Manager, Carrier Relations

Full-time

Position Overview

The Carrier Relations Manager position is responsible for successfully managing the Carrier Relations team. The Carrier Relations team is a critical role within Zelis Network Analytics (ZNA) ProviderNexus API business, responsible for implementation of requests for customized data sets from our clients, which includes gathering, clarifying, and transferring custom business rules from our carrier partners to our Data Operations team and our proprietary data mapping application.

This role will be responsible for managing the team’s personnel, assigning work, training and mentoring team members and assisting with questions and escalations as they arise.

The Carrier Relations Manager will also be responsible for establishing and monitoring performance metrics for the team, working equally well in both technical and non-technical environments and effectively communicating technical information in a common, non-technical manner.

The individual must work well in a fast paced, demanding environment. The ability to efficiently organize and prioritize work to meet deadlines is essential to success.

Key Responsibilities

Escalation resource for all team members, as well as internal and external clients

Ensure Root Cause Analysis documents for client issues are clear and accurate

Establish and manage to team goals with performance metrics

Perform team reviews and performance management

Work with team to document processes, and update existing processes

Work with carriers to negotiate carrier data use agreements, ensuring terms are acceptable; work with Zelis & Carrier legal teams to execute agreements

Coach and mentor team members to :

Facilitate meetings, internal & external

Manage all communications, internal & external

Track progress of tasks

Manage agreements and document updates

Collaborate with other ZNA teams to document identified gaps or missing process needs and implement process improvements as needed

Summary of Qualifications

Associate degree minimum / Bachelor’s preferred

6+ years of management experience preferred

4+ years of experience in the healthcare industry preferred industry (particularly in the realm of provider networks and directories)

Thorough understanding of data structure basics, with knowledge of how to apply business rules to retrieve data from those formats is required

Innovative problem-solver who constructively overcomes obstacles utilizing resourceful solutions

Demonstrates ability to lead in a collaborative, team setting

Tools used :

SQL or other data management tools

Trello.com

Confluence

Internal data management system

Office products Word, Excel, Outlook, PowerPoint

LI-RZ1

As a leading payments company in healthcare, we guide, price, explain, and pay for care on behalf of insurers and their members.

We’re Zelis in our pursuit to align the interests of payers, providers, and consumers to deliver a better financial experience and more affordable, transparent care for all.

We partner with more than 700 payers, including the top-5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, over 4 million providers, and 100 million members, enabling the healthcare industry to pay for care, with care.

Zelis brings adaptive technology, a deeply ingrained service culture, and a comprehensive navigation through adjudication and payment platform to manage the complete payment process.

Zelis provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

SCAM ALERT : There is an active nationwide employment scam which is now using Zelis to garner personal information or financial scams.

This site is secure, and any applications made here are with our legitimate partner. If you’re contacted by a Zelis Recruiter, please ensure whomever is contacting you truly represents Zelis Healthcare.

We will never asked for the exchange of any money or credit card details during the recruitment process. Please be aware of any suspicious email activity from people who could be pretending to be recruiters or senior professionals at Zelis.

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Manager, Carrier Relations

Zelis Miami, FL
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Position Overview

The Carrier Relations Manager position is responsible for successfully managing the Carrier Relations team. The Carrier Relations team is a critical role within Zelis Network Analytics (ZNA) ProviderNexus API business, responsible for implementation of requests for customized data sets from our clients, which includes gathering, clarifying, and transferring custom business rules from our carrier partners to our Data Operations team and our proprietary data mapping application.

This role will be responsible for managing the team’s personnel, assigning work, training and mentoring team members and assisting with questions and escalations as they arise.

The Carrier Relations Manager will also be responsible for establishing and monitoring performance metrics for the team, working equally well in both technical and non-technical environments and effectively communicating technical information in a common, non-technical manner.

The individual must work well in a fast paced, demanding environment. The ability to efficiently organize and prioritize work to meet deadlines is essential to success.

Key Responsibilities

Escalation resource for all team members, as well as internal and external clients

Ensure Root Cause Analysis documents for client issues are clear and accurate

Establish and manage to team goals with performance metrics

Perform team reviews and performance management

Work with team to document processes, and update existing processes

Work with carriers to negotiate carrier data use agreements, ensuring terms are acceptable; work with Zelis & Carrier legal teams to execute agreements

Coach and mentor team members to :

Facilitate meetings, internal & external

Manage all communications, internal & external

Track progress of tasks

Manage agreements and document updates

Collaborate with other ZNA teams to document identified gaps or missing process needs and implement process improvements as needed

Summary of Qualifications

Associate degree minimum / Bachelor’s preferred

6+ years of management experience preferred

4+ years of experience in the healthcare industry preferred industry (particularly in the realm of provider networks and directories)

Thorough understanding of data structure basics, with knowledge of how to apply business rules to retrieve data from those formats is required

Innovative problem-solver who constructively overcomes obstacles utilizing resourceful solutions

Demonstrates ability to lead in a collaborative, team setting

Tools used :

SQL or other data management tools

Trello.com

Confluence

Internal data management system

Office products Word, Excel, Outlook, PowerPoint

LI-RZ1

As a leading payments company in healthcare, we guide, price, explain, and pay for care on behalf of insurers and their members.

We’re Zelis in our pursuit to align the interests of payers, providers, and consumers to deliver a better financial experience and more affordable, transparent care for all.

We partner with more than 700 payers, including the top-5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, over 4 million providers, and 100 million members, enabling the healthcare industry to pay for care, with care.

Zelis brings adaptive technology, a deeply ingrained service culture, and a comprehensive navigation through adjudication and payment platform to manage the complete payment process.

Zelis provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

SCAM ALERT : There is an active nationwide employment scam which is now using Zelis to garner personal information or financial scams.

This site is secure, and any applications made here are with our legitimate partner. If you’re contacted by a Zelis Recruiter, please ensure whomever is contacting you truly represents Zelis Healthcare.

We will never asked for the exchange of any money or credit card details during the recruitment process. Please be aware of any suspicious email activity from people who could be pretending to be recruiters or senior professionals at Zelis.

Full-time
APPLY

Public Relations Specialist

Swatch Group Miami, FL
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The company

Job description

Public Relations Specialist

As a Public Relations Specialist with Swatch Group, U.S., the position will be responsible for developing and implementing the brand’s PR and media strategy, building its reputation, image and ensuring effective media coverage.

As a PR Specialist, you will draft the media releases and content on various media channels, forge relationships with journalists and key influencers and manage the response to time- sensitive and critical situations.

The PR Specialist to be responsible for planning and organizing events, day-to-day media relations activities for the Brand.

Profile

Primary Duties and Responsibilities

  • Grow brand awareness and market share through strategic product PR campaigns
  • Works collaboratively with Marketing Manager to align PR strategy with business / marketing communications objectives and to support overall marketing plans.
  • Manage yearly planning and implementation of product PR campaigns under guidance from the global marketing communications team and in close collaboration with local marketing management (MM).
  • Develop public relations strategies for current and existing products, launches, and promotions
  • Generate new ideas and opportunities to ensure brands’ success
  • Develop and produce high-quality, informative, and interesting press releases, press kits, and related materials
  • Act as project lead for PR initiatives from concept development through execution.
  • Plan and implement publicity strategies, campaigns, and social media calendars
  • Create presentations, reports, and information for multiple communication channels
  • Responsible for U.S. media relations, manage contacts, and facilitate networking for SG Corporate and brand executive.
  • Ensures proactive contact with the different media through regular interaction.
  • Analyzes the quantitative and qualitative outputs of PR programs and placements to maximize effectiveness and ROI.
  • Manages PR budget and invoicing process
  • Develop weekly, monthly, quarterly and annual media activity reports
  • Consistently brainstorm and collaborate with team for new ideas and strategies
  • Develop and maintain good relationships with media and industry leaders
  • Create and manage PR budgets, deadlines, objectives, and schedules
  • Create presentations, articles, reports, and information for web sites, blogs, and social media accounts
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Professional requirements

Education and Experience Requirements

  • Must have at least 2 years of related PR experience (consumer luxury products, media, agency, corporate environment)
  • Must have a Bachelor’s Degree in Communications, Advertising, Journalism, Marketing or Business
  • Must have knowledge and experience of traditional and new / social / digital media PR tactics.
  • Strong written communication skills and excellent interpersonal skills
  • Experience managing small and large scale events
  • Strong media contacts and relations with a record of success in securing national and top-tier media placements is preferred
  • Must be flexible and solution-oriented with excellent time management and organizational skills and the ability to multitask with strong attention to detail
  • Ability to foster relationships and maintain connections
  • Must be able to work early & late during event executions
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Physical Requirements :

This is primarily an office position which requires the Public Relations Specialist to have the ability to move about the office occasionally, operate computer equipment, speak, hear, bend, stoop, reach, lift, and move and carry up to 25 lbs.

Travel domestic and internationally on a frequent basis. Ability to climb stairs and hang banners. Finger dexterity is necessary.

Additional Skill Requirements :

  • Able to organize and execute events
  • Savvy in social media
  • Able to identify and work closely with bloggers and influencers.
  • Must be a confident communicator and presenter
  • Ability to work in high-stress environments, often for long hours
  • Must be self-motivated and a self-starter; quick learner for a multifaceted business and companion domestic and international staff;
  • Must possess strong organizational, project management and problem-solving skills with multi-tasking abilities in a fast-paced corporate environment;
  • Arrive early and work late if necessary
  • Understand and follow posted work rules and procedures
  • Accept constructive feedback
  • Must be a team player

Languages

Language : Bilingual is a plus

The Swatch Group is an equal opportunity employer that promotes diversity and is committed to environmental sustainability.

Excellent health, dental and vision insurance (employee and dependents are eligible 1st of the month following 30 days;

generous employer contribution)

  • Immediate participation in the 401(k) and 100% vested employer match after one year (maximum 4% employer match with 5% employee contribution)
  • Company paid life insurance and Long Term Disability
  • 18 days of PTO per year, 1 Month PTO after 5 years
  • Special bucket of sick time per year extended paid time for medical, parental and military leave
  • Holiday pay
  • Voluntary FSA, STD, Accident / Hospital Indemnity insurance
  • Employee product discount

For more information please see

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Public Relations Specialist

Guerra Financial Group Miami, FL
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Join and grow with a reputable family owned and run Financial Advisory Firm . This is an exciting opportunity for an organized, self-motivated individual with excellent interpersonal skills seeking to join an A-team.

The Public Relations Specialist at Guerra Financial Group will be responsible for developing and implementing the overall community, public relations, and prospecting strategies based on the firms vision.

This person will be responsible for establishing close relationships with existing clients, potential clients and external organizations in order to host Lunch and Learn events, In-House Classes, Trade Show Booths, and cultivating public relations opportunities.

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Who is Guerra Financial Group?

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We focus on ensuring our clients are "Retirement Ready" through portfolio management, estate and legacy planning, tax preparation and planning, insurance and asset protection planning, personal finance training and of course retirement planning.

Website : https : / / guerrafinancial.com /

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Communications and Public Relations Specialist

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As a nationally recognized college preparatory community school and a Blue Ribbon School of Excellence, our well-rounded, rigorous, dual curriculum serves over 1200 students in Preschool through 12th grade.

We attract and retain a diverse faculty and staff who demonstrate professional excellence with an unwavering commitment to delivering an educational product of unsurpassed quality.

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For further consideration, email resumes or visit our website at www.ehillel.org for more information about Scheck Hillel.

Scheck Hillel is an equal opportunity employer. Powered by JazzHR

Full-time
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Public Relations Associate - South Florida

EAST WEST GROUP Miami, FL
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Company is looking for an associate interested in learning all aspects of the public relations field. It's essential that this position have strong communication skills, demonstrate creativity, and understand the importance of attending to even the smallest details.

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  • Public Relations, Communications, Marketing or Journalism major
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East West Group is diversified real estate services firm which includes

affiliated companies that provide planning and design, development

management, construction management, design / build, investment

immigration, parking operations and art products.

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