Top 61 Program support rep Jobs in Miami, Fl

Rep, Hospital Provider Relations HP
Molina Healthcare —Miami, FL
- $19.84 - $38.69 an hour
- Full-time
- Medical office experience
- Mid-level
- Training & development
- Health insurance
Pharma Account Detail Rep
Access Pharmaceutical —Miami, FL
- Call employer
- Remote
- Fair chance
- Communication skills
- Entry level
Mobile Vehicle Acquisition Specialist I (Mobile Sales Rep)
webuyanycar.com USA —Miami, FL
- From $40,000 a year
- Full-time
- High school diploma or GED
- Driver's License
- Computer skills
- Wellness program
- Fuel card
Quick Apply
Field Representative — Entry Level Sales
USA WINDOWS & DOORS —Davie, FL
- $50,000 - $65,000 a year
- Full-time
- No experience needed
- In-person
- Leadership
- Paid training
- Flexible schedule
Quick Apply
National Director, Medical Partnerships
Sollis Health —Miami, FL
- $175,000 - $190,000 a year
- Call employer
- 5 years
- Writing skills
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
3d
Direct Sales Manager - Base Salary + Full Benefits
Safe Haven Security —Miami, FL
- $120,000 - $200,000 a year
- Full-time
- Mid-level
- Office
- Residential
- Paid training
- Paid holidays
Quick Apply
11d
Pro Sales Associate - Hialeah
Behr Paint Company —Hialeah, FL
- $20.70 - $32.45 an hour
- Full-time
- Bilingual
- Computer literacy
- High school diploma or GED
- Health insurance
- 401(k) 4% Match
14d
Regional Specialist East Central/Southeast Florida
Florida Education Association —Florida
- $76,003 - $128,883 a year
- Email
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- Paid holidays
Quick Apply
Outside Sales Rep - Paid Weekly - Paid Training
Safe Haven Security —Hollywood, FL
- $65,000 - $125,000 a year
- Full-time
- High school diploma or GED
- Driver's License
- Reliable transportation
- Paid training
- Paid holidays
Quick Apply
Outside Sales Rep - Paid Weekly - Paid Training
Safe Haven Security —Fort Lauderdale, FL
- $65,000 - $125,000 a year
- Full-time
- High school diploma or GED
- Driver's License
- Reliable transportation
- Paid training
- Paid holidays
Quick Apply
BioPharma Sales Rep – Entry/Exp.
Immune Biopharma —Sunny Isles, FL
- $83,145 - $121,680 a year
- Online Application
- No travel
- Leadership
- Communication skills
Quick Apply
Member Service Rep
BrightStar Credit Union —Hollywood, FL
- $22 - $25 an hour
- Weekends as needed
- Bachelor of Science
- Office
- High school diploma or GED
- Health savings account
- Health insurance
Sales Account Rep – BioPharma (Entry)
Immune Biopharma —Coconut Grove, FL
- $87,440 - $117,240 a year
- Full-time
- Communication skills
- Marketing
- Entry level
Quick Apply
Inside Sales Rep
United Rentals, Inc. —Miami, FL
- Full-time
- Clean driving record
- Mid-level
- Driver's License
- Paid parental leave
- Health insurance
10d
Entry Level Medical Sales
Rehab Medical —Miramar, FL
- Computer literacy
- Administrative experience
- Bachelor's degree
- Health savings account
- Dental insurance
Quick Apply
14d
Sales Rep - Large Grocery / Mass Merchant / Large Format
PepsiCo Beverages North America —Medley, FL
- $21.96 an hour
- Seasonal
- Background check
- 18 years or older
- Merchandising
- Mileage reimbursement
- Health insurance
12d
Sales Associate, Part Time - Village of Merrick Park, Coral Gables, FL
Vineyard Vines Retail, LLC —Coral Gables, FL
- Part-time
- Merchandising
- Ability to stand for extended periods
- Communication skills
- Employee discount
Quick Apply
Entry Level Business Development Representative
Bisnow —Miami, FL
- $50,000 - $55,000 a year
- Full-time
- Hybrid work
- Research
- Office
- Business development
- Health savings account
- Paid holidays
Quick Apply
Manager, 3P Event Marketing
Ramp —Miami, FL
- $162,000 - $223,000 a year
- Full-time
- Hybrid work
- Team management
- Fair chance
- Senior level
- Travel reimbursement
- AD&D insurance
12d
Retail Merchandising & Display Technician
Channel Partners —Miami, FL
- $22 an hour
- 8 hour shift
- Writing skills
- Merchandising
- Forklift
- Paid training
- Health insurance

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Rep, Hospital Provider Relations HP

Molina Healthcare -
Miami, 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
Schedule management
Health insurance knowledge
Productivity software
Cross-functional collaboration
Cross-functional communication

Full Job Description

JOB DESCRIPTION

**This role will support hospital providers throughout Florida**

Job Summary

Provides support for health plan hospital 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 80%+ same-day or overnight travel (extent of same-day or overnight travel will depend on the specific health plan service area) in N. Florida region

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.

Hospital experience highly preferred

#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

program support rep jobs in miami, fl

Rep, Hospital Provider Relations HP

Pharma Account Detail Rep

Mobile Vehicle Acquisition Specialist I (Mobile Sales Rep)

Field Representative — Entry Level Sales

National Director, Medical Partnerships

Direct Sales Manager - Base Salary + Full Benefits

Pro Sales Associate - Hialeah

Regional Specialist East Central/Southeast Florida

Outside Sales Rep - Paid Weekly - Paid Training

Outside Sales Rep - Paid Weekly - Paid Training

BioPharma Sales Rep – Entry/Exp.

Member Service Rep

Sales Account Rep – BioPharma (Entry)

Inside Sales Rep

Entry Level Medical Sales

Sales Rep - Large Grocery / Mass Merchant / Large Format

Sales Associate, Part Time - Village of Merrick Park, Coral Gables, FL

Entry Level Business Development Representative

Manager, 3P Event Marketing

Retail Merchandising & Display Technician

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