Current jobs related to Healthcare Provider Engagement Manager - Miami - Elevance Health

  • Healthcare Operations Manager

    1 month ago

    Miami, Florida, United States Innovista Medical Center Full time

    Job SummaryWe are seeking a highly skilled and experienced Clinic Center Manager II to lead and direct the operational success of our clinic in Dallas, Texas. As a key member of our team, you will be responsible for driving financial performance, fostering a culture of service, and delivering exceptional patient care.Key ResponsibilitiesOperational...

  • Program Manager

    6 days ago

    Miami, Florida, United States Florida International University Full time

    Job SummaryFlorida International University is seeking a highly skilled Program Manager - Employer Engagement to develop and implement comprehensive employer engagement strategies, manage on-campus recruiting programs, and foster relationships with employers and alumni to create valuable internship and job opportunities for students. The ideal candidate will...

  • Communication Specialist

    4 days ago

    Miami, Florida, United States HealthCare Support Full time

    HealthCare Support is actively seeking an experienced Communication Specialist to fill a permanent opening with a well-respected healthcare provider in Miami, FL.Daily Responsibilities:Provide diagnostic, therapeutic, and consultative services to patients with communication, cognitive, and swallowing disorders.Adhere to state and federal regulatory license,...

  • Provider Network Manager

    5 hours ago

    Miami, United States EWINGS INC. Full time

    EWINGS is seeking a fully remote Provider Network Manager to join an emerging health plan dedicated to providing a comprehensive, integrated healthcare solution that offers the high-quality care anyone would want for their loved ones. Candidates must be located in and have specific expertise contracting healthcare providers in Florida. Qualified candidates...

  • Community Engagement Manager

    4 weeks ago

    Miami Beach, Florida, United States New World Symphony Full time

    Job Title: Community Engagement ManagerAt the New World Symphony, we are seeking a highly motivated and organized Community Engagement Manager to join our team. The successful candidate will be responsible for planning and executing community engagement activities, including events, programs, and outreach initiatives.Key Responsibilities:Develop and...

  • Healthcare Recruiter Specialist

    3 weeks ago

    Miami, United States Gulfside Healthcare Full time

    Job SummaryThis role is responsible for leading the strategic recruitment operations at Gulfside Healthcare, including the full life-cycle recruitment of all roles across the organization. The successful candidate will manage advertising algorithms to source viable candidates and implement innovative processes to fill vacant positions in a timely manner.Key...

  • Attorney Engagement Coordinator

    4 weeks ago

    Miami, United States Mission Staffing Full time

    Attorney Engagement SpecialistAt Mission Staffing, we're seeking a highly skilled Attorney Engagement Specialist to join our team. This role will focus on supporting attorney engagement initiatives, professional development programs, and process improvements.Key Responsibilities:Support attorney engagement efforts by coordinating training and professional...

  • Attorney Engagement Specialist

    4 weeks ago

    Miami, United States Mission Staffing Full time

    Our client, a prestigious global law firm is seeking an Attorney Engagement Specialist to join their growing team. This role will focus on supporting attorney engagement initiatives, professional development programs, and process improvements. The ideal candidate will have 3-10 years of experience in a law firm setting, with a strong emphasis on attorney...

  • Attorney Engagement Specialist

    4 weeks ago

    Miami, United States Mission Staffing Full time

    Our client, a prestigious global law firm is seeking an Attorney Engagement Specialist to join their growing team. This role will focus on supporting attorney engagement initiatives, professional development programs, and process improvements. The ideal candidate will have 3-10 years of experience in a law firm setting, with a strong emphasis on attorney...

  • Healthcare Educator

    4 weeks ago

    Miami, Florida, United States Inizio Engage Full time

    Job Title: Healthcare Account Care EducatorInizio Engage is a strategic partner that specializes in healthcare engagement solutions. We are seeking a skilled Healthcare Account Care Educator to join our team.Job Summary:The Healthcare Account Care Educator will deliver clinical knowledge and educational support to healthcare professionals, helping them...

  • Advanced Practice Healthcare Provider

    2 weeks ago

    Miami, Florida, United States Department Of Homeland Security Full time

    Job SummaryWe are seeking a highly skilled Advanced Practice Provider to join our team at the Department of Homeland Security. As a key member of our healthcare team, you will provide high-quality medical care to detainees in our facilities.Key ResponsibilitiesProvide comprehensive medical evaluations, behavioral health care, and minor outpatient surgical...

  • Attorney Engagement Specialist

    6 days ago

    Miami, United States The LaSalle Group Full time

    Attorney Engagement Specialist Role OverviewWe are seeking a highly skilled Attorney Engagement Specialist to join our team at The LaSalle Group. This role will focus on supporting the engagement needs, projects, and objectives of our Legal Recruiting and Development Department.Key Responsibilities:Plan and execute attorney engagement events and programs in...

  • Bilingual Patient Engagement Coordinator

    2 weeks ago

    Miami, United States NeueHealth Full time

    About the RoleWe are seeking a highly skilled and empathetic Bilingual Patient Engagement Specialist to join our team at NeueHealth. As a key member of our patient engagement team, you will play a vital role in ensuring our patients receive exceptional care and support.Key ResponsibilitiesManage high-volume inbound and outbound calls with precision and...

  • Senior Healthcare Recruiter

    3 weeks ago

    Miami, United States Gulfside Healthcare Full time

    This position is responsible for the strategic recruitment operations including the hands on full life-cycle recruitment of all roles across the organization. This position manages advertising algorithms to ensure that viable candidates are sourced through cutting edge and innovates processes to fill vacant positions in a timely manner. In partnership with...

  • Behavioral Health Provider Quality Manager

    2 weeks ago

    Miami, United States Elevance Health Full time

    Job DescriptionThe Behavioral Health Provider Quality Manager plays a critical role in leading the engagement of Behavioral Health (BH) providers, focusing on leveraging data to improve the value delivered to Carelon BH members.This position is responsible for driving BH provider performance improvement year over year through education and data analysis. The...

  • Project Manager, Customer Engagement and Loyalty Specialist

    2 weeks ago

    Miami, United States Unique Vacations Full time

    Job Title: Project Manager, Customer Engagement and LoyaltyWe are seeking a highly skilled Project Manager to join our team at Unique Vacations, Inc. as a Project Manager, Customer Engagement and Loyalty. This role will be responsible for overseeing and executing marketing activities related to the Sandals loyalty member community and in support of the...

  • Healthcare Patient Advocate

    2 months ago

    Miami, United States Lange Recruiting Full time

    Position Overview: Patient Engagement SpecialistLange Recruiting is seeking a dedicated Patient Engagement Specialist to enhance patient experiences within a medical practice.Role Summary:The primary role of the Patient Engagement Specialist is to transition a traditional medical practice into a personalized healthcare model. This position requires effective...

  • Advanced Practice Healthcare Provider

    6 days ago

    Miami, Florida, United States Immigration and Customs Enforcement Full time

    Job SummaryThis position is located within the Department of Homeland Security (DHS), Immigration and Customs Enforcement (ICE), Enforcement and Removal Operations (ERO), ICE Health Service Corps (IHSC), Office of Deputy Assistant Director of Clinical Services. The selected candidate will work under the general administrative supervision with clinical...

  • Healthcare Case Manager

    4 weeks ago

    Miami, Florida, United States US Tech Solutions Full time

    {"Job Title": "Healthcare Case Manager", "Job Summary": "We are seeking a skilled Healthcare Case Manager to join our team at US Tech Solutions. As a Healthcare Case Manager, you will be responsible for providing comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs, and improve...

  • Nurse Practitioner

    2 weeks ago

    Miami, Florida, United States Provider Healthcare Full time

    Job Overview Provider Healthcare is seeking an experienced Registered Nurse to provide high-quality patient care in an outpatient primary care setting. Responsibilities: * Perform comprehensive assessments and treatments for patients * Collaborate with RN supervisor to ensure patient safety and care * Excel in a fast-paced environment with multiple...

Healthcare Provider Engagement Manager

2 months ago

Miami, United States Elevance Health Full time
Position Title:
Provider Relationship Account Manager

Job Overview:

Must reside in the state of Florida.

Accountable for delivering high-quality, accessible, and comprehensive support to the organization's provider network.

Key Responsibilities:
  • Establishes and nurtures positive relationships with providers through regular in-person and/or virtual engagements, effectively communicating administrative and programmatic updates, and facilitating education while resolving provider concerns.
  • Acts as a subject matter expert on provider-related issues that influence satisfaction and network retention; investigates, analyzes, and coordinates swift resolutions to complex provider challenges and appeals through direct interactions with providers and internal partners.
  • Collaborates with a team of internal partners to prioritize issues and submit necessary work requests.
  • Typically manages a designated portfolio of providers within a specific group.
  • Facilitates Joint Operation Committees (JOC) with provider groups, leading discussions on issues and changes.
  • May support Annual Provider Satisfaction Surveys, oversee corrective action plan implementation, and address educational needs, contract inquiries, and complex claims issues.
  • Oversees communication processes regarding administrative and medical policies, reimbursement, and provider utilization trends.
  • Engages in proactive outreach to enhance understanding of managed care policies and various initiatives.
  • Participates in external Provider Townhalls/Seminars and attends relevant State Association conferences.
  • Identifies and reports on provider utilization trends that directly affect service quality.
  • Investigates issues that may influence future provider contract negotiations or threaten network retention.
Minimum Qualifications:
  • A bachelor's degree is required; a minimum of 3 years of customer service experience, including 2 years in a healthcare or provider setting; or any combination of education and experience that would provide an equivalent background.
  • Willingness to travel to various work sites as necessary.
Job Level:
Non-Management Exempt

Work Schedule:
1st Shift (United States of America)

Job Family:
PND > Provider Relationship Account Management

About Elevance Health:

Elevance Health is committed to enhancing lives and communities while simplifying healthcare. As a Fortune 25 company with a rich history in the healthcare sector, we seek leaders at all levels who are dedicated to making a meaningful impact on our members and the communities we serve.

Our Work Culture:

At Elevance Health, we foster a culture that promotes our strategic goals while facilitating personal and professional growth for our associates. Our core values and behaviors underpin our culture, driving our strategy, business outcomes, and collective success for our consumers, associates, communities, and business.

We provide a competitive range of total rewards, including merit increases, paid holidays, Paid Time Off, and incentive bonus programs, alongside comprehensive benefits such as medical, dental, vision, short and long-term disability, 401(k) with matching, stock purchase plans, life insurance, wellness programs, and financial education resources.

Elevance Health operates under a Hybrid Workforce Strategy. Unless designated as primarily virtual by the hiring manager, associates are expected to work at an Elevance Health location at least once a week, with specific requirements discussed during the hiring process. Candidates must reside within a reasonable commuting distance of an Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to be vaccinated against COVID-19, with exceptions considered based on acceptable explanations. Elevance Health adheres to all relevant federal, state, and local laws.

Elevance Health is an Equal Employment Opportunity employer, ensuring that all qualified applicants receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status, or any other status protected by applicable laws. Applicants requiring accommodation to participate in the job application process may seek assistance.