Provider Relations Representative

Job Description

Job DescriptionBenefits:

• Competitive salary
• Dental insurance
• Free uniforms
• Health insurance
• Paid time off
• Training & development
• Vision insurance

Florida Doctors Group is seeking a motivated and professional Provider Relations Representative to join our growing team. This is an exciting, hands-on role for someone who enjoys building relationships, working directly with providers, and supporting contracting and operational processes within a managed care environment.

The ideal candidate is energetic, personable, detail-oriented, and committed to professional growth in a fast-paced healthcare setting.

RESPONSIBILITIES

• Build and maintain strong relationships with providers and medical groups
  
  
• Support provider contracting efforts, including negotiating capitation and risk-based agreements
  
  
• Review and explain contract terms and agreements to providers
  
  
• Conduct in-office provider visits for onboarding, education, and ongoing support
  
  
• Explain financial and operational reports to providers in a clear and effective manner
  
  
• Educate providers on reporting, workflows, and health plan requirements
  
  
• Serve as a liaison between providers and health plans to support communication and issue resolution
  
  
• Assist with provider in-services and ongoing engagement initiatives
  
  
• Maintain accurate documentation and timely follow-up on action items
  
  

REQUIREMENTS

• Prior experience in provider relations, contracting, or managed care
  
  
• Understanding of capitation agreements, risk arrangements, and value-based contracts
  
  
• Experience working directly with providers or medical groups
  
  
• Strong communication and interpersonal skills
  
  
• Professional, confident, and personable demeanor
  
  
• High attention to detail and organizational skills
  
  
• Ability to work independently and in a fast-paced environment
  
  
• Proficiency in Microsoft Excel, Word, PowerPoint, and Adobe Sign
  
  
• Comfortable learning and using systems and preparing reports
  
  

PREFERRED QUALIFICATIONS

• Experience working with MSOs, IPAs, or health plans
  
  
• Familiarity with Medicare Advantage and managed care models
  
  
• Experience explaining financial or operational data to providers
  
  

This role offers strong exposure to provider contracting, managed care operations, and health plan collaboration, with opportunities for growth and professional development.