Provider Relations Specialist - Fort Myers, United States - Lee Health

    Lee Health
    Lee Health Fort Myers, United States

    1 month ago

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    Description

    Location:Lee Health Corporate Center -4211 Metro ParkwayFort Myers FL 33916

    Department: Business Development and Contracting

    Work Type: Full Time, Salaried/Exempt

    Shift: Shift 1/ to

    Minimum to Midpoint Pay Rate:$57, $74,547.20

    Summary


    This position is responsible for the development and management of tools to ensure timely and accurate access to information that is needed to support LMHS and PHO managed care payor contracts and to support access to appropriate information via the LMHS and PHO website.

    Such information includes physician participation in managed care payor contracts for LMHS employed physicians and PHO participating physicians, master list of all managed care payor agreements for all LMHS entities, tracking mechanism for contract renewal dates and tracking for expired contracts.

    Must ensure all relevant information can be formatted into a variety of report structures for different needs of the organization.

    Also maintains comprehensive fee schedule data to allow for assessment of physician payment structures and participates in analyzing such structures.

    Also responsible for performing provider relations activities, dissemination of contractual information to essential parties, monitoring contract compliance, and developing and maintaining relationships with key managed care entities in the market.

    This position has a hybrid schedule.

    Requirements

    Educational Requirements

    Degree/Diploma Obtained
    Program of StudyRequired/
    Preferredand/or
    Bachelor's
    ScienceRequiredor
    Bachelor's
    ArtsRequired

    Experience Requirements

    Minimum Years Required
    Area of ExperienceRequired/
    Preferredand/or
    4 Years
    Marketing/Sales/Provider RelationsRequiredor
    4 Years
    Physician Practice ManagementRequired

    Managed Care and contract negotiation experience strongly preferred.

    State of Florida Licensure Requirements

    Licenses
    Required/
    Preferredand/or
    Not Required

    Certifications/Registration Requirements

    Certificates/Registrations
    Required/
    Preferredand/or


    US:
    FL:Fort Myers