Top 18 Mgr provider relations Jobs in Florida

Manager of Provider Network Central Florida
Solis Health Plans —Orlando, FL
- $100,000 - $120,000 a year
- Weekends as needed
- Ability to walk for extended periods
- 3 years
- Master's degree
- Health insurance
- Dental insurance
Quick Apply
Senior Project Manager, Provider Engagement Enablement
CVS Health —Florida
- $67,900 - $182,549 a year
- Full-time
- Remote
- 3 years
- Analysis skills
- Bachelor's degree
- Health insurance
- Dental insurance
14d
Physician Relations Manager
University of Miami —Medley, FL
- Full-time
- Customer service
- 5 years
- University
- Health insurance
- Dental insurance
Health Plan Provider Relations Manager (North Central Florida)
Molina Healthcare —Jacksonville, FL
- $60,415 - $117,809 a year
- Full-time
- 6 years
- Mid-level
- Presentation skills
- Health insurance
8d
Account Manager, Provider Relations
MyCare Medical —Lutz, FL
- Spanish
- Microsoft Outlook
- English
Quick Apply
Network Relations Manager – Florida
CVS Health —Florida
- $60,300 - $132,600 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- 3 years
- Health insurance
- Dental insurance
Health Plan Provider Relations Manager (North Central Florida)
Molina Healthcare, Inc. —Perry, FL
- $60,415 - $117,809 a year
- Full-time
- 6 years
- Mid-level
- Presentation skills
- Health insurance
2d
Physician & Community Relations Manager
South Florida Orthopaedics & Sports Medicine PA —Lake Worth, FL
- Full-time
- Marketing
- 5 years
- Bachelor's degree
- Health insurance
- Dental insurance
Associate Provider Network Manager
Liberty Dental Plan Careers —Jacksonville, FL
- $53,000 - $63,000 a year
- Remote
- Bilingual
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- Paid holidays
Quick Apply
Provider Network Manager (Central Florida)
CSTS Customer Service and Technology Solutions LLC —Orlando, FL
- $75,000 a year
- Full-time
- Up to 50% travel
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Quick Apply
1d
Healthcare Business Development Manager / Physician Liaison
Freedom Rehabilitation Enterprises LLC —Naples, FL
- $24,299.09 - $75,299.09 a year
- Full-time
- Customer service
- Physical & Rehabilitation Medicine
- Mid-level
- Flexible schedule
Quick Apply

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Senior Project Manager, Provider Engagement Enablement
CVS Health —Florida
Manage the entire project lifecycle of Medicaid Provider Engagement projects: Includes assessment and interrogation of business needs including product,…
$67,900 - $182,549 a year
14d
Senior Project Manager- Interior Design
52XConsulting —Boca Raton, FL
Conduct site visits, oversee construction progress, resolve field issues, and manage project closeout. Bachelor's or Master's degree in Interior Design,…
$185,000 - $200,000 a year
Quick Apply
3d

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Manager of Provider Network Central Florida

Solis Health Plans -
Orlando, FL

Quick Apply

Job Details

Full-time
$100,000 - $120,000 a year

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching

Qualifications

Staff supervision
Teamwork
Team supervision
Managed care organization experience
Contract management experience in healthcare
Master's degree
Bachelor's degree
Contracts
General management
Negotiation

Full Job Description

POSITION SUMMARY

The Manger of Network Central Florida directs and develops a healthcare provider network. Designs and administer policies and services that comply with all contractual and regulatory requirements. Develops, executes, and maintains a provider network strategy. Works in concert with medical management and sales to develop strategies to meet market growth and medical cost targets. Provides service and education to network physicians/providers.

ESSENTIAL DUTIES AND RESPONSIBILITIES

To perform this job, an individual must perform each essential function satisfactorily, with or without reasonable accommodation, including, but not limited to:

Key Responsibilities

Serves as a communication link between providers and the company.
Serves as a business unit representative on enterprise initiatives around network management and leads projects with significant impact.
Leads a team of department managers in developing and executing strategic departmental initiatives.
Monitors primary care and specialty risk arrangements for Medicaid and Medicare product lines.
Performs data analysis and develops specific actions to manage medical cost trends.
Develops best practice to assist risk partners in managing financial risk.
May work on projects impacting the business unit requiring collaboration with other key areas or serve on enterprise projects around network management.
Identifies areas to improve provider service levels.
Educates/enhances relationships within the provider community.
Manages Network integrity and compliance.
Manages claims projects as necessary/required.
Manages provider loads as necessary/required.
Special projects as assigned or directed.
Prepares financial projections and conducts analysis.

SUPERVISORY RESPONSIBILITY

Yes.

QUALIFICATIONS AND EDUCATION

Required Qualifications

Requires a Bachelor's Degree in Business, Healthcare or related field.
Preferred A Master's Degree in a related field.
Candidate Experience Required:
7 years of experience in the healthcare sector (preferably at HMO or PPO).
5 years of experience in HMO provider/hospital/ancillary contracting and network development.
3 years of management experience.

Preferred Qualifications

Intermediate Demonstrated leadership skills Disciplined, hands-on and process-oriented leader.
Advanced Other Knowledge of regulatory requirements concerning Medicare and Medicaid.
Advanced Other Knowledge of provider contracts and health care reimbursement.
Intermediate Other Understanding of regulatory compliance management and reporting requirements.
Ability to manage complex transactions and service models.
Demonstrated proficiency in establishing and driving medical cost management programs.
Ability to negotiate effectively with internal/external stakeholders, large hospital and physician healthcare systems.

WORKING CONDITIONS

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually moderate.
Works in the field
Interacts with patients, family members, staff, visitors, government agencies, etc., under a variety of conditions and circumstances.

This work requires the following physical activities: climbing, bending, stooping, kneeling, reaching, sitting, standing, walking, lifting, finger dexterity, grasping, repetitive motions, talking, hearing and visual acuity. The work is performed indoors. Sits, stands, bends, lifts, and moves intermittently during working hours. May be sitting for a prolonged period.

The work schedule is approximate, and hours/days may change based on company needs. All full-time employees are required to complete forty (40) hours per week as scheduled, including weekends and holidays as needed. May require some OT during varying seasons of the year.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

The employee must be able to frequently lift up to 10 pounds and occasionally lift and/or move up to 25 pounds. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to stand and walk. The employee is occasionally required to use hands to finger, handle, or feel; reach with hands and arms; climb or balance and stoop, kneel, crouch, or crawl. Specific vision abilities required for this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

PERFORMANCE MEASUREMENTS

Duties accomplished at the end of the day/month.
Attendance/punctuality.
Compliance with Company regulations.
Safety and Security.
Quality of work.

This Job Description may be modified at any time at the discretion of the employer as business operations may deem necessary. This does not constitute an employment agreement and may not include all duties.

The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. The incumbent must be able to work in a fast-paced environment with a demonstrated ability to juggle and prioritize multiple competing tasks and demands and to seek supervisory assistance as appropriate.

Employee Acknowledgement:

I have read this job description and understand what is expected of me while I occupy this role.

Pay: $100,000.00 - $120,000.00 per year

Benefits:

401(k) matching
Dental insurance
Health insurance
Paid time off
Vision insurance

Work Location: In person

Quick Apply

Refine Your Search

mgr provider relations jobs in florida

Manager of Provider Network Central Florida

Senior Project Manager, Provider Engagement Enablement

Physician Relations Manager

Health Plan Provider Relations Manager (North Central Florida)

Account Manager, Provider Relations

Network Relations Manager – Florida

Health Plan Provider Relations Manager (North Central Florida)

Physician & Community Relations Manager

Associate Provider Network Manager

Provider Network Manager (Central Florida)

Healthcare Business Development Manager / Physician Liaison

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