Provider Relations Representative Jobs in Florida

39 jobs

Qualifications Knowledge: Knowledge of Medicaid and Medicare programs preferred Knowledge of Commercial health plan programs desirable Skills: Microsoft Windows applications Strong customer service skills and techniques Abilities: Negotiate and implement contracts Plan and organize Education: High School Diploma/GED College Degree preferred Experience: At least two (2) years customer...

Provider Relations Representative-1409302 About WellCare: WellCare Health Plans, Inc. is a Fortune 500 company traded on the New York Stock Exchange (symbol: WCG). It provides managed care services targeted to government-sponsored health care programs, including Medicaid, Medicare, Prescription Drug Plans and the Health Insurance Marketplace. Headquartered in Tampa, Fla., WellCare offers a variet...

About Delta Dental Come join the dental benefits leader! Delta Dental of California is part of a holding company formed with Delta Dental of Pennsylvania, Delta Dental of New York and Delta Dental Insurance Company, and their affiliated companies. The holding company members cover nearly 26 million people in 15 states, the District of Columbia and Puerto Rico, providing dental benefits through tr...

Provider Contracting Representative Requisition ID 141007 Business Overview Humana Inc., headquartered in Louisville, Ky., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportuni...

Our Cocoa Beach office is looking for entry-level account representatives. Entry-level reps are responsible for: Work with defined leads and territories presenting AT&T U-verse products as a cost-effective and essential communication solution. Servicing existing customer accounts, obtaining orders and establishing new customer accounts Producing daily sales reports Recommending upgraded produ...

Description Job Description: This is a field-based/remote position and the candidate must reside in the South Florida area. Under minimal direction, perform activities involving provider relations, enrollment, policy review, and medical review. Conducts audits to review accuracy of cost reports and payment of claims. Examines claims and reports to ensure proper recoding of transactions and com...

Jobing Description Requisition Number 15-0376 Post Date 4/30/2015 Title Member Relations Representative Out Bound Call Center City Clearwater State FL Description The Member Relationship Coordinator is responsible for promoting the benefit of and scheduling health risk assessments for customers of health insurance plans. The Member Relationship Coordinator contacts health plan members and s...

Equal Opportunity Employer: Minority/Female/Disability/Veteran Waste Management (WM), a Fortune 250 company, is the leading provider of comprehensive waste and environmental services in North America. We are strongly committed to a foundation of operating excellence, professionalism and financial strength. WM serves nearly 25 million customers in residential, commercial, industrial and municipal ...

Divisional Description The Employer Solutions & Pensions (ES&P) Group provides comprehensive benefit solutions to businesses across the United States. Our expertise and acclaimed, dedicated service across a variety of benefits help manage businesses more effectively, allowing companies to improve employee retention, compete for new talent, and enjoy the efficiency of working with a dedicated and ...

AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation! Does the idea of doing something that really makes a difference in people’s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees? If so, AIDS Healthcare Foundation is the place for you! Founded in 1987,...

Equal Opportunity Employer: Minority/Female/Disability/Veteran Waste Management (WM), a Fortune 250 company, is the leading provider of comprehensive waste and environmental services in North America. We are strongly committed to a foundation of operating excellence, professionalism and financial strength. WM serves nearly 25 million customers in residential, commercial, industrial and municipal ...

CSR is the premier space launch Eastern Range technical services provider. Since 1988 CSR has provided the United States Air Force's 45th Space Wing an exclusive commitment to deliver technical and support services essential to Eastern Range operations at Cape Canaveral, Antigua Auxiliary Air Station and Ascension Auxiliary Air Field. CSR provides technical services required for the safe and timel...

As the only global provider of commercial solutions, Quintiles understands what it takes to deliver nationally and internationally. Our teams help biopharma get their medicines to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product's value to payers, physicians and patients. A significant part of our business is acting as th...

Explore a career with Adecco, the nation’s leading provider for temporary, temp-to-hire and contingency search/permanent placement services. The Adecco Technical Account Executive job performs all sales and customer service activities with assigned clients and territories to increase gross margin dollars. Introduces Adecco and its products to prospects with the goal of developing them into client...

Requisition ID: 14163BR Job Title: Operations Supervisor Hauling - Transportation Division: 3752: All Service Refuse Location: 12002: Ft Lauderdale-751 NW 31st Av City: Ft Lauderdale State: FL Position Type: Full-Time Exempt Status: Exempt Position Summary: Within a division, the Operations Supervisor – Hauling Operations is responsible for supervising the collections activities in one or...

Job Overview: Ideal Candidates will possess the following: *Proven success in telecommuting/remote office setting preferred *Previous corporate staffing coordinator or recruiting experience *Previous experience in healthcare, LTC/SNF preferred *Intermediate to Advanced Technical Skills including MS Office Purpose of Your Job Position As a Consulate employee, you are entrusted with the respo...

Requisition ID: 13545BR Job Title: Operations Supervisor Hauling - Transportation Division: 3639: Gainesville Location: 12009: Lake City-13331 US Hwy 441 S City: Lake City State: FL Position Type: Full-Time Exempt Status: Exempt Position Summary: Within a division, the Operations Supervisor – Hauling Operations is responsible for supervising the collections activities in one or more lines...

Description: Position Description: Reporting to the Payment Policy Supervisor, this position will be responsible for the development and monitoring of reimbursement policies for UHC Community and State across multiple state health plans. This position will also act as the lead liaison/contact for specific markets as assigned and to manage the creation and update of specific payment policies. Th...

POSITION SUMMARY: Oversees the planning, design, development, and implementation of the company-wide compensation and benefit programs, including home office, distribution center and field. Responsible for ensuring these programs meet employee needs, are competitive and current with trends, are in compliance with legal requirements and are cost effective. Lead in the creation of policies, procedu...

Would you like to TRAVEL & have FUN @ WORK? www.BlackRockFL.com SALES AND MARKETING POSITION What if you could travel as part of your career? Black Rock is one of the leading providers of direct sales & marketing here in Central Florida. We are rapidly expanding and looming for someone to start in our Enter Level sales and marketing position! Typically people with a strong work ethic, great at...