Top 19 Provider relations 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
Physician Liaison - East
Shriners Hospitals for Children —Tampa, FL
- $73,569.60 - $110,344.00 a year
- Full-time
- Remote
- 18 years or older
- Marketing
- Mid-level
Quick Apply
Physician Relations Specialist - Wesley Chapel Sales Representative
AdventHealth Tampa —Wesley Chapel, FL
- $60,151.66 - $111,886.39 a year
- Full-time
- Background check
- Marketing
- Hospital
- Paid parental leave
- Disability insurance
Sr Physician Relations Specialist - Tampa Sales Representative
AdventHealth Tampa —Tampa, FL
- $60,151.66 - $111,886.39 a year
- Full-time
- Background check
- RN License
- Hospital
- Paid parental leave
- Disability insurance
Account Manager, Provider Relations
MyCare Medical —Lutz, FL
- Spanish
- Microsoft Outlook
- English
Quick Apply
Provider Relations Account Executive
Independent Living Systems —Tampa, FL
- Full-time
- Mid-level
- 3 years
- Master's degree
Quick Apply
Physician Liaison - Central Region
Shriners Hospitals for Children —Tampa, FL
- $73,569.60 - $110,344.00 a year
- Full-time
- Remote
- 18 years or older
- Marketing
- Mid-level
Quick Apply
Marketing Representative/ Physician Liaison
Tampa Pain Relief Center —Tampa, FL
- Full-time
- Communication skills
- Marketing
- Entry level
Quick Apply
2d
Physician Liaison - Tampa
PT Solutions Physical Therapy —Tampa, FL
- $75,000 - $90,000 a year
- Full-time
- Clean driving record
- Marketing
- Customer service
Quick Apply
Physician Liaison
USA Clinics Group —Tampa, FL
- $50,000 - $60,000 a year
- Full-time
- Marketing
- Hospital
- Public speaking
- Dental insurance
- Paid time off
Quick Apply
Provider Relations & Marketing Coordinator
1st Choice Compounding Pharmacy —Holiday, FL
- $20 - $26 an hour
- Full-time
- Mid-level
- Organizational skills
- Contracts
- Health insurance
- Dental insurance
Quick Apply
Director, Provider Network & Analytics
Avalon Administrative Services LLC —Tampa, FL
- Full-time
- Remote
- Analysis skills
- Travel
- Senior level
1d
Clearwater, FL, Provider Liaison- Medical Assistant Temporary
Theoria Medical —Clearwater, FL
- Temporary
- Skilled nursing facility
- Hospital
- Customer service
Quick Apply

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Physician Liaison - East
Shriners Hospitals for Children —Tampa, FL
Actively participates in regional and state professional provider organizations, attends, displays, and coordinates exhibits at associated events to generate…
$73,569.60 - $110,344.00 a year
Quick Apply
Inventory Coord Tech III - Surgical Supply - Days - Bayfront Hospital - St Petersburgh FL
Bayfront Health —Saint Petersburg, FL
Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards.

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Bachelor’s degree in healthcare administration, marketing, business, childhood development, or related field. Collaborate with intake, clinical, and operations…
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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.

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provider relations jobs in tampa fl

Rep, Hospital Provider Relations HP

Physician Liaison - East

Physician Relations Specialist - Wesley Chapel Sales Representative

Sr Physician Relations Specialist - Tampa Sales Representative

Account Manager, Provider Relations

Provider Relations Account Executive

Physician Liaison - Central Region

Marketing Representative/ Physician Liaison

Physician Liaison - Tampa

Physician Liaison

Provider Relations & Marketing Coordinator

Director, Provider Network & Analytics

Clearwater, FL, Provider Liaison- Medical Assistant Temporary

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