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Provider Network Director Jobs in Florida (NOW HIRING)

Paradigm

Provider Contract Manager

Tampa, FL · On-site

$100K - $120K/yr

Focus on growth, efficiency and performance of underdeveloped network segments/geographic locations by product line as assigned. * Directly manage, provide leadership and mentoring to any direct ...

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Provider Network Relations Quality Specialist

Acuity International, LLC

Cape Canaveral, FL • On-site

Full-time

Re-posted 15 days ago

Job description

Our vision aims to empower our clients by actively leveraging our broad range of services. With our global presence, we have career opportunities all across the world which can lead to a unique, exciting and fulfilling career path. Pick your path today! To see what career opportunities we have available, explore below to find your next career!
Please be aware of employment scams where hackers pose as legitimate companies and recruiters to obtain personal information from job seekers. Please be vigilant and verify the authenticity of any job offers or communications. We will never request sensitive information such as Social Security numbers or bank details during the initial stages of the recruitment process. If you suspect fraudulent activity, contact us directly through our official channels. Stay safe and protect your personal information.
Job Summary:
This position is responsible for providing administrative support and maintaining all facility records within Acuity's worldwide provider network. Strong documentation, interpretation, critical thinking, and follow-up are essential activities of this position. Daily interactions will include phone calls and email correspondence to facility staff members, and internal Acuity employees.
Whether the position or person is suitable for remote or hybrid work is based on the nature of the job duties, contract, and/or management's discretion.
Hours: Shift will be Monday through Friday 12:00pm - 8:00pm EST.
Duties and Responsibilities:
  • Ensure ongoing provider network data accuracy through regular reconciliation of the Provider Information Network Systems (PINS) and SharePoint sites.

  • Review, research, and respond to provider network requests submitted through the Provider Information Network System (PINS) ticketing system.

  • Act as a liaison and prioritize resolution of facility invoice inquiries and invoice redirects.

  • Effectively take ownership of managing individual workloads.

  • Participate in discussions to identify and offer potential solutions to complex issues.

  • Prioritize and pivot with ease as directed by management when new tasks are assigned.

  • Adhere to program specific protocols, processes, and policies.

  • Meet or exceed established standards on a consistent basis for quality, customer service, productivity, and service level guidelines.

  • Track provider network issues, progress and status for reporting to management.

  • Professionally interact with all Provider Network departments in support of the medical examination line of business, and the maintenance of relationships with providers.

  • Support Business Development by pulling network coverage reports and creating maps of our network based on client locations.

Qualifications:
  • High School diploma with 1 year of relevant experience (provider relations, network management, customer service, or quality assurance) required.

  • Proven conflict resolution experience required.

  • Proficiency with computers and common office equipment, as well as with MS Office products required.

  • Must have excellent verbal and written communication skills.

  • High level of organization, strong analytical/problem-solving, and attention to detail.

Preferred Qualifications:
  • Medical, dental, or healthcare network and/or insurance experience preferred.

Physical Requirements and Work Conditions:
  • Work is normally performed in a typical interior/office work environment.

  • Remote work requires dedicated office space.

  • Work involves sitting for prolonged periods of time.

  • May require bending and lifting up to 15 lbs.

Acuity International is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, age, disability, or protected veteran status.
For OFCCP compliance, the taxable entity associated with this job posting is:
Acuity-CHS, LLC
Acuity International logo

About Acuity International

Sourced by ZipRecruiter

Established in Reston, VA, US, Acuity International is an industry leader in providing advanced technology solutions and integrated logistics. The company prides itself on offering clients consulting services, software development, systems engineering, and strategic planning. Founded on the principle of delivering exceptional client service, Acuity International has since its inception been committed to adding value to its clients' businesses through thoughtful planning, product invention, and strategic partnerships.

Industry

It services

Company size

5,001 - 10,000 Employees

Headquarters location

Reston, VA, US

Year founded

2021

Social media

Facebook

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