Job highlights
Identified by Google from the original job post
Qualifications
Specific to ACO/MSO or Medicare Adv Plan experience
2+ years in Provider Relations (Physician Performance), Network Management, and/or Contracting ( open to office-based or Field based experience) in an ACO, MSO, Managed Care, Medicare Advantage Plan or related
Experience in provider education, performance review, improvement plans and account management
Valid driver's license and reliable transportation required
Ability to travel - 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
Must have experience with reports such as: HEDIS, CMS Star Rating System, MLR, MRA - Medicare Risk Adjustment, and a cost or revenue initiative
Bilingual in Spanish and English, for Miami territory
Benefits
Base salary $70k-$80K ( possible bonus) plus expense reimbursement, car allowance, 18 days PTO, fully subsidized health benefits, Holidays, 401k
Responsibilities
Field rep- 3 travel days within the territory (1-2 days remote w/ possible 1 day at the office)
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
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 Retention: 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
Job description
Physician Performance Representative (Provider Relations Specialist)

Specific to ACO/MSO or Medicare Adv Plan experience

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 County ( 33165 and surrounding areas)

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
• 2+ years in Provider Relations (Physician Performance), Network Management, and/or Contracting ( open to office-based or Field based experience) in an ACO, MSO, Managed Care, Medicare Advantage Plan or related
• Experience in provider education, performance review, improvement plans and account management
• Bachelor's degree a plus, not required
• Valid driver's license and reliable transportation required
• Ability to travel - 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
• Must have experience with reports such as: HEDIS, CMS Star Rating System, MLR, MRA - Medicare Risk Adjustment, and a cost or revenue initiative
• Bilingual in Spanish and English, for Miami territory

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 Retention: 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 $70k-$80K ( possible bonus) plus expense reimbursement, car allowance, 18 days PTO, fully subsidized health benefits, Holidays, 401k

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.

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