Managed Care Provider Relations Manager jobs in Melbourne, FL

Summary/Objective:

The Provider Relations Lead, reporting directly to the Provider Relations Manager, will play a key role in overseeing and supporting the recruiting and credentialing teams in identifying and onboarding potential new providers for non-emergency medical transportation and/or on-site interpretation services. This role entails close collaboration with the department manager to establish and uphold objectives while refining existing processes.

Essential Functions:

• Initiate and respond to phone communications with providers regarding service issues.
• Cultivate, maintain, and strengthen the working relationship between the company and providers nationwide.
• Monitor credentialing activities to ensure adherence to compliance standards.
• Evaluate upcoming scheduled assignments and negotiate service costs with current providers.
• Collect pertinent data and generate both scheduled and ad-hoc reports as required.
• Assist in the training and coaching of providers.
• Fulfill additional duties as delegated by management.

Skills:

• Demonstrated ability to collaborate effectively within a team environment.
• Proficiency in process improvement methodologies.
• Strong negotiation capabilities.
• Excellent verbal and written communication skills.
• Adaptability to evolving requirements and priorities in daily and specialized tasks.
• Diligent in verifying, compiling, and following up on information.
• Exceptional organizational aptitude and attention to detail.
• Proficient in Microsoft Office Suite applications.

Qualifications:

• High school diploma or equivalent.
• Previous experience in a related field preferred.

Job Type: Full-time

Salary: $40,000 - $45,000 annually, commensurate with experience

Benefits:

• Monday through Friday schedule
• Paid time off
• Health insurance
• Dental insurance
• Employee Assistance Program
• Life Insurance
• Dental Insurance

This position offers an exciting opportunity for individuals seeking to contribute to the efficient operation of provider relations within a dynamic organization committed to excellence in non-emergency medical transportation and on-site interpretation services. We encourage candidates who meet the qualifications to apply and join our dedicated team.