Managed Care Provider Relations Manager jobs in Miami, FL

Managed Care Provider Relations Manager develops, manages, and sustains relationship with members of physician network of managed care service providers. Recruits new physicians and manages the credentialing and orientation process. Being a Managed Care Provider Relations Manager serves as a resource for physicians, answering questions and providing information about network procedures or contracts. Monitors provider performance and resolves any issues. Additionally, Managed Care Provider Relations Manager reviews billings and claims payments according to managed care contracts. Requires a bachelor's degree. Typically reports to the head of a unit/department. The Managed Care Provider Relations Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Managed Care Provider Relations Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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Managed Care Coordinator
  • All County Staffing Dade
  • Miami, FL FULL_TIME
  • Job Summary: We are seeking a highly organized and detail-oriented individual to join our team as a Patient Care Coordinator. As a Patient Care Coordinator, you will play a crucial role in providing administrative support and ensuring the smooth operation of our medical office or dental office. Responsibilities: - Greet and check-in patients, ensuring a positive and welcoming experience - Schedule appointments and manage the appointment calendar - Answer phone calls and respond to patient inquiries - Verify insurance coverage and obtain necessary authorizations - Maintain patient records and update information as needed - Assist with billing and payment processing - Coordinate referrals to specialists or other healthcare providers - Collaborate with healthcare professionals to ensure efficient patient care - Perform general office duties, such as filing, faxing, and scanning documents Skills: - Strong knowledge of medical terminology and procedures - Experience working in a medical office or dental office setting preferred - Proficient in using office software (e.g., Microsoft Office Suite) - Excellent organizational skills and attention to detail - Strong communication and interpersonal skills - Ability to multitask and prioritize tasks effectively This is a full-time position with competitive pay based on experience. We offer opportunities for professional growth and development within our organization. If you are passionate about providing exceptional patient care and thrive in a fast-paced environment, we would love to hear from you. Please note that all positions at our company are paid positions, including internships. To apply, please submit your resume highlighting your relevant experience in medical administrative support.

    Job Type: Full-time

    Pay: $20.00 - $30.00 per hour

    Expected hours: 8 per week

    Schedule:

    • Monday to Friday

    Work setting:

    • In-person

    Work Location: In person

  • 1 Day Ago

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PBM / Managed Care Pharmacist
  • Pharmacy Careers
  • Miami, FL FULL_TIME
  • We are currently seeking a skilled and motivated Pharmacist with expertise in Pharmacy Benefit Management (PBM) and Managed Care. In this pivotal role, you will be responsible for overseeing medicatio...
  • 1 Month Ago

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Financial Specialist, Managed Care
  • Independent Living Systems
  • Miami, FL FULL_TIME
  • ABOUT USJoin us in making a career in Independent Living Systems, an industry leader in managing home and community-based programs for over 20 years. Independent Living Systems, LLC and its subsidiari...
  • 1 Month Ago

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Provider Relations Specialist
  • Genuine Health Group LLC
  • Miami, FL FULL_TIME
  • Summary:The Provider Relations Specialist is responsible for developing, maintaining, and servicing a high quality, marketable and satisfied provider network within an assigned geographic area. In add...
  • 18 Days Ago

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Representative, Provider Relations
  • Independent Living Systems
  • Miami, FL FULL_TIME
  • ABOUT USJoin us in making a career in Independent Living Systems, an industry leader in managing home and community-based programs for over 20 years. Independent Living Systems, LLC and its subsidiari...
  • 1 Month Ago

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Account Executive, Provider Relations
  • Independent Living Systems
  • Miami, FL FULL_TIME
  • ABOUT USJoin us in making a career in Independent Living Systems, an industry leader in managing home and community-based programs for over 20 years. Independent Living Systems, LLC and its subsidiari...
  • 1 Month Ago

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0 Managed Care Provider Relations Manager jobs found in Miami, FL area

Miami, officially the City of Miami, is the cultural, economic and financial center of South Florida. Miami is the seat of Miami-Dade County, the most populous county in Florida. The city covers an area of about 56.6 square miles (147 km2), between the Everglades to the west and Biscayne Bay on the east; with a 2017 estimated population of 463,347, Miami is the sixth most densely populated major city in the United States. The Miami metropolitan area is home to 6.1 million people and the seventh-largest metropolitan area in the nation. Miami's metro area is the second-most populous metropolis i...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Provider Relations Manager jobs
$97,366 to $140,453
Miami, Florida area prices
were up 2.9% from a year ago

Managed Care Provider Relations Manager in Atlantic City, NJ
No industry wants to be called inflexible, incompetent, arrogant, greedy, unresponsive, pushy, unethical, or careless, but that's how hospitals and physician groups described managed care companies in a recent survey.
February 11, 2020
Managed Care Provider Relations Manager in Fort Wayne, IN
Brandon Edwards, the head of Davies' healthcare division, says providers would prefer better relationships with payers.
January 08, 2020
Managed Care Provider Relations Manager in Birmingham, AL
Providers "want legitimate, honest P4P programs, data exchange, streamlined business processes, and clarity.
November 28, 2019