Provider Relations Representative jobs in Boca Raton, FL

Physician Relations Representative
Full time - Monday- Friday
Field rep- 3 travel days within the territory
3 positions: Miami-Dade, Broward, Palm Beach


The Physician Relations Representative is responsible for fostering a strong and satisfied network of healthcare providers in a designated area. They serve as the main liaison between practices, the company, and health plan partners. Their main focus is to work closely with providers to improve performance in areas like cost reduction, revenue optimization, quality enhancement, and provider satisfaction.

Requirements

• 4 years in healthcare or a related field
• 2 years in Provider Relations, Network Management, Contracting, or Credentialing
• Experience with an ACO, MSO, Managed Care, Medicare Advantage Plan or related
• Bachelor's degree in Marketing, Healthcare or related ( or work experience)
• Valid driver's license and reliable transportation required
• Ability to travel up to 60% within designated counties- 3 days in the field/ 2 admin days remote
• Strong interpersonal and communication skills
• Experience in presentations
• Analytical and problem-solving skills
• Time management and organizational skills
• Attention to detail and reliability
• Proficiency in MS Office programs and Excel
• Knowledge of HEDIS, CMS Star Rating System, and Medicare Risk Adjustment preferred
• Bilingual in Spanish and English, for Miami territory

Key Responsibilities:

• Provider Education and Support: Provide comprehensive education and tools to help providers meet quality and financial goals.
• Accountability and Performance: Understand and improve the financial performance of practices, ensuring they meet key performance indicators.
• Provider Training and Orientation:Conduct orientation sessions and ongoing training for providers and their staff.
• Provider Retention: Work to retain providers by ensuring their satisfaction with the organization.
• Provider Collaboration: Facilitate meetings to enhance patient outcomes and operational efficiencies.
• Performance Improvement Plans:Develop, implement, and monitor improvement plans for provider groups.
• Provider Negotiations:Negotiate contract terms and analyze proposals.
• Communication and Issue Resolution: Maintain open communication channels and resolve issues promptly.
• Strategic Planning: Collaborate to implement strategic interventions.
• Onsite Provider Visits: Spend most of the workweek visiting providers, with clear objectives for each visit.
• Engagement with Specialists: Focus on engaging high-quality specialists and improving coordination of care.

Compensation:
Base salary $70K (salary under review) plus bonus; $350 Car allowance, 18 days PTO, fully subsidized health benefits, Holidays, 401k

Please submit your resume in a word document . If you are a match, a ttg Talent Solutions recruiter will contact you by phone, email or text. Please monitor your inbox.




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