What are the responsibilities and job description for the Provider Relations Specialist ACO- Field based position at ttg Talent Solutions?
Physician Performance Representative (Provider Relations Specialist)
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 :
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
