Top 124 Advocate Jobs in Florence, Sc

Health Plan Provider Relations Representative
Molina Healthcare —Florence, SC
- $18.85 - $38.69 an hour
- Full-time
- Medical office experience
- Mid-level
- Training & development
- Health insurance
7d
Case Manager
FAMILYTIES OF SC LLC —Florence, SC
- $25 - $30 an hour
- Part-time
- Mid-level
- Bachelor's degree
- 2 years
Quick Apply
Guest Advocate (Cashier or Front of Store Attendant/Cart Attendant) (T1452)
Target —Florence, SC
- From $15 an hour
- Part-time
- Entry level
- Flexible schedule
On-Demand: Guest Advocate (Cashier), General Merchandise, Fulfillment, Food and Beverage, Style (T1452)
Target —Florence, SC
- From $15 an hour
- Choose your own hours
- Entry level
- Flexible schedule
Route Specialist
ImageFIRST Healthcare Laundry Specialists —Florence, SC
- $20 - $22 a year
- Full-time
- Clean driving record
- Inventory management
- Computer literacy
- Paid parental leave
- Health insurance
Quick Apply
12d
Navigator Family Advocate
Epworth Children's Home —Hartsville, SC
- Full-time
- Bachelor of Science
- Caregiving
- Mid-level
- 403(b) matching
- Disability insurance
Quick Apply
Cafe Associate
Sam's Club —Florence, SC
- $17 - $25 an hour
- 18 years or older
- High school
- Sales
- Paid jury duty
- Disability insurance
Produce Associate
Sam's Club —Florence, SC
- $17 - $25 an hour
- 18 years or older
- High school
- Sales
- Paid jury duty
- Disability insurance
Baker and Packager Associate
Sam's Club —Florence, SC
- $17 - $25 an hour
- 18 years or older
- High school
- Sales
- Paid jury duty
- Disability insurance
Patient Access Representative - Nights 7pm-7am Emergency Department
McLeod Health —Florence, SC
- Online Application
- Computer literacy
- Medical office experience
- HIPAA
Quick Apply
Director of Community Victim Services Outreach & Training
PEE DEE COALITION —Florence, SC
- $67,500 - $75,000 a year
- Overtime
- 5 years
- Psychology
- Recruiting
Quick Apply
Prepared Meals and Rotisserie Chicken Associate
Sam's Club —Florence, SC
- $17 - $25 an hour
- 18 years or older
- High school
- Sales
- Paid jury duty
- Disability insurance
Direct Support Manager (QIDP): OIDD - Pee Dee
State of South Carolina —Florence County, SC
- $45,000 - $55,000 a year
- Full-time
- Medicine
- Current TB test
- RN License
- Paid parental leave
- Paid holidays
11d
Victim Advocate
PEE DEE COALITION —Hartsville, SC
- $16 - $20 an hour
- Full-time
- Hospital
- Mid-level
- Psychology
Quick Apply
RN Case Manager BONUS
Crescent Hospice —Hartsville, SC
- $70,000 - $80,000 a year
- Full-time
- CPR Certification
- RN License
- Computer literacy
- Health insurance
- Dental insurance
7d
CDL-A Hazmat Team Driver
Covenant Transport —South Carolina
- $0.74 per mile
- Full-time
- Clean driving record
- Owner-operator
- CDL A
- Disability insurance
- Health insurance
Quick Apply
CDL-A Dedicated Truck Driver
Landair Transport —Florence, SC
- $1,200 a week
- Urgently hiring
- Dedicated
- Clean driving record
- Owner-operator
- Disability insurance
- Health insurance
Quick Apply
14d
CDL-A Dedicated Truck Driver
Landair Transport —Darlington, SC
- $1,200 a week
- Urgently hiring
- Dedicated
- Clean driving record
- Owner-operator
- Disability insurance
- Health insurance
Quick Apply
14d
CDL-A Dedicated Truck Driver
Landair Transport —Hartsville, SC
- $1,200 a week
- Urgently hiring
- Dedicated
- Clean driving record
- Owner-operator
- Disability insurance
- Health insurance
Quick Apply
14d
Case Manager
Darlington County Disabilities & Special Needs Board —Hartsville, SC
- Weekends as needed
- Background check
- Experience working with individuals with disabilities
- Word processing
- Health insurance
- Dental insurance
Quick Apply
6d

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advocate jobs near florence, sc

Health Plan Provider Relations Representative

Molina Healthcare -
Florence, SC

Apply Now

Job Details

Full-time
$18.85 - $38.69 an hour
7 days ago

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 South Carolina*_

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.

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: $18.85 - $38.69 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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Refine Your Search

advocate jobs in florence, sc

Health Plan Provider Relations Representative

Case Manager

Guest Advocate (Cashier or Front of Store Attendant/Cart Attendant) (T1452)

On-Demand: Guest Advocate (Cashier), General Merchandise, Fulfillment, Food and Beverage, Style (T1452)

Route Specialist

Navigator Family Advocate

Cafe Associate

Produce Associate

Baker and Packager Associate

Patient Access Representative - Nights 7pm-7am Emergency Department

Director of Community Victim Services Outreach & Training

Prepared Meals and Rotisserie Chicken Associate

Direct Support Manager (QIDP): OIDD - Pee Dee

Victim Advocate

RN Case Manager BONUS

CDL-A Hazmat Team Driver

CDL-A Dedicated Truck Driver

CDL-A Dedicated Truck Driver

CDL-A Dedicated Truck Driver

Case Manager

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