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Provider Relations Credentialing Manager Jobs in Florida

Chen Medical

Credentialing Manager

Miami Gardens, FL · On-site

We provide big answers to big problems in health care delivery. ChenMed is a full-risk primary care ... The Credentialing Manager is responsible for managing a team of credentialing professionals and is ...

Chen Medical

Credentialing Manager

Miami Gardens, FL · On-site

We provide big answers to big problems in health care delivery. ChenMed is a full-risk primary care ... The Credentialing Manager is responsible for managing a team of credentialing professionals and is ...

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Provider Relations Credentialing Manager information

What is the difference between Provider Relations Credentialing Manager vs Provider Relations Specialist?

AspectProvider Relations Credentialing ManagerProvider Relations Specialist
CredentialsTypically requires certifications like CPCS or equivalent, with experience in credentialingMay have basic healthcare or customer service certifications, less focus on credentialing
Work EnvironmentSupervises credentialing processes, manages teams, and ensures complianceHandles provider inquiries, maintains provider relations, and supports credentialing tasks
Employer & Industry UsageCommon in healthcare organizations, insurance companies, and credentialing firmsFound in healthcare provider offices, insurance companies, and managed care organizations

The Provider Relations Credentialing Manager focuses on overseeing credentialing processes and managing teams, requiring specialized certifications. In contrast, the Provider Relations Specialist primarily supports provider communication and maintains provider relationships, with less emphasis on credentialing certifications.

Infographic showing various Provider Relations Credentialing Manager job openings in Florida as of August 2026, with employment types broken down into 88% Full Time, 11% Part Time, and 1% Contract. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution.

Director, Provider Relations

Miami, FL • On-site

Independent Living Systems
Health Care and Social Assistance • 501 - 1,000 employees
Learn more about Independent Living Systemsexternal

Full-time

Re-posted 22 days ago

Independent Living Systems rating

6.5

Company rating: 6.5 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

Job description

We are seeking a Director, Provider Relations to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.

About the Role:

The Director, Provider Relations plays a pivotal role in establishing and maintaining strong, collaborative partnerships with healthcare providers. The Director, Provider Relations position is responsible for developing strategic initiatives that enhance provider engagement, satisfaction, and network growth to support organizational goals. The Director, Provider Relations requires overseeing contract negotiations, resolving provider issues, and ensuring compliance with regulatory standards to optimize service delivery. The Director, Provider Relations will lead a team dedicated to fostering transparent communication and continuous improvement in provider relationships. Ultimately, the Director, Provider Relations drives the alignment of provider networks with the company’s mission to deliver high-quality, accessible healthcare services.

Minimum Qualifications:

  • Bachelor’s degree in Healthcare Administration, Business, or a related field or 8+ years of directly equivalent experience.
  • Minimum of 5+ years of experience in provider relations, network management, or healthcare administration.
  • Proven experience in contract negotiation and management within the healthcare industry.
  • Strong knowledge of healthcare regulations, payer-provider dynamics, and network development.
  • Demonstrated leadership skills with experience managing teams and driving strategic initiatives.

Preferred Qualifications:

  • Master’s degree in Healthcare Administration, Business Administration, or a related discipline.
  • Experience working with managed care organizations or health insurance providers.
  • Familiarity with healthcare data analytics and performance measurement tools.
  • Certification in healthcare management or related professional credentials.
  • Experience leading provider relations in a multi-state or national healthcare organization.

Responsibilities:

  • Develop and implement comprehensive provider relations strategies to strengthen partnerships and expand the provider network.
  • Lead contract negotiations and renewals with healthcare providers, ensuring favorable terms and compliance with regulatory requirements.
  • Manage and resolve provider inquiries, disputes, and performance issues promptly to maintain positive relationships.
  • Collaborate with cross-functional teams including network management, compliance, and operations to align provider relations initiatives with organizational objectives.
  • Monitor provider satisfaction metrics and implement continuous improvement plans based on feedback and industry best practices.
  • Oversee the training and development of the provider relations team to enhance their effectiveness and professional growth.
  • Stay informed on healthcare industry trends, regulations, and competitive landscape to proactively address challenges and opportunities.
  • Lead team of Account Executives aligned to accomplish the above 


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