Job DescriptionDescription
. In order to achieve our vision and deliver our mission, we need the best primary care providers and clinical leaders that are seeking to fulfill purpose and personal opportunity and join the team.
North Miami Beach, Florida30+ days ago
We draw on the expertise and hearing care services of more than 360 hearing centers across the U.S. HearUSA is also part of the WS Audiology (WSA) family, a global leader with over 11,000 employees in 125 markets and 2 global headquarters. ESSENTIAL DUTIES AND RESPONSIBILITIES: Perform comprehensive hearing evaluation, hearing aid selection and fitting for all clients, employing best practices as defined by our client-centric service model of Simply Excellent Hearing Care.
p>Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.
Description Specialization:Urgent CareUrgent Care Emergency MedicineUrgent Care Family MedicineUrgent Care Internal Medicine PediatricsJob Summary:MD Now Urgent Care is seeking a board-certified, Full-Time physician assistant or nurse practitioner to join our Miami-Dade County, Florida Market, specifically out of our Homestead clinic location. Incentive/Benefits Package: Competitive compensationFlexible hours; great work/life balanceOutpatient only with no hospital rounds or ER callComprehensive benefits packagePTO including paid time off for CMEPaid medical malpractice About MD Now Urgent Care: MD Now is the largest and fastest growing provider of Urgent Care in Florida.
Southeast, FL30+ days ago
Inpatient Management: Comprehensive evaluation, treatment, and documentation of all cardiothoracic surgery patients in the Pre-operative, intraoperative and postoperative periods as well as follow-up after discharge to ensure there is continuity of care in patient management. Cleveland Clinic Martin North Hospital has an opportunity for a Physician Assistant or Nurse Practitioner to join our Cardiothoracic Surgery team at Cleveland Clinic Martin North in Stuart Florida.
Hollywood, FL30+ days ago
The selected candidate will collaborate with a multidisciplinary team of intensivists to provide highly specialized care for patients requiring close observation and around-the-clock monitoring for a range of complex conditions. Memorial Intensivist Group at the Memorial Healthcare System is seeking a motivated and dynamic Nurse Practitioner or Physician Assistant, dedicated to night shifts, to join its team.
li>Enrolls and maintains managed care enrollment by providing updates to the health/payor plans and will resolve errors and issues by coordinating with the plans, the CBO and the Managed Care contracting department. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.
p>EDUCATION AND EXPERIENCE CRITERIA: - Bachelor's degree in Nursing (BSN) and graduate of a school of nursing for Advanced Practice Nursing with certification in area of specialty required; Master's degree in Nursing required.
- Proficient skill in Microsoft Office Suite products including Excel, Word, PowerPoint and Outlook; competent in keyboarding and other systems required for the position.
Sr Rep, Provider Relations HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Orlando, etc) Molina Healthcare Inc
Sr Rep, Provider Relations HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Orlando, etc)Miami, FL30+ days ago
Performs an integral role in network management, by monitoring and enforcing company policies and procedures, while increasing provider effectiveness by educating and promoting participation in various Molina initiatives; examples of such initiatives include: administrative cost-effectiveness, member satisfaction - Consumer Assessment of Healthcare Providers and Systems (CAHPS), regulatory-related, Molina quality programs, and taking advantage of electronic solutions (electronic data interchange (EDI), EMR, provider portal, provider website, etc.). Independently delivers training and presentations to assigned providers and their staff - answering questions that come up on behalf of the health plan; may also deliver training and presentations to larger groups, such as leaders and management of provider offices, including large multispecialty groups or health systems, executive level decision makers, association meetings, and joint operating committees (JOCs).
p>MinuteClinic is proud to hold the American Nurses Credentialing Center (ANCC) Pathway to Excellence designation, recognizing our commitment to a healthy work environment through Transformational Leadership, Quality, Safety, Shared Governance, Well-being, and Professional Development. As the largest retail health care provider in the nation and a Fortune Top 10 industry leader, MinuteClinic offers a unique opportunity to deliver affordable, accessible, and comprehensive high‑quality care to patients, families, and communities.
Provider Relations Rep HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Destin, Orlando, etc) Molina Healthcare Inc
Provider Relations Rep HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Destin, Orlando, etc)FL30+ days ago
li>Performs an integral role in network management, by monitoring and enforcing company policies and procedures, while increasing provider effectiveness by educating and promoting participation in various Molina initiatives; examples of such initiatives include: administrative cost-effectiveness, member satisfaction - Consumer Assessment of Healthcare Providers and Systems (CAHPS), regulatory-related, Molina quality programs, and taking advantage of electronic solutions (electronic data interchange (EDI), EMR, provider portal, provider website, etc.). Independently delivers training and presentations to assigned providers and their staff - answering questions that come up on behalf of the health plan; may also deliver training and presentations to larger groups, such as leaders and management of provider offices, including large multispecialty groups or health systems, executive level decision makers, association meetings, and joint operating committees (JOCs).
p>The Manager, Advanced Practice Providers, Telehealth is responsible for overseeing the team of NPs, PAs and other Advanced Practice Providers (APPs) delivering telehealth services. The incumbent in this role manages staff performance, ensures the quality of care, ongoing education, coordinates with interdisciplinary teams and contributes to the development and implementation of telehealth strategies and protocols.
Miramar, Florida25 days ago
p>The Provider Relations Specialist contributes to the overall success of the team by providing a high level of customer service, administrative support, provider training and project coordination throughout the process and full cycle scope of services in coordination and billing. The incumbent will be responsible for providing Provider Relations administrative support and coordination of associated documentation for all DME & Home Health downstream providers of our portfolio of business.
Performs an integral role in network management, by monitoring and enforcing company policies and procedures, while increasing provider effectiveness by educating and promoting participation in various Molina initiatives; examples of such initiatives include: administrative cost-effectiveness, member satisfaction - Consumer Assessment of Healthcare Providers and Systems (CAHPS), regulatory-related, Molina quality programs, and taking advantage of electronic solutions (electronic data interchange (EDI), EMR, provider portal, provider website, etc.). • Independently delivers training and presentations to assigned providers and their staff - answering questions that come up on behalf of the health plan; may also deliver training and presentations to larger groups, such as leaders and management of provider offices, including large multispecialty groups or health systems, executive level decision makers, association meetings, and joint operating committees (JOCs).
li>Conduct all aspects of health care professional education for existing and newly contracted health care professionals as pertinent in the region to remove potential roadblocks preventing a successful partnership, including but not limited to: 1) Overview of member identification and eligibility process, 2) Claims submission, 3) Cigna operating model, and 4) Training and onboarding providers into the new provider portal.
Strive for continuous service improvement via analyzes of root causes and proactive implementation of initiatives driven by outcome obtained through data and feedback gathered through reconciliation results, complaints, or other sources, and continuous service delivery improvement through BAU collaboration with different teams.
Perform in-home (and occasional virtual) health assessments, including medical history reviews, physical exams, screenings, and medication reviews • Conduct thorough evaluations of chronic and acute conditions • Utilize pre-populated clinical templates to support efficient, accurate documentation • Submit chart notes within required timeframes and address queries promptly • Maintain clear communication with clinical leadership and operations teams • Provide a self-managed schedule with a minimum monthly availability expectation (varies by market) • Offer appointment availability across days, evenings, and weekends • Deliver empathetic, patient-centered care in a respectful and professional manner • Educate members on whole-person wellness and connect them to appropriate resources. • Active, unrestricted NP or PA license in the state where assessments will be performed • Board certification (ANCC, AANP, or NCCPA) • New York candidates: Also accepting board-certified or board-eligible MDs • Current BLS certification • Valid driver's license, reliable transportation, and auto insurance • Ability to pass all background checks-including criminal, SSN validation, education, employment verification, healthcare sanctions, sex offender registry, and drug screen • Strong clinical assessment and diagnostic skills • Proficiency with EMR systems and comfort using digital tools • Ability to lift and carry up to 20 lb • Mental and physical stamina to perform assessments and documentation.
Our collaborative care model includes behavioral health care navigation, proactive coordination with primary care providers, 24/7/365 behavioral health crisis support, comprehensive medication management and long-term care planning-all tailored to meet individual needs. Our unique combination of people, clinical expertise and technology is changing how health plans manage their networks, providers manage care pathways, and members manage their health with the right support at the right time.
Responsibilities include performing comprehensive history and physical examinations, ordering and interpreting radiologic and laboratory studies, prescribing medications, implementing treatment plans, and documenting all patient care services in the EMR and departmental records. The Plastic Surgery APRN works collaboratively with supervising physicians and fellow Advanced Practice Providers (APPs) to provide comprehensive care to pediatric patients.
Responsibilities include performing comprehensive history and physical examinations, ordering and interpreting radiologic and laboratory studies, prescribing medications, implementing treatment plans, and documenting all patient care services in the EMR and departmental records. Certification by the American Nurse Credentialing Center (ANCC), American Academy of Nurse Practitioner Certification Board (AANPCB), or Pediatric Nursing Certification Board (PNCB) - maintain active and in good standing throughout employment.
The Nurse Practitioner or Physician Assistant will assess new patients presenting for telemedicine-based care of opioid use disorder, determine appropriateness of enrollment in our care setting, and manage their continuity OUD treatment from initial induction through the duration of their care. The Opioid Epidemic is a public health crisis with a highly effective but underutilized clinical intervention - millions of Americans are physically dependent on Opioids but only 10% of those likely to have OUD actually access treatment.
Miami, Florida18 days ago
Fort Lauderdale, FL30+ days ago
The ideal candidate will have experience in PM&R and will work collaboratively with the physicians, advanced practice providers and other healthcare professionals to deliver high-quality, patient-centered care. We are seeking a skilled and compassionate Physician Assistant (PA) or Nurse Practitioner (NP) to join our inpatient PM&R/palliative care team.
li>Assists members with effectively using their health care coverage by, including, but not limited, providing Plan eligibility information, reviewing Plan rules, benefit inquiries, authorization and claims status, and addressing any complaints or issues the member is having in accessing healthcare. Assists providers with authorization, claims and payment inquiries, including, but not limited to, providing claim status, claims/authorization denial rationale, payment status, assistance with EOPs/RAs, billing information, provider portal access, etc.
Flexibility - Experity is committed to helping team members face the demands of juggling work, family and life-related issues by offering flexible work scheduling to manage your work-life balance. Experity is a mission-driven team transforming on-demand healthcare across the U.S., empowering urgent care clinics with industry-leading software that makes care faster, easier, and more patient-focused.
Provider Relations is responsible for provider relationship management and the performance of high-quality, cost-effective, and competitive provider networks across multiple lines of business to support the retention and growth of Delta Dental's business. Must possess a valid driver's license with the ability to maintain an acceptable Department of Motor Vehicles (DMV) driving record and purchase and maintain collision damage liability insurance coverage for the vehicle used in connection with the company auto allowance program.
p>Essential Responsibilities: - Guide strategic initiatives for the Provider Network Operations division, including network setup and maintenance, provider data integrity, provider education and service, contract implementation performance, provider-related claims, provider setup and audits, corrective action plan assessment and closure, and provider directory accuracy improvements. This position leads both department-specific and cross departmental planning and execution efforts, to maintain high levels of performance in enterprise level and Provider Network level key performance indicators.
Coral Gables, FL23 days ago
JOB SUMMARY: The Advanced Practice RN (APRN) -Pre-Admission Testing (PAT) works as an educator, advocate and care provider and is responsible for the care and well-being of patients being seen for perioperative care and medical clearance. UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine.
Responsibilities include completing history and physical examinations; ordering and interpreting radiological and laboratory test results; prescribing medications; documenting patient care services within EMR and departmental records; and performing procedures within scope of practice and demonstrated through competency. Models professional verbal and written communication with the interdisciplinary team members involved in the ongoing management of patients to maintain continuity and optimize patient outcomes.
Ft. Lauderdale, FL4 days ago
This role functions collaboratively with attending physicians, nursing staff, pharmacists, and other allied health professionals to manage complex oncologic conditions, treatment-related complications, and supportive care needs. Position Summary:
The Inpatient Medical Oncology Advanced Practice Provider provides comprehensive, high-quality care to hospitalized oncology patients.
The ideal candidate will have experience or a strong interest in Survivorship care and will work collaboratively under the supervision of multiple Oncologists and other healthcare professionals to deliver high-quality, patient-centered care. Identify and manage late and long-term effects of cancer and its treatment, including referral to rehabilitation, specialty services, or supportive therapies as needed.
The ideal candidate will have experience or a strong interest in Hematology/Oncology and will work collaboratively under the supervision of multiple Oncologists and other healthcare professionals to deliver high-quality, patient-centered care. The right candidate will possess the versatility to effectively practice across inpatient, outpatient, and infusion center environments.
We are a Joint Commission certified Thrombectomy-capable stroke center.\n \nJob Title: \n \nPhysician Assistant (PA)/Nurse Practitioner (NP) - Neurology \n \nLocation: \n \nHoly Cross Health, Fort Lauderdale, Fl \n \nJob Type: \n \nFull-Time \n \nPosition Summary: \n \nWe are seeking an experienced and compassionate Physician Assistant (PA) or Nurse Practitioner (NP) to join our outpatient neurology team. \n \nThe Phil Smith Neuroscience Institute at Holy Cross Health is home to 8 Neurologists, 2 Neurosurgeons, 2 Interventional Neuroradiologists and 8 Advanced Practice Providers, providing a vast array of neurological services including multi-disciplinary clinics for ALS and Parkinson's Disease.
p/>The Provider Contracting and Credentialing Subject Matter Expert (SME) is responsible for assisting the organization with payer contracting efforts, including but not limited to; provider applications, contract analysis, negotiations, credentialing of facilities and medical/clinical providers. This position ensures the contracting and credentialing department works successfully with multiple departments including Sales/Marketing, Finance, Legal, Compliance, Medical and Operations.
Work At Home, FL21 days ago
This exciting role is a fast-paced healthcare provider support role, intended to foster a positive provider experience by leading a team with the responsibility of performing contract loads, demographic updates and batch provider loads. The Senior Manager, Provider Data Services role requires the ability to demonstrate independent judgement and authority while commonly setting direction and leading through ambiguous situations.
Required Qualifications At least 5 years of experience in network contracting with large specialty or multispecialty provider groups, and at least 3 years experience in provider contract negotiations in a managed health care setting ideally negotiating different provider contract types (i.e. physician/group/hospital), or equivalent combination of relevant education and experience. In conjunction with contracting leadership, negotiates complex provider contracts including high-priority physician group and facility contracts using preferred, acceptable, discouraged, unacceptable (PADU) guidelines (emphasis on number or percentage of membership in value-based relationship contracts).
The primary objective of the Manager, Provider Education and Engagement Programs - THV is to execute Transcatheter Heart Valve’s (THV’s) vision to ensure the availability of TAVR to all patients that are in need and meet the requirements for treatment through healthcare provider education and engagement. The Manager, Provider Education and Engagement Programs - THV will support the Provider Engagement and Strategic Sales Programs Team, with an emphasis on healthcare provider educational courses, resources, tools and engagement platforms.
Our approach is rooted in a "grow our own" philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including: Career growth and development opportunities, with clear pathways and ongoing support. Baptist Health is the region''s largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties.
p>The Advanced Practice Provider (APP) - Fellow is provided specialized training in the management of assigned specialty patients in a variety of settings to ensure optimal quality of care and gaining necessary skill sets to develop and strengthen proficiencies within the clinical setting while learning to collaborate within a multidisciplinary team of healthcare providers. The Advanced Practice Provider Fellowship program at the University of Miami, Miller School of Medicine will complete rotations in a variety of clinical setting located within UHealth to include both inpatient and outpatient settings over a period of weeks, as assigned by specialty.
Our approach is rooted in a "grow our own" philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including: - Career growth and development opportunities, with clear pathways and ongoing support.
Baptist Health is the region''s largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties.
Our approach is rooted in a "grow our own" philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including: - Career growth and development opportunities, with clear pathways and ongoing support.
Baptist Health is the region''s largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties.
Registered Nurse, Float Pool-Healthcare Provider, $25000 Bonus, FT, 07P-7:30A, Float Specialty Non-Procedural Baptist Health South Florida Inc
Registered Nurse, Float Pool-Healthcare Provider, $25000 Bonus, FT, 07P-7:30A, Float Specialty Non-ProceduralMiami, FL14 days ago
p>Baptist Health is the region''s largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. Our approach is rooted in a "grow our own" philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including: - Career growth and development opportunities, with clear pathways and ongoing support.
Our approach is rooted in a "grow our own" philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including: - Career growth and development opportunities, with clear pathways and ongoing support.
Baptist Health is the region''s largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties.
Registered Nurse, Float Pool-Healthcare Provider, $25000 Bonus, FT, 07P-7:30A, Float Sub Spec Procedural Baptist Health South Florida Inc
Registered Nurse, Float Pool-Healthcare Provider, $25000 Bonus, FT, 07P-7:30A, Float Sub Spec ProceduralMiami, FL14 days ago
p>Baptist Health is the region''s largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. Our approach is rooted in a "grow our own" philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including: - Career growth and development opportunities, with clear pathways and ongoing support.
p>We are growing quickly, have partnered with national health insurance companies and provider groups, and have raised $115M from top-tier VCs including JP Morgan Growth Equity, Thrive Capital, Index Ventures, Y Combinator, Maverick Ventures, Box Group, Atomico, G Squared, and Pinegrove Venture Partners. Our angel investors include world-class healthcare founders from Oscar, Rightway Health, Headway, Spring Health, and Alto Pharmacy, as well as soccer star Alex Morgan and the founders from Olipop and Notion.
li>Performs an integral role in network management, by monitoring and enforcing company policies and procedures, while increasing provider effectiveness by educating and promoting participation in various Molina initiatives; examples of such initiatives include: administrative cost-effectiveness, member satisfaction - Consumer Assessment of Healthcare Providers and Systems (CAHPS), regulatory-related, Molina quality programs, and taking advantage of electronic solutions (electronic data interchange (EDI), EMR, provider portal, provider website, etc.). Independently delivers training and presentations to assigned providers and their staff - answering questions that come up on behalf of the health plan; may also deliver training and presentations to larger groups, such as leaders and management of provider offices, including large multispecialty groups or health systems, executive level decision makers, association meetings, and joint operating committees (JOCs).
Work At Home, FL26 days ago
Key Responsibilities: Audit Readiness & Execution: Lead end-to-end audit readiness and execution for internal and external audits, including coordination, evidence validation, and submission of accurate, complete, and audit-defensible responses; proactively identify and escalate risks, issues, and dependencies to prevent delays. CAP & Remediation Oversight: Drive development, tracking, and validation of corrective action plans aligned to root cause; ensure milestones, ownership, and dependencies are clearly defined; proactively escalate at-risk items; and confirm remediation is effectively implemented and supported by audit-ready documentation.
p>Position Summary: The Provider Operations Intern will support the Provider Operations team in fostering strong provider relationships through engagement, education, and operational support. The Clearinghouse is a statewide system managed by the Agency for Health Care Administration (AHCA) and is designed to help protect children, seniors, and other vulnerable populations while streamlining the screening process for employers and applicants.
p>The Provider Reimbursement & Prepay Editing Director is responsible for leading key provider reimbursement and prepay editing functions and initiatives across the enterprise and serves as subject matter expert regarding provider reimbursement strategies, reimbursement policy implementation, and claims editing practices. Works with medical directors, contract negotiators, coding teams, cost of care staff, payment integrity partners, and provider relations staff to identify and implement best practice solutions to manage costs and reimburse services appropriately.