Provider Network Specialist jobs in Miami, FL

Provider Network Specialist coordinates and evaluates the contracts of a healthcare provider network. Participates in the negotiation of contracts and prepares reports and analysis of contract details and statistics. Being a Provider Network Specialist distributes contract information, status updates, and other information within the organization. Requires a bachelor's degree. Additionally, Provider Network Specialist typically reports to a manager or head of a unit/department. The Provider Network Specialist gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Provider Network Specialist typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Business Development Manager
  • Provider Network Solutions
  • Doral, FL FULL_TIME
  • Position Summary

    As the Business Development Manager, your role is pivotal in driving strategic growth initiatives, identifying new revenue opportunities, and fostering strong stakeholder relationships. With a foundation in comprehensive business development strategies, this position exercises independent judgment in evaluating new business prospects, reviewing data analysis for profitability, and actively seeking opportunities for strategic partnerships while continuously sourcing and closing new business leads. The ideal candidate has a history of bringing on new business, meeting new contract quotas, and embracing the challenges with outbound prospecting in a competitive market. In conjunction with the VP of Business Development & Marketing, you'll lead the business development efforts, oversee project implementations, and contribute to expanding our market footprint.

    Duties and Responsibilities

    • Serve as front-facing and highly visible BD representative; ability to build trusted relationships with health plan executives and independent physicians that result in new partnership opportunities for the company.
    • Develop new contract opportunities through networking and converting them into long-term partnerships.
    • Remain in frequent contact with prospects to understand their needs.
    • Seeks the development and execution of strategic business development plans aligned with company objectives.
    • Alongside the business development management team, reviews data analysis for new business opportunities, determining profitability and strategic plan implementation.
    • Responsible for new business development projects, providing clear roadmaps for successful implementation.
    • Cultivate and maintain long-term relationships with stakeholders, ensuring mutual goals are achieved.
    • Assist in expansion efforts with existing business partners, coordinating data evaluation with internal departments.
    • Collaborates with the Network Management Team & VP of Business Development & Marketing to increase PCP/MSO provider referrals to the FFS business model.
    • Explore opportunities for lateral specialty expansion with current business partners to enhance new revenue streams.
    • Collaborate with the VP of Business Development & Marketing, CEO, and executive team to execute innovative business models, increase revenue, and expand the organization's market footprint.

    Knowledge

    • Bachelor's Degree or 10 years of relevant Healthcare experience
    • Knowledge of contract negotiations
    • Knowledge of provider and ancillary contracts and expertise in healthcare reimbursement
    • Understanding of regulatory compliance management and reporting requirements
    • Understanding of Geo Access accessibility & access standards
    • Keen insights into the psychology of persuasion and communication

    Skills

    • Excel in a fast-paced, dynamic environment, adjusting strategies to meet market demands.
    • Ability to manage complex transactions and service models.
    • Ability to negotiate effectively with internal/external stakeholders, providers, large hospital, and physician healthcare system.
    • Skilled communicator with ability to effectively present information and respond to questions among a variety of audiences.

    Job Type: Full-time

    Pay: $90,000.00 per year

    Benefits:

    • 401(k)
    • Dental insurance
    • Flexible spending account
    • Health insurance
    • Health savings account
    • Life insurance
    • Paid time off
    • Parental leave
    • Tuition reimbursement
    • Vision insurance

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Experience:

    • Healthcare: 3 years (Required)

    Language:

    • English (Required)

    Ability to Commute:

    • Doral, FL 33178 (Required)

    Work Location: Hybrid remote in Doral, FL 33178

  • 12 Days Ago

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Medical Economics Analyst II
  • Provider Network Solutions
  • Doral, FL FULL_TIME
  • * In person - Not remote - Authorization to work in the US required * Position Summary Responsible for supporting the Medical Economics Director with the overall data analysis activities related to Bu...
  • 12 Days Ago

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Provider/ Healthcare Network Development Manager
  • Alivi
  • Miami, FL FULL_TIME
  • JOB SUMMARY The Network Development Manager focuses on building Specialty Benefits Networks across multiple Markets/States considering cost negotiations and adequacy to support membership volume by Le...
  • 2 Days Ago

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Network Operations Specialist
  • Medrina
  • Miami, FL FULL_TIME
  • Job Summary: The Network Operations Specialist assists in developing and executing the strategy and performance of the provider network and network outcomes. This is a collaborative role requiring cri...
  • 1 Month Ago

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Provider Enrollment Specialist
  • Pinnacle Wound Management
  • Miami, FL FULL_TIME
  • Pinnacle Wound Management is looking for an experienced Healthcare credentialing coordinator/provider Enrollment to join our team. Pinnacle Wound Management and its national network of affiliated woun...
  • 12 Days 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...
  • 1 Month Ago

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0 Provider Network Specialist jobs found in Miami, FL area

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Network Engineer
  • Cordis
  • Hialeah, FL
  • Overview: About Us: Cordis is an independent, customer-focused global provider of interventional cardiovascular medical ...
  • 3/28/2024 12:00:00 AM

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Network Engineer - IT - Florida
  • Isotropic Network
  • Fort Lauderdale, FL
  • **This is an onsite position and not remote** Mission Statement Connecting the Planet Isotropic Networks is a Global Pro...
  • 3/28/2024 12:00:00 AM

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Network Engineer IV
  • SCCU
  • Hollywood, FL
  • Space Coast Credit Union (SCCU), the 3rd largest credit union in Florida, is looking for a Network Engineer IV to join o...
  • 3/27/2024 12:00:00 AM

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Network Engineer
  • Contact Government Services, LLC
  • Hollywood, FL
  • Network Engineer Employment Type: Full Time, Experienced level Department: Information Technology CGS is seeking an expe...
  • 3/26/2024 12:00:00 AM

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Provider Network Specialist-Hearing
  • NationsBenefits, LLC
  • Fort Lauderdale, FL
  • At NationsBenefits, we are committed to helping health plan members achieve a better quality of life through supplementa...
  • 3/25/2024 12:00:00 AM

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Network Engineer
  • Cambridge International Systems Inc
  • Miami, FL
  • When you join the Cambridge team, you are part of a skilled and talented global community that is united by a set of cor...
  • 3/25/2024 12:00:00 AM

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Network Engineer - F5
  • Millennium Management LLC
  • Miami, FL
  • Network Engineer - F5 The ideal candidate will focus on engineering and operations for Network Security in a highly dema...
  • 3/25/2024 12:00:00 AM

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Network Engineer
  • Booz Allen Hamilton
  • Miami, FL
  • A well-designed and secure network is critical to moving data and enabling DoD to achieve its mission, but how can an or...
  • 3/24/2024 12:00:00 AM

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 Provider Network Specialist jobs
$57,084 to $85,367
Miami, Florida area prices
were up 2.9% from a year ago

Provider Network Specialist in Springfield, MO
As the liaison between provider and the health plan, candidates are tasked with ensuring improved revenue generated and patient quality score.
December 16, 2019
Provider Network Specialist in Stamford, CT
Previous experience in a network development, provider recruitment or provider contracting.
December 04, 2019
Provider Network Specialist in Fort Wayne, IN
In this position, employees will be expected to perform benefits analysis and create reports on provider performance to support the needs of the analysis found.
January 18, 2020