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Customer Relations Representative
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Provider Relations Representative - Doral, United States - Ascendo
Description
Provider Relations Representative ACO, MSO, Managed Care, Medicare Advantage Plans ( Medicare related )Open to Network Management Reps, Contracting or Credentialing Reps Field-based position -3 travel days within the territory/2 days remote Full time - Monday- Friday Must have a reliable auto and an excellent driving record 3 positions:
Miami-Dade, Broward, and Palm Beach ( 1 for each county) ThePhysician Relations Representativeis 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 from a medical insurance carrier)
Experience with an ACO, MSO, Managed Care, Medicare Advantage Planor related is required Must have some previous experience in field-based role 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 (salary under review) plus bonus; Car allowance, 18 days PTO, fully subsidized health benefits, Holidays, 401k Please submit your resume in aWord document.
If you are a match, a ttg Talent Solutions recruiter will contact you by phone, email or text. Please monitor your inbox. Ascendo is a certified minority owned staffing firm, and we welcome and celebrate diversity.Ascendo is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, parental status, military service or any other characteristic protected by federal, state or local law.
Contact information Hector Vargas
Provider Relations Representative professionals in Doral
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Hugo Rodriguez
Finance & Accounting Executive