Top 85 Program support rep Jobs in Tampa, Fl

Rep, Hospital Provider Relations HP
Molina Healthcare —Tampa, FL
- $19.84 - $38.69 an hour
- Full-time
- Medical office experience
- Mid-level
- Training & development
- Health insurance
Entry Level Medical Sales
Rehab Medical —Tampa, FL
- Computer literacy
- Administrative experience
- Bachelor's degree
- Health savings account
- Dental insurance
Quick Apply
STINGRAI Field Service Rep
HII —Tampa, FL
- $71,126 - $125,000 a year
- Email
- Mid-level
- Master's degree
- High school diploma or GED
- Paid holidays
- Health insurance
Inside Sales Rep
United Rentals, Inc. —Tampa, FL
- Full-time
- Clean driving record
- Merchandising
- Driver's License
- Paid parental leave
- Health insurance
Call Center Rep ON SITE - Clearwater, FL
CCS —Clearwater, FL
- Weekends as needed
- Computer literacy
- High school diploma or GED
- Typing
- Paid holidays
- Health insurance
10d
Consumer Access Specialist ED Nights: Tuesday-Saturday 11pm-730am
AdventHealth Tampa —Tampa, FL
- $16.63 - $26.60 an hour
- Full-time
- Background check
- Spanish
- High school
- Paid parental leave
- Disability insurance
Consumer Access Specialist Brandon ED Nights: Sunday-Tuesday 7pm-730am
AdventHealth Tampa —Tampa, FL
- $16.63 - $26.60 an hour
- Full-time
- Background check
- Spanish
- High school
- Paid parental leave
- Disability insurance
Sales Detail Rep – Pharmaceutical
Immune Biopharma —Lutz, FL
- $87,090 - $116,890 a year
- Online Application
- Mid-level
- No travel
- Leadership
Quick Apply
Medical Office Rep - Float Team Physician Offices
BayCare —Tampa, FL
- Full-time
- Float pool
- High school diploma or GED
- Home Health
- Health insurance
- Dental insurance
Renewable Energy Advisor
Axia Qcells —Tampa, FL
- $85,000 - $450,000 a year
- Choose your own hours
- Bilingual
- Microsoft Word
- Serving
- Opportunities for advancement
- Flexible schedule
Quick Apply
1d
Senior VDI Administrator
Leidos —Tampa, FL
- $92,300 - $166,850 a year
- Full-time
- Azure
- Master's degree
- 8 years
District Sales Manager
SPF Screens & Awnings —Tampa, FL
- $100,000 - $115,000 a year
- Evenings as needed
- Remote
- Customer service
- Mid-level
- 3 years
- Disability insurance
- Dental insurance
Quick Apply
11d
Customer Sales & Service Rep I – Bilingual Preferred (English/Spanish)
SiteOne Landscape Supply —Tampa, FL
- Full-time
- Inventory management
- Merchandising
- Residential
5d
Roofing Sales Manager in Training
GreenTek Roofing & Solar —Wesley Chapel, FL
- $80,000 - $105,000 a year
- Full-time
- Mid-level
- Mentoring
- Recruiting
- Health insurance
- Dental insurance
Quick Apply
9d
Director of Sales (Remote)
Michael & Associates, Attorneys at Law —Florida
- $150,000 - $200,000 a year
- Full-time
- No degree
- Mentoring
- In-person
Quick Apply
Senior Outside B2B Sales Executive
Wholesale Payments —Florida
- $93,489 - $223,999 a year
- Full-time
- Remote
- Business development
- Fair chance
- Senior level
- Paid training
- Health savings account
Quick Apply
Outside Sales Rep - Paid Weekly - Paid Training
Safe Haven Security —Plant City, 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 —Tarpon Springs, 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
Consumer Access Specialist ED Part-time Nights Friday-Saturday 7pm-730am
AdventHealth Tampa —Tampa, FL
- $16.63 - $26.60 an hour
- Part-time
- Background check
- Spanish
- High school
- Paid parental leave
- Disability insurance
4d
Merchandiser Meta Representative - PT
ActionLink —Tampa, FL
- From $18 an hour
- Part-time
- Computer literacy
- Merchandising
- Mid-level
- Travel reimbursement
- Paid training
Quick Apply
11d

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Rep, Hospital Provider Relations HP

Molina Healthcare -
Tampa, 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 tampa, fl

Rep, Hospital Provider Relations HP

Entry Level Medical Sales

STINGRAI Field Service Rep

Inside Sales Rep

Call Center Rep ON SITE - Clearwater, FL

Consumer Access Specialist ED Nights: Tuesday-Saturday 11pm-730am

Consumer Access Specialist Brandon ED Nights: Sunday-Tuesday 7pm-730am

Sales Detail Rep – Pharmaceutical

Medical Office Rep - Float Team Physician Offices

Renewable Energy Advisor

Senior VDI Administrator

District Sales Manager

Customer Sales & Service Rep I – Bilingual Preferred (English/Spanish)

Roofing Sales Manager in Training

Director of Sales (Remote)

Senior Outside B2B Sales Executive

Outside Sales Rep - Paid Weekly - Paid Training

Outside Sales Rep - Paid Weekly - Paid Training

Consumer Access Specialist ED Part-time Nights Friday-Saturday 7pm-730am

Merchandiser Meta Representative - PT

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