Bilingual Provider Network Lead – Medicare (Tampa)

Solis Health Plans, Inc.; Florida; On-site; USD 85,000 - 110,000; Full time

Benefits offered by this job

Medical, Dental, and Vision Insurance

401(k) plan with 100% company match

Job summary

Solis Health Plans, Inc. in Tampa, FL is seeking a Provider Network Manager to develop and retain business in the regional market and deliver outstanding service to clients.

The ideal candidate will bring 5+ years in value-based contracts, Medicare Advantage familiarity, and proven ability to build relationships with large providers; Spanish bilingual is preferred. This role offers growth and impact within a rapidly expanding organization.

Qualifications

• Bachelor's degree (B.A.) or equivalent, 6 years of experience, or equivalent combination of education and experience.
• 5 years of experience in value based contract agreement (care).
• Bilingual in Spanish preferred
• 5 years Medicare Advantage Plan.
• Provider Network experience.
• Must be a self-starter and proactive.
• Commitment to excellence and high standards.
• Excellent written and verbal communication skills.
• Good judgement with the ability to make timely and sound decisions.

Responsibilities

• Generates and develops new business to meet specified production goals.
• Maintains and nurtures existing client relationships.
• Responds to all inquiries and requests in a timely and professional manner.
• Functions as liaison between client companies and operations staff.
• Understands and communicates information regarding company products, services, and policies and procedures to new and existing clients.
• Possesses and maintains thorough knowledge of Medicare Advantage Plan product information.
• Continually gathers information on local competition and prevalent industry and business climate within the region; communicates information to management and others as needed.
• Works with more complex providers. Complex providers may include, but are not limited to large institutional providers, and large medical groups, value-based concepts understanding and support, providers in areas with strong competition or where greater provider education around managed care concepts is required.
• Conducts more complex negotiations and drafts documents.
• Ensures that all required client paperwork is complete, accurate, and submitted on time.
• Provides timely and accurate reports as required.
• Strong background in value based/full risk PCP MSO/IPA arrangements related to Medicare Advantage and other governmental programs.
• Attends and participates in business/trade events that impact business unit.
• Attends and participates in team strategic sales meetings.
• Performs other related duties as assigned by management.

Skills

6 years overall experience

5 years value-based contracts

5 years Medicare Advantage

Provider Network experience

Bilingual Spanish preferred

Education

Bachelor's degree or equivalent

Job description

Solis Health Plans, Inc. in Tampa, FL is seeking a Provider Network Manager to develop and retain business in the regional market and deliver outstanding service to clients.

The ideal candidate will bring 5+ years in value-based contracts, Medicare Advantage familiarity, and proven ability to build relationships with large providers; Spanish bilingual is preferred. This role offers growth and impact within a rapidly expanding organization.