provider and the plan whenever possible. The types of questions, issues or problems that may emerge during visits are unpredictable and may range from simple to very complex or sensitive matters.
Initiates, coordinates and participates in problem-solving meetings between the provider and Molina stakeholders, including senior leadership and physicians (examples include: issues related to utilization management, pharmacy, quality of care, and correct coding).
Independently delivers training and presentations to assigned providers and their staff - answering questions that come up on behalf of the health plan; may also deliver training and presentations to larger groups, such as leaders and management of provider offices, including large multispecialty groups or health systems, executive level decision makers, association meetings, and joint operating committees (JOCs).
Performs an integral role in network management, by monitoring and enforcing company policies and procedures, while increasing provider effectiveness by educating and promoting participation in various Molina initiatives; examples of such initiatives include: administrative cost-effectiveness, member satisfaction - Consumer Assessment of Healthcare Providers and Systems (CAHPS), regulatory-related, Molina quality programs, and taking advantage of electronic solutions (electronic data interchange (EDI), EMR, provider portal, provider website, etc.).
May provide training and support to new and existing provider relations team members as appropriate.
Role requires 60%+ same-day or overnight travel (extent of same-day or overnight travel will depend on the specific health plan service area).

Required Qualifications

At least 2 years of customer service, provider services, or claims experience in a managed care or medical office setting, or equivalent combination of relevant education and experience.
General understanding of the health care delivery system, including government-sponsored health plans.
Organizational skills and attention to detail.
Ability to manage multiple tasks and deadlines effectively.
Interpersonal skills, including ability to interface with providers and medical office staff.
Ability to work in a cross-functional highly matrixed organization.
Effective verbal and written communication skills.
Microsoft Office suite and applicable software programs proficiency.

Preferred Qualifications

Familiarity with various managed health care provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including: fee-for service (FFS), capitation and various forms of risk, ASO, etc.
Experience delivering training and facilitating educational presentations.

#PJHPO

#LI-AC1

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $19.84 - $38.69 / HOURLY

Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Apply Now

Refine Your Search

benefits representative jobs in bradenton, fl

Provider Relations Representative

Member Services Representative - Eastern Time Zone Only

Market Account Representative

Payroll, Benefits & Accounting Coordinator

Dental Sterilization Technician - School of Dental Medicine

Assistant Registrar

Claims Customer Service Representative

Customer Service Representative and Consumer Lending

Admissions Representative PRN

General Manager, Human Resources

Medical Device Rep

Hybrid Sales Representative – Flexible Schedule

Medical Office Rep - Float Team Manatee County

Leasing Agent

Caseworker II, Supervision Unit

Lecturer, English

Technical Support Specialist

Transportation and Facilities Specialist

Experienced Field Sales Representative - Roofing

Physical Therapist Assistant

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