Provider Relations Specialist Jobs in Florida
Provider Relations Specialist jobs in Florida are concentrated in Miami, Tampa, and Orlando, where large managed care organizations, hospital networks, and insurance carriers maintain significant operations. Employers with a long-standing presence in the state include Humana, UnitedHealth Group, and Florida Blue, all of which regularly hire for provider relations and network development roles across experience levels. The most in-demand specialties are Medicaid managed care, Medicare Advantage, and credentialing coordination, reflecting Florida's large insured population and its robust public program footprint. Find a role that fits below and apply directly.
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We are seeking a Provider Relations Account Executive to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.
About the Role:
The Provider Relations Account Executive plays an essential role in fostering and maintaining strong partnerships between our healthcare organization and a diverse network of providers. The Provider Relations Account Executive position is responsible for ensuring seamless communication, addressing provider concerns, and facilitating contract negotiations to optimize service delivery and network growth. The Provider Relations Account Executive will work collaboratively with internal teams to align provider capabilities with organizational goals, enhancing member access and satisfaction. By proactively managing provider relationships, the Provider Relations Account Executive contributes to the overall efficiency and quality of healthcare services offered. Ultimately, the Provider Relations Account Executive drives the expansion and retention of a high-performing provider network that supports the organization's mission and strategic objectives.
Minimum Qualifications:
- Bachelor’s degree in Healthcare Administration, Business, or a related field.
- 3 years of experience in provider relations, account management, or a similar role within the healthcare industry.
- Strong knowledge of healthcare provider networks, contract negotiation, and regulatory compliance.
- Proficiency in Microsoft Office Suite and experience with healthcare management software.
- Relevant experience may substitute for educational requirement on a year-for-year basis.
Preferred Qualifications:
- Master’s degree in Healthcare Administration, Business, or a related discipline.
- Experience working with managed care organizations or health insurance providers.
- Familiarity with healthcare data analytics and performance measurement tools.
- Demonstrated success in managing complex provider networks and multi-stakeholder projects.
- Certification in healthcare management or provider relations (e.g., Certified Provider Relations Specialist).
Responsibilities:
- Develop and maintain strong collaborative relationships with providers through high-touch communication to ensure network adequacy and quality and other provider performance goals are met.
- Facilitate the development, negotiation, and execution of provider contracts, ensuring terms meet regulatory standards and organizational policies.
- Monitor provider performance metrics and work with providers to implement corrective action plans when necessary.
- Serve as the primary point of contact for all assigned providers, and as a link to various departments to address inquiries, resolve disputes, and maintain positive partnerships..
- Maintain accurate records of provider interactions and follow up on outstanding issues to ensure timely resolution.
- Collaborate with cross-functional teams including care management, compliance, and finance to support provider network initiatives and improve service delivery. opportunities for growth and expansion within existing provider accounts.
- Ensure high levels of provider satisfaction by providing exceptional service and support.
#ILSIndeed
We are seeking a Provider Relations Account Executive to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.
About the Role:
The Provider Relations Account Executive plays an essential role in fostering and maintaining strong partnerships between our healthcare organization and a diverse network of providers. The Provider Relations Account Executive position is responsible for ensuring seamless communication, addressing provider concerns, and facilitating contract negotiations to optimize service delivery and network growth. The Provider Relations Account Executive will work collaboratively with internal teams to align provider capabilities with organizational goals, enhancing member access and satisfaction. By proactively managing provider relationships, the Provider Relations Account Executive contributes to the overall efficiency and quality of healthcare services offered. Ultimately, the Provider Relations Account Executive drives the expansion and retention of a high-performing provider network that supports the organization's mission and strategic objectives.
Minimum Qualifications:
- Bachelor’s degree in Healthcare Administration, Business, or a related field.
- 3 years of experience in provider relations, account management, or a similar role within the healthcare industry.
- Strong knowledge of healthcare provider networks, contract negotiation, and regulatory compliance.
- Proficiency in Microsoft Office Suite and experience with healthcare management software.
- Relevant experience may substitute for educational requirement on a year-for-year basis.
Preferred Qualifications:
- Master’s degree in Healthcare Administration, Business, or a related discipline.
- Experience working with managed care organizations or health insurance providers.
- Familiarity with healthcare data analytics and performance measurement tools.
- Demonstrated success in managing complex provider networks and multi-stakeholder projects.
- Certification in healthcare management or provider relations (e.g., Certified Provider Relations Specialist).
Responsibilities:
- Develop and maintain strong collaborative relationships with providers through high-touch communication to ensure network adequacy and quality and other provider performance goals are met.
- Facilitate the development, negotiation, and execution of provider contracts, ensuring terms meet regulatory standards and organizational policies.
- Monitor provider performance metrics and work with providers to implement corrective action plans when necessary.
- Serve as the primary point of contact for all assigned providers, and as a link to various departments to address inquiries, resolve disputes, and maintain positive partnerships..
- Maintain accurate records of provider interactions and follow up on outstanding issues to ensure timely resolution.
- Collaborate with cross-functional teams including care management, compliance, and finance to support provider network initiatives and improve service delivery. opportunities for growth and expansion within existing provider accounts.
- Ensure high levels of provider satisfaction by providing exceptional service and support.
#ILSIndeed
See All 23 Provider Relations Specialist Jobs in Florida
Find roles in Florida that match your experience and apply in just a few clicks.
Find JobsProvider Relations Specialist Jobs by City in Florida
Where Florida roles are concentrated, by current openings.
Provider Relations Specialist Job Market in Florida
A snapshot from current Florida openings, updated as new roles post.
Who's Hiring
- Independent Living Systems14
- Woundtech2
- Brooks Rehabilitation2
- Cano Health1
- MyCare Medical1
Top Industries Hiring
- Insurance
What Florida Employers Look For
The qualifications that appear most often in provider relations specialist jobs across Florida.
- Two or more years of experience in provider relations, managed care, or health plan operations
- Familiarity with Florida Medicaid and Medicare Advantage plan structures and requirements
- Strong knowledge of provider credentialing and network contracting processes
- Bachelor's degree in healthcare administration, business, or a closely related field
- Proficiency with provider data management systems and CRM platforms
- Excellent verbal and written communication skills for provider education and dispute resolution
Provider Relations Specialist Jobs in Florida: Frequently Asked Questions
How do you become a provider relations specialist in Florida?
Most provider relations specialists in Florida enter the field with a bachelor's degree in healthcare administration, business, or a related discipline, combined with experience in a health plan, insurance carrier, or hospital administrative role. Florida does not require a state-issued license specific to this role, but candidates who understand Florida Medicaid managed care rules and Medicare Advantage structures are strongly preferred. Earning a credential such as a Certified Provider Credentialing Specialist designation gives applicants a competitive edge in the Florida market.
Which companies hire provider relations specialists in Florida?
Employers hiring provider relations specialists in Florida right now include Independent Living Systems, Woundtech, and Brooks Rehabilitation, based on current listings on Migrate Mate as of October 2026. Florida's concentration of Medicare Advantage and Medicaid managed care plans means health insurance carriers and managed care organizations account for the majority of open roles across the state.
Which Florida cities have the most provider relations specialist jobs?
Tallahassee, Jacksonville, and Lutz have the most provider relations specialist openings in Florida. Miami leads because of its dense concentration of managed care plan offices and multi-specialty provider networks, while Tampa and Orlando are major hubs for regional health plan headquarters and large hospital system administrative campuses that drive consistent hiring in this function.
Are there remote provider relations specialist jobs in Florida?
Yes, and more than many healthcare roles. About 50% of provider relations specialist openings tied to Florida are remote or hybrid as of October 2026, reflecting that much of the work involves phone-based outreach, electronic data management, and virtual provider education. Credentialing support and provider dispute resolution are the functions most commonly performed fully remotely, while field-based network development roles typically require in-person travel within a Florida region.
How can I get hired as a provider relations specialist in Florida with little or no experience?
The most realistic entry path is moving laterally from a provider customer service, claims processing, or medical office coordinator role at a Florida health plan or hospital system. Employers like Florida Blue and Humana's Florida division regularly post associate-level provider relations roles that accept candidates with strong communication skills and health plan exposure rather than direct provider relations experience. Completing a Certified Provider Credentialing Specialist course or gaining hands-on experience with a Florida physician group's billing or contracting team strengthens an application considerably.
Where can I find and apply to provider relations specialist jobs in Florida?
You can find and apply to provider relations specialist jobs in Florida on Migrate Mate, which lists current Florida openings across health plans, managed care organizations, and hospital systems. Find the roles that fit your background and apply directly to the ones that match.
See All 23 Provider Relations Specialist Jobs in Florida
Find roles in Florida that match your experience and apply in just a few clicks.
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