Provider Relations Representative, Sr. jobs in Boca Raton, FL

Provider Relations Representative, Sr. supports, develops and maintains service relationships with all participants (physicians, providers and administrators) of a provider network. Responds to electronic and direct inquiries from clients about policies, rates, changes, referrals, eligibility, credentialing, etc. May provide guidance or expertise to less experienced representatives. Being a Provider Relations Representative, Sr. typically requires a bachelor's degree. Typically reports to a supervisor or manager. The Provider Relations Representative, Sr. gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Provider Relations Representative, Sr. typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

Recently Added Provider Relations Representative, Sr. jobs

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Provider Relations Representative
  • ttg Talent Solutions
  • Beach, FL FULL_TIME
  • 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.




    At ttg, “We believe in making a difference One Person at a Time” ttg OPT.
  • 30 Days Ago
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Provider Relations Liaison
  • MD Now
  • Palm Beach Gardens, FL FULL_TIME
  • Introduction Do you have the career opportunities as a Provider Relations Liaison you want with your current employer? We have an exciting opportunity for you to join MD Now which is part of the natio...
  • 5 Days Ago
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Provider Relations Liaison
  • CareNow
  • Beach, FL FULL_TIME
  • Introduction Do you have the career opportunities as a Provider Relations Liaison you want with your current employer? We have an exciting opportunity for you to join MD Now which is part of the natio...
  • 5 Days Ago
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Provider Relations Rep
  • Cano Health
  • Jupiter, FL FULL_TIME
  • this position will Mirror the Provider Support Specialist Rep Position.
  • 1 Month Ago
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Patient Relations Representative
  • Gastro Health
  • Delray Beach, FL FULL_TIME
  • Gastro Health is seeking a Full-Time Patient Relations Representative to join our team! Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers...
  • 1 Day Ago
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Client Relations Representative
  • NSD NEWCO
  • Boca Raton, FL FULL_TIME
  • Description: The Client Relations Representative position is responsible for investigating and resolving complex andsensitive service-related disputes involving customers and clients; analyzing existi...
  • 1 Month Ago
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0 Provider Relations Representative, Sr. jobs found in Boca Raton, FL area

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Client Relations Representative
  • South Shore Specialized Marketing
  • Hialeah, FL
  • Job Description Job Description We are seeking an enthusiastic and dynamic individual to join our team as a Retail Marke...
  • 4/23/2024 12:00:00 AM
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Customer Service Representative - Impound Specialist M-F 11:30-8:00p
  • NSD NEWCO
  • Boca Raton, FL
  • Description Description Description Position: Impound Specialist Report to: Network Supervisor Date: 4/26/19 Department:...
  • 4/22/2024 12:00:00 AM
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Customer Service Representative - Claims M-F 9-5:30p
  • NSD NEWCO
  • Boca Raton, FL
  • Description Nation Safe Drivers is one of the largest suppliers of auto-related, supplemental products since 1962. Our e...
  • 4/22/2024 12:00:00 AM
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Customer Service Representative/Dispatcher (M-F)
  • NSD NEWCO
  • Boca Raton, FL
  • Description Nation Safe Drivers is one of the largest suppliers of auto-related, supplemental products since 1962. Our e...
  • 4/22/2024 12:00:00 AM
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Customer Service Representative/Dispatcher Fri-Mon
  • NSD NEWCO
  • Boca Raton, FL
  • Description Nation Safe Drivers is one of the largest suppliers of auto-related, supplemental products since 1962. Our e...
  • 4/22/2024 12:00:00 AM
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Patient Access Representative 1 (On-Site)
  • University of Miami
  • Boca Raton, FL
  • Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click he...
  • 4/22/2024 12:00:00 AM
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Customer Care Representative
  • Darby Dental Supply
  • Deerfield Beach, FL
  • Who We Are: Darby is an ongoing American success story. Our core values and humble beginnings revolve around personal ho...
  • 4/22/2024 12:00:00 AM
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Patient Service Representative
  • CDI
  • Boca Raton, FL
  • RAYUS Radiology, formerly Center for Diagnostic Imaging and Insight Imaging, is looking for a Patient Service Representa...
  • 4/20/2024 12:00:00 AM
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About Boca Raton, Florida

According to the United States Census Bureau, the city has an area of 29.1 sq mi (75.4 km2), of which 27.2 sq mi (70.4 km2) of this is land and 1.9 sq mi (5.0 km2) of it (6.63%) is water. Boca Raton is a "principal city" (as defined by the Census Bureau) of the Miami metropolitan area. Approximately 1 sq mi is on the barrier island Deerfield Beach Island (DBI), also colloquially known as Deerfield Cay. Like other South Florida cities, Boca Raton has a water table that does not permit building basements, but there are several high points in the city, such as 4th Avenue which is aptly named "Hig...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative, Sr. jobs
$70,021 to $86,835
Boca Raton, Florida area prices
were up 1.5% from a year ago
View detail

What does a Provider Relations Representative, Sr. do?

Provider Relations Representative, Sr. in Kingsport, TN
A job as a Provider Relations Representative falls under the broader career category of Business Operations Specialists, All Other.
February 18, 2020
Provider Relations Representative, Sr. in Sioux City, IA
The PR Rep serves as a liaison between contracted payers, providers and ancillary providers to promote superior customer service and seamless programs.
February 16, 2020
Provides telephonic provider education to new providers.
February 14, 2020
Provider Relations Representative, Sr. in Buffalo, NY
This position provides on-going communication, in-service, orientation, and direction to these contracted provider offices.
February 03, 2020