Demo

ACO Provider Relations Rep Field based- Miami

ttg Talent Solutions
FL Full Time
POSTED ON 4/27/2025
AVAILABLE BEFORE 5/23/2025

ACO Provider Relations Rep

Family Medicine / Internal Medicine Offices

Full time - Monday- Friday

Field rep- 3 travel days within the territory (1-2 days remote w / possible 1 day at the office)

Open territory :  Miami- Dade Territory

Working with PCP and IM on their performance scores - Must be LOCAL candidates only- Miami, Florida Area

The Physician Relations Representative is 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 for Medicare patients.

Requirements

  • Must have at least 2 years in Provider Relations, Network Management, or contracting within an ACO (Accountable Care Organization) or HMO (Managed Care Organization) Or Medicare Adv Plan with a proven record of working with Providers and their Office Managers
  • Must be extremely knowledgeable to discuss results in the areas of  Medical Loss Ratio, Risk Adjustment Factor, Star Rating, HEDIS and other s ( preferably field based experience)
  • Bachelor's degree a plus
  • Valid driver's license and reliable transportation required w / clean driving record)
  • 3 days in the field / 2 admin days remote (Full-time M- F)
  • 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
  • Bilingual in English and Spanish is highly desired
  • Must have a background and be able to pass a drug screen

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 Retentio n : 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 up to $80K ( possible bonus) plus expense reimbursement, car allowance, 18 days PTO, fully subsidized health benefits, Holidays, 401k

    Apply :

    Only apply if you match the requirements above.  It must be indicated on your resume the types of performance sources you specialize in such as Medical Loss Ratio, Risk Adjustment Factor, Star Rating, HEDIS and others .

    Please submit your resume in a word document.   If you are a match, a ttg Talent Solutions recruiter will contact you by phone, email or text. Please monitor your inbox, VM, and spam for messages.

    At ttg,  “We believe in making a difference One Person at a Time”  ttg OPT.

    ttg Talent Solutions is an Equal Opportunity Employer and recruiting agency. We are committed to creating an inclusive and diverse work environment and welcome applications from all qualified candidates regardless of race, color, religion, gender, sexual orientation, national origin, age, disability, or veteran status. Please note that all offers of employment are contingent upon the successful completion of a drug test and background check. We maintain a drug- and substance-free workplace to ensure the safety and well-being of all employees.

    Salary : $80,000

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