NewPatient Care Concierge I ClareMedica Health Partners LLCPatient Care Concierge IPembroke Pines, FLResponsibilities include managing patient interactions, ensuring the smooth operation of the front office, greeting and assisting patients, scheduling appointments, checking patients in and out, managing patient records and phone calls, and coordinating with medical staff to deliver excellent patient care. While performing the duties of this job, the employee will be required to stand, walk, sit, use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs, balance; stoop, kneel, crouch or crawl; talk or hear.
Primary Care Opportunity in Margate, FL Making $300,000 OptigyPrimary Care Opportunity in Margate, FL Making $300,000Margate, FLIn 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. We are a physician-led and mission-driven, primary care organization, is currently one of the most successful full- provider, transforming care of the neediest population.
North Miami Primary Care Opportunity No Nights or Hospital Call OptigyNorth Miami Primary Care Opportunity No Nights or Hospital CallNorth Miami Beach, FLIn 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. We are a physician-led and mission-driven, primary care organization, is currently one of the most successful full- provider, transforming care of the neediest population.
Primary Care Opportunity in Hollywood, FL Making over $300,000 OptigyPrimary Care Opportunity in Hollywood, FL Making over $300,000Hollywood, FLIn 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. We are a physician-led and mission-driven, primary care organization, is currently one of the most successful full- provider, transforming care of the neediest population.
NewAcute Care Speech Language Pathologist (SLP-CCC) Multiple Opportunities -- up to $15k in Incentives! Lee HealthAcute Care Speech Language Pathologist (SLP-CCC) Multiple Opportunities -- up to $15k in Incentives!Fort Lauderdale, FL$70,720–$115,252.80 / yearp>At Lee Health, we have 4 Adult Acute Care Hospitals: Cape Coral Hospital:Cape Coral Hospital delivers comprehensive acute care SLP services across a broad medical-surgical population, including stroke and medical/surgical ICU patients, with early access to VFSS/MBSS and FEES within a comprehensive FEES competency and mentorship model. The department also supports innovative initiatives such as the Early Activity Program (early SLP involvement in the ICU), Animal-Assisted Therapy, and Respiratory Muscle Strength Training (RMST pending), alongside collaborative learning opportunities like Curious Case Club, where clinicians review complex patient cases and current literature.
NewHospice Patient Care Team Manager (RN)-Boynton Beach, FL Vitas HealthcareHospice Patient Care Team Manager (RN)-Boynton Beach, FLBoynton Beach, FLJob DescriptionThe Team Manager is the leader of the Patient Care Team and that member of the team whose function is to: supervise, evaluate and coordinate the various component members of the interdisciplinary team; assure continuity of care from admission to discharge or transfer to bereavement; serve as patient advocate and coordinator for other social service and health care providers in the community who are involved in the care of the team’s patients; assume responsibility for the maintenance of patient records from intake through discharge or transfer to bereavement. Our video about the Employee Promise features our staff, whose firsthand experience offers useful insight into the five key areas that define VITAS culture: Purpose: A mission-driven and fulfilling career caring for patients with advanced illness.Hearing Care Provider-Delray Beach, FL WSA AmericasHearing Care Provider-Delray Beach, FLDelray Beach, Floridap>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. 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 WSA family, a global leader with over 11,000 employees in 125 markets and 2 global headquarters.Bilingual Hearing Care Provider- North Miami Beach, F WSA AmericasBilingual Hearing Care Provider- North Miami Beach, FNorth Miami Beach, FloridaWe 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.Hearing Care Provider- Boca Raton, FL WSA AmericasHearing Care Provider- Boca Raton, FLBoca Raton, FloridaWe draw on the expertise and hearing care services of more than 360 hearing centers across the U.S. HearUSA is also part of the 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.NewBilingual (Spanish/English) Transitions of Care Advanced Practice Provider Devoted Health IncBilingual (Spanish/English) Transitions of Care Advanced Practice ProviderFLRemoteThat's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Proficiency with complex medication reconciliation and guideline-directed medical therapy, especially for heart failure, COPD, diabetes, atrial fibrillation/anticoagulation, and hypertension - including recognizing duplicate, inappropriate, or contraindicated medications and adjusting regimens safely.Member & Provider Care Specialist Oscar Health IncMember & Provider Care SpecialistFLRemotep>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.Urgent Care Family Medicine Advanced Practice Provider HCA Healthcare IncUrgent Care Family Medicine Advanced Practice ProviderMiami, FLDescription 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.PRN Critical Care Advanced Practice Provider HCA HealthcarePRN Critical Care Advanced Practice ProviderAtlantis, FLICC Healthcare (Intensive Care Consortium) is seeking a nocturnist PRN experienced critical care nurse practitioner or physician assistant to join their ICU Team in the Palm Beach, Florida area. The success of the ICC intensivist program relies on strong team building strategies within the ICU, the hardwiring of best practice evidence base protocols and streamlining the delivery of hospital wide critical care services.Advanced Practice Provider (NP (Acute Care)/PA): Cardiothoracic Surgery - Martin Cleveland Clinic FoundationAdvanced Practice Provider (NP (Acute Care)/PA): Cardiothoracic Surgery - MartinSoutheast, FLInpatient 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.Nocturnal Critical Care Advanced Practice Provider Memorial Healthcare SystemNocturnal Critical Care Advanced Practice ProviderHollywood, FLThe 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.Credentialing and Provider Enrollment Specialist BayCare Health SystemCredentialing and Provider Enrollment SpecialistFLRemoteli>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.Advanced Practice Provider, Telehealth, NP, Nurse Practitioner (Evenings & Weekends) ChenMed LLCAdvanced Practice Provider, Telehealth, NP, Nurse Practitioner (Evenings & Weekends)Miami, FLRemote$111,140–$158,771 / yearEDUCATION 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.Provider Relations Specialist Integrated HomeProvider Relations SpecialistMiramar, Floridap>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.Sr Rep, Provider Relations HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Orlando, etc) Molina Healthcare IncSr Rep, Provider Relations HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Orlando, etc)Miami, FLPerforms 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).NewAdvanced Practice Provider - NP CVS Health CorpAdvanced Practice Provider - NPMiami, FL$41.85–$90.13 / hourMinuteClinic 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 IncProvider Relations Rep HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Destin, Orlando, etc)FLPerforms 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).NewAdvanced Practice Provider II- ACLS Parkland HospitalAdvanced Practice Provider II- ACLSParkland, FLBachelor's Degree from an accredited college or university and successful completion of an accredited Physician Assistant Program recognized by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or its predecessors. Current licensure from the Texas Board of Nursing as an Advanced Practice Registered Nurse (APRN) with authorization to practice as a Family, Adult, Gerontology, Adult-Gerontology, Adult-Gerontology Acute Care, or Acute Care Nurse Practitioner.Provider Relations Manager (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Orlando, etc) Molina Healthcare IncProvider Relations Manager (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Orlando, etc)FLPerforms 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).NewProvider (MD/DO or APRN) - PRN - Coral Springs My Health OnsiteProvider (MD/DO or APRN) - PRN - Coral SpringsCoral Springs, FloridaMy Health Onsite providers are responsible for meeting, assessing and diagnosing patients in the health center, as well as prescribing patients with appropriate medication, health regimens and lifestyle adjustments that will contribute to their recovery, prevent future health issues and promote a healthier lifestyle. Patients (ages 8 and up) may access a range of medical services including a dispensary, wellness services, and treatment for acute illnesses and chronic conditions.Manager, Advanced Practice Providers, Telehealth ChenMed LLCManager, Advanced Practice Providers, TelehealthMiami, FLRemote$119,476–$170,680 / yearThe 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.Provider Relations Senior Analyst, Americas - Cigna International Health - Remote The Cigna GroupProvider Relations Senior Analyst, Americas - Cigna International Health - RemoteFLRemote$58,100–$96,900 / yearConduct 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.NewAdvanced Practice Provider- Psychiatry PRN Parkland HospitalAdvanced Practice Provider- Psychiatry PRNParkland, FLCurrent licensure from the Texas Board of Nursing as an Advanced Practice Registered Nurse (APRN) with authorization to practice as a Family, Adult, Gerontology, Adult-Gerontology, Adult-Gerontology Acute Care, Acute Care, Pediatric, Pediatric Acute Care, Neonatal, Psychiatric Mental Health, or Women's Health Nurse Practitioner. Bachelor's Degree from an accredited college or university and successful completion of an accredited Physician Assistant Program recognized by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or its predecessors.Advanced Practice In-Home Provider (Nurse Practitioner/Physician Assistant), IHA - Contract Lucet LLCAdvanced Practice In-Home Provider (Nurse Practitioner/Physician Assistant), IHA - ContractFlorida, FLPerform 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.Advanced Practice In-Home Provider (Nurse Practitioner/Physician Assistant), In‑Home Assessment - Contract Lucet LLCAdvanced Practice In-Home Provider (Nurse Practitioner/Physician Assistant), In‑Home Assessment - ContractFL$120–$150 / hourOur 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.Advanced Practice Provider - Plastic Surgery (Full Time, Days) Nicklaus Children's HospitalAdvanced Practice Provider - Plastic Surgery (Full Time, Days)FLResponsibilities 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.NewAdvanced Practice Provider - Acute PM&R/Palliative Medicine Trinity HealthAdvanced Practice Provider - Acute PM&R/Palliative MedicineFort Lauderdale, FLThe 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.Provider Services Representative Leon Health IncProvider Services RepresentativeDoral, FLli>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.Provider (Physician Assistant/Nurse Practitioner) - East Region Bicycle HealthProvider (Physician Assistant/Nurse Practitioner) - East RegionFort Lauderdale, FLRemoteThe 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.NewProvider Contracting Executive Humana IncProvider Contracting ExecutiveFLRemote$94,900–$130,500 / yearTo ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action.Provider Network Ambassador - South Florida Delta Dental of California Inc.Provider Network Ambassador - South FloridaMiami, FLRemote$57,450–$120,200 / yearProvider 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.Credentialing and Provider Enrollment Specialist Sr BayCare Health SystemCredentialing and Provider Enrollment Specialist SrFLRemoteResponsible for ensuring that quality measures for the credentialing process are met for BayCare providers including providers with BayCare Medical Group (BMG), BayCare Behavioral Health (BBHA), BayCare Urgent Care (BUC), Telemedicine, EAP, and other independent/affiliated providers. This includes partnering with the provider to ensure completion of all files and preparing the provider to navigating the appropriate approval processes including credentialing by the appropriate Credentialing Committee and for those that require them, obtaining hospital credentialing/privileges at one or more BayCare hospitals.NewDirector, Provider Network Operations PacificSource Health PlansDirector, Provider Network OperationsFL$108,468.62–$184,396.64 / yearEssential 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.Senior Manager, Provider Data Services CVS Health CorpSenior Manager, Provider Data ServicesWork At Home, FL$67,900–$199,144 / yearThis 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.Health Plan Provider Contracts Manager - Complex Molina Healthcare IncHealth Plan Provider Contracts Manager - ComplexMiami, FLRequired 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).(Remote) Provider Contracting & Credentialing Coordinator The Recovery Village(Remote) Provider Contracting & Credentialing CoordinatorWeston, FLRemotep/>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.NewAdvanced Practice Provider - Neuroscience Trinity HealthAdvanced Practice Provider - NeuroscienceLauderdale Lakes, FLThe 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. The ideal candidate will have experience in general Neurology will work collaboratively under the supervision of the physician and other healthcare professionals to deliver high-quality, patient-centered care.Advanced Practice Provider - Medical Oncology/Survivorship Trinity HealthAdvanced Practice Provider - Medical Oncology/SurvivorshipFLThe 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.Advanced Practice Provider Trinity HealthAdvanced Practice ProviderFLThe 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.Advanced Practice Provider - Inpatient Oncology Trinity HealthAdvanced Practice Provider - Inpatient OncologyFt. Lauderdale, FLThis 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.NewRepresentative, Health Plan Provider Relations Molina Healthcare IncRepresentative, Health Plan Provider RelationsMiami, FLPerforms 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).Advanced Practice Provider - SunState Medical Specialists - Coral Springs, FL OneOncologyAdvanced Practice Provider - SunState Medical Specialists - Coral Springs, FLCoral Springs, FLAs part of an integrated ecosystem of Urology, Medical Oncology, and Radiation Oncology, SunState delivers seamless, coordinated care that keeps patients close to home while ensuring access to the latest therapies and innovations. With its safe environment, vibrant local amenities, and high quality of life, Coral Springs is an ideal place to live and work for individuals seeking a balanced and active lifestyle in South Florida.Advanced Practice Provider - SunState Medical Specialists OneOncologyAdvanced Practice Provider - SunState Medical SpecialistsCoral Springs, FLAs part of an integrated ecosystem of Urology, Medical Oncology, and Radiation Oncology, SunState delivers seamless, coordinated care that keeps patients close to home while ensuring access to the latest therapies and innovations. With its safe environment, vibrant local amenities, and high quality of life, Coral Springs is an ideal place to live and work for individuals seeking a balanced and active lifestyle in South Florida.Senior Manager, Medicaid Compliance - Provider Data Services (PDS) CVS Health CorpSenior Manager, Medicaid Compliance - Provider Data Services (PDS)Work At Home, FL$67,900–$199,144 / yearKey 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.Provider Operations Intern-Members South Florida Community Care NetworkProvider Operations Intern-MembersSunrise, FLp>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.Float Clinical Partner, Float Pool-Healthcare Provider, PT, 07A-7:30P Baptist Health South Florida IncFloat Clinical Partner, Float Pool-Healthcare Provider, PT, 07A-7:30PMiami, FL$17.79–$23.13 / hourOur 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.1234Similar Job SearchesHealth Services Manager Jobs in Tamarac, FLPractice Manager Jobs in Tamarac, FLCare Manager Jobs in Tamarac, FLCare Provider Jobs in Margate, FLCare Provider Jobs in Plantation, FLCare Provider Jobs in Fort Lauderdale, FLCare Provider Jobs in Boca Raton, FL
Hearing Care Provider-Delray Beach, FL WSA AmericasHearing Care Provider-Delray Beach, FLDelray Beach, Floridap>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. 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 WSA family, a global leader with over 11,000 employees in 125 markets and 2 global headquarters.
Bilingual Hearing Care Provider- North Miami Beach, F WSA AmericasBilingual Hearing Care Provider- North Miami Beach, FNorth Miami Beach, FloridaWe 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.
Hearing Care Provider- Boca Raton, FL WSA AmericasHearing Care Provider- Boca Raton, FLBoca Raton, FloridaWe draw on the expertise and hearing care services of more than 360 hearing centers across the U.S. HearUSA is also part of the 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.
NewBilingual (Spanish/English) Transitions of Care Advanced Practice Provider Devoted Health IncBilingual (Spanish/English) Transitions of Care Advanced Practice ProviderFLRemoteThat's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Proficiency with complex medication reconciliation and guideline-directed medical therapy, especially for heart failure, COPD, diabetes, atrial fibrillation/anticoagulation, and hypertension - including recognizing duplicate, inappropriate, or contraindicated medications and adjusting regimens safely.
Member & Provider Care Specialist Oscar Health IncMember & Provider Care SpecialistFLRemotep>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.
Urgent Care Family Medicine Advanced Practice Provider HCA Healthcare IncUrgent Care Family Medicine Advanced Practice ProviderMiami, FLDescription 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.
PRN Critical Care Advanced Practice Provider HCA HealthcarePRN Critical Care Advanced Practice ProviderAtlantis, FLICC Healthcare (Intensive Care Consortium) is seeking a nocturnist PRN experienced critical care nurse practitioner or physician assistant to join their ICU Team in the Palm Beach, Florida area. The success of the ICC intensivist program relies on strong team building strategies within the ICU, the hardwiring of best practice evidence base protocols and streamlining the delivery of hospital wide critical care services.
Advanced Practice Provider (NP (Acute Care)/PA): Cardiothoracic Surgery - Martin Cleveland Clinic FoundationAdvanced Practice Provider (NP (Acute Care)/PA): Cardiothoracic Surgery - MartinSoutheast, FLInpatient 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.
Nocturnal Critical Care Advanced Practice Provider Memorial Healthcare SystemNocturnal Critical Care Advanced Practice ProviderHollywood, FLThe 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.
Credentialing and Provider Enrollment Specialist BayCare Health SystemCredentialing and Provider Enrollment SpecialistFLRemoteli>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.
Advanced Practice Provider, Telehealth, NP, Nurse Practitioner (Evenings & Weekends) ChenMed LLCAdvanced Practice Provider, Telehealth, NP, Nurse Practitioner (Evenings & Weekends)Miami, FLRemote$111,140–$158,771 / yearEDUCATION 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.
Provider Relations Specialist Integrated HomeProvider Relations SpecialistMiramar, Floridap>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.
Sr Rep, Provider Relations HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Orlando, etc) Molina Healthcare IncSr Rep, Provider Relations HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Orlando, etc)Miami, FLPerforms 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).
NewAdvanced Practice Provider - NP CVS Health CorpAdvanced Practice Provider - NPMiami, FL$41.85–$90.13 / hourMinuteClinic 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 IncProvider Relations Rep HP (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Destin, Orlando, etc)FLPerforms 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).
NewAdvanced Practice Provider II- ACLS Parkland HospitalAdvanced Practice Provider II- ACLSParkland, FLBachelor's Degree from an accredited college or university and successful completion of an accredited Physician Assistant Program recognized by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or its predecessors. Current licensure from the Texas Board of Nursing as an Advanced Practice Registered Nurse (APRN) with authorization to practice as a Family, Adult, Gerontology, Adult-Gerontology, Adult-Gerontology Acute Care, or Acute Care Nurse Practitioner.
Provider Relations Manager (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Orlando, etc) Molina Healthcare IncProvider Relations Manager (Reside in N. FL: Jacksonville, Tampa, Tallahassee, Orlando, etc)FLPerforms 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).
NewProvider (MD/DO or APRN) - PRN - Coral Springs My Health OnsiteProvider (MD/DO or APRN) - PRN - Coral SpringsCoral Springs, FloridaMy Health Onsite providers are responsible for meeting, assessing and diagnosing patients in the health center, as well as prescribing patients with appropriate medication, health regimens and lifestyle adjustments that will contribute to their recovery, prevent future health issues and promote a healthier lifestyle. Patients (ages 8 and up) may access a range of medical services including a dispensary, wellness services, and treatment for acute illnesses and chronic conditions.
Manager, Advanced Practice Providers, Telehealth ChenMed LLCManager, Advanced Practice Providers, TelehealthMiami, FLRemote$119,476–$170,680 / yearThe 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.
Provider Relations Senior Analyst, Americas - Cigna International Health - Remote The Cigna GroupProvider Relations Senior Analyst, Americas - Cigna International Health - RemoteFLRemote$58,100–$96,900 / yearConduct 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.
NewAdvanced Practice Provider- Psychiatry PRN Parkland HospitalAdvanced Practice Provider- Psychiatry PRNParkland, FLCurrent licensure from the Texas Board of Nursing as an Advanced Practice Registered Nurse (APRN) with authorization to practice as a Family, Adult, Gerontology, Adult-Gerontology, Adult-Gerontology Acute Care, Acute Care, Pediatric, Pediatric Acute Care, Neonatal, Psychiatric Mental Health, or Women's Health Nurse Practitioner. Bachelor's Degree from an accredited college or university and successful completion of an accredited Physician Assistant Program recognized by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or its predecessors.
Advanced Practice In-Home Provider (Nurse Practitioner/Physician Assistant), IHA - Contract Lucet LLCAdvanced Practice In-Home Provider (Nurse Practitioner/Physician Assistant), IHA - ContractFlorida, FLPerform 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.
Advanced Practice In-Home Provider (Nurse Practitioner/Physician Assistant), In‑Home Assessment - Contract Lucet LLCAdvanced Practice In-Home Provider (Nurse Practitioner/Physician Assistant), In‑Home Assessment - ContractFL$120–$150 / hourOur 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.
Advanced Practice Provider - Plastic Surgery (Full Time, Days) Nicklaus Children's HospitalAdvanced Practice Provider - Plastic Surgery (Full Time, Days)FLResponsibilities 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.
NewAdvanced Practice Provider - Acute PM&R/Palliative Medicine Trinity HealthAdvanced Practice Provider - Acute PM&R/Palliative MedicineFort Lauderdale, FLThe 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.
Provider Services Representative Leon Health IncProvider Services RepresentativeDoral, FLli>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.
Provider (Physician Assistant/Nurse Practitioner) - East Region Bicycle HealthProvider (Physician Assistant/Nurse Practitioner) - East RegionFort Lauderdale, FLRemoteThe 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.NewProvider Contracting Executive Humana IncProvider Contracting ExecutiveFLRemote$94,900–$130,500 / yearTo ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action.Provider Network Ambassador - South Florida Delta Dental of California Inc.Provider Network Ambassador - South FloridaMiami, FLRemote$57,450–$120,200 / yearProvider 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.Credentialing and Provider Enrollment Specialist Sr BayCare Health SystemCredentialing and Provider Enrollment Specialist SrFLRemoteResponsible for ensuring that quality measures for the credentialing process are met for BayCare providers including providers with BayCare Medical Group (BMG), BayCare Behavioral Health (BBHA), BayCare Urgent Care (BUC), Telemedicine, EAP, and other independent/affiliated providers. This includes partnering with the provider to ensure completion of all files and preparing the provider to navigating the appropriate approval processes including credentialing by the appropriate Credentialing Committee and for those that require them, obtaining hospital credentialing/privileges at one or more BayCare hospitals.NewDirector, Provider Network Operations PacificSource Health PlansDirector, Provider Network OperationsFL$108,468.62–$184,396.64 / yearEssential 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.Senior Manager, Provider Data Services CVS Health CorpSenior Manager, Provider Data ServicesWork At Home, FL$67,900–$199,144 / yearThis 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.Health Plan Provider Contracts Manager - Complex Molina Healthcare IncHealth Plan Provider Contracts Manager - ComplexMiami, FLRequired 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).(Remote) Provider Contracting & Credentialing Coordinator The Recovery Village(Remote) Provider Contracting & Credentialing CoordinatorWeston, FLRemotep/>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.NewAdvanced Practice Provider - Neuroscience Trinity HealthAdvanced Practice Provider - NeuroscienceLauderdale Lakes, FLThe 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. The ideal candidate will have experience in general Neurology will work collaboratively under the supervision of the physician and other healthcare professionals to deliver high-quality, patient-centered care.Advanced Practice Provider - Medical Oncology/Survivorship Trinity HealthAdvanced Practice Provider - Medical Oncology/SurvivorshipFLThe 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.Advanced Practice Provider Trinity HealthAdvanced Practice ProviderFLThe 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.Advanced Practice Provider - Inpatient Oncology Trinity HealthAdvanced Practice Provider - Inpatient OncologyFt. Lauderdale, FLThis 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.NewRepresentative, Health Plan Provider Relations Molina Healthcare IncRepresentative, Health Plan Provider RelationsMiami, FLPerforms 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).Advanced Practice Provider - SunState Medical Specialists - Coral Springs, FL OneOncologyAdvanced Practice Provider - SunState Medical Specialists - Coral Springs, FLCoral Springs, FLAs part of an integrated ecosystem of Urology, Medical Oncology, and Radiation Oncology, SunState delivers seamless, coordinated care that keeps patients close to home while ensuring access to the latest therapies and innovations. With its safe environment, vibrant local amenities, and high quality of life, Coral Springs is an ideal place to live and work for individuals seeking a balanced and active lifestyle in South Florida.Advanced Practice Provider - SunState Medical Specialists OneOncologyAdvanced Practice Provider - SunState Medical SpecialistsCoral Springs, FLAs part of an integrated ecosystem of Urology, Medical Oncology, and Radiation Oncology, SunState delivers seamless, coordinated care that keeps patients close to home while ensuring access to the latest therapies and innovations. With its safe environment, vibrant local amenities, and high quality of life, Coral Springs is an ideal place to live and work for individuals seeking a balanced and active lifestyle in South Florida.Senior Manager, Medicaid Compliance - Provider Data Services (PDS) CVS Health CorpSenior Manager, Medicaid Compliance - Provider Data Services (PDS)Work At Home, FL$67,900–$199,144 / yearKey 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.Provider Operations Intern-Members South Florida Community Care NetworkProvider Operations Intern-MembersSunrise, FLp>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.Float Clinical Partner, Float Pool-Healthcare Provider, PT, 07A-7:30P Baptist Health South Florida IncFloat Clinical Partner, Float Pool-Healthcare Provider, PT, 07A-7:30PMiami, FL$17.79–$23.13 / hourOur 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.1234Similar Job SearchesHealth Services Manager Jobs in Tamarac, FLPractice Manager Jobs in Tamarac, FLCare Manager Jobs in Tamarac, FLCare Provider Jobs in Margate, FLCare Provider Jobs in Plantation, FLCare Provider Jobs in Fort Lauderdale, FLCare Provider Jobs in Boca Raton, FL
NewProvider Contracting Executive Humana IncProvider Contracting ExecutiveFLRemote$94,900–$130,500 / yearTo ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action.
Provider Network Ambassador - South Florida Delta Dental of California Inc.Provider Network Ambassador - South FloridaMiami, FLRemote$57,450–$120,200 / yearProvider 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.
Credentialing and Provider Enrollment Specialist Sr BayCare Health SystemCredentialing and Provider Enrollment Specialist SrFLRemoteResponsible for ensuring that quality measures for the credentialing process are met for BayCare providers including providers with BayCare Medical Group (BMG), BayCare Behavioral Health (BBHA), BayCare Urgent Care (BUC), Telemedicine, EAP, and other independent/affiliated providers. This includes partnering with the provider to ensure completion of all files and preparing the provider to navigating the appropriate approval processes including credentialing by the appropriate Credentialing Committee and for those that require them, obtaining hospital credentialing/privileges at one or more BayCare hospitals.
NewDirector, Provider Network Operations PacificSource Health PlansDirector, Provider Network OperationsFL$108,468.62–$184,396.64 / yearEssential 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.
Senior Manager, Provider Data Services CVS Health CorpSenior Manager, Provider Data ServicesWork At Home, FL$67,900–$199,144 / yearThis 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.
Health Plan Provider Contracts Manager - Complex Molina Healthcare IncHealth Plan Provider Contracts Manager - ComplexMiami, FLRequired 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).
(Remote) Provider Contracting & Credentialing Coordinator The Recovery Village(Remote) Provider Contracting & Credentialing CoordinatorWeston, FLRemotep/>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.
NewAdvanced Practice Provider - Neuroscience Trinity HealthAdvanced Practice Provider - NeuroscienceLauderdale Lakes, FLThe 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. The ideal candidate will have experience in general Neurology will work collaboratively under the supervision of the physician and other healthcare professionals to deliver high-quality, patient-centered care.
Advanced Practice Provider - Medical Oncology/Survivorship Trinity HealthAdvanced Practice Provider - Medical Oncology/SurvivorshipFLThe 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.
Advanced Practice Provider Trinity HealthAdvanced Practice ProviderFLThe 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.
Advanced Practice Provider - Inpatient Oncology Trinity HealthAdvanced Practice Provider - Inpatient OncologyFt. Lauderdale, FLThis 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.
NewRepresentative, Health Plan Provider Relations Molina Healthcare IncRepresentative, Health Plan Provider RelationsMiami, FLPerforms 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).
Advanced Practice Provider - SunState Medical Specialists - Coral Springs, FL OneOncologyAdvanced Practice Provider - SunState Medical Specialists - Coral Springs, FLCoral Springs, FLAs part of an integrated ecosystem of Urology, Medical Oncology, and Radiation Oncology, SunState delivers seamless, coordinated care that keeps patients close to home while ensuring access to the latest therapies and innovations. With its safe environment, vibrant local amenities, and high quality of life, Coral Springs is an ideal place to live and work for individuals seeking a balanced and active lifestyle in South Florida.
Advanced Practice Provider - SunState Medical Specialists OneOncologyAdvanced Practice Provider - SunState Medical SpecialistsCoral Springs, FLAs part of an integrated ecosystem of Urology, Medical Oncology, and Radiation Oncology, SunState delivers seamless, coordinated care that keeps patients close to home while ensuring access to the latest therapies and innovations. With its safe environment, vibrant local amenities, and high quality of life, Coral Springs is an ideal place to live and work for individuals seeking a balanced and active lifestyle in South Florida.
Senior Manager, Medicaid Compliance - Provider Data Services (PDS) CVS Health CorpSenior Manager, Medicaid Compliance - Provider Data Services (PDS)Work At Home, FL$67,900–$199,144 / yearKey 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.
Provider Operations Intern-Members South Florida Community Care NetworkProvider Operations Intern-MembersSunrise, FLp>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.
Float Clinical Partner, Float Pool-Healthcare Provider, PT, 07A-7:30P Baptist Health South Florida IncFloat Clinical Partner, Float Pool-Healthcare Provider, PT, 07A-7:30PMiami, FL$17.79–$23.13 / hourOur 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.