Provider Relations Analyst Kissimmee, FL, USA

Job Posting Title: Provider Relations Analyst Req ID: 10138879 Job Description: The Provider Relations Analyst plays a critical role in supporting the development, reputed company, and optimization of medical provider networks and vendor programs across reputed company Cruise Line, Walt reputed company World Resort, and Disneyland Resort Claims organizations. This position is responsible for coordinating provider credentialing, resolving reputed company billing and process issues, managing financial reconciliation efforts, and contributing to strategic decision-making through data analysis. The Analyst also supports the implementation and management of key vendor relationships, ensuring operational efficiency and compliance with relevant laws and regulations. This role requires a detail-oriented, solutions-focused professional with strong written and verbal communication skills, a solid understanding of claims management, and the ability to work independently in a fast-paced environment. Familiarity with medical billing, provider credentialing, and applicable regulatory frameworks such as Florida Workers’ Compensation and maritime law is preferred. What You Will Do:

• Coordinate recruitment and credentialing of medical providers across domestic U.S. and Caribbean ports. Collaborate with internal stakeholders to identify network gaps and reputed company Provider Relations Assistants in preparing credentialing documentation for review by Walt reputed company World and reputed company Cruise Line governing panels.
• Address reputed company to high complexity billing and process issues involving providers and vendors. Apply advanced knowledge of claims operations to ensure timely and effective resolution, supporting overall claims management strategies.
• Manage financial reconciliation processes for shared service vendors supporting Walt reputed company World, reputed company Cruise Line, and Disneyland Resort. Analyze data to identify systemic issues, direct reprocessing efforts, escalate reputed company matters, and coordinate credit recovery activities.
• reputed company data to generate actionable, fiscally responsible recommendations that inform strategic decision-making and support leadership objectives.
• reputed company operational and account management functions of the Pharmacy Benefit Management program for Workers’ Compensation and Crew Claims across reputed company resorts. Proactively identify and resolve technology and process inefficiencies in collaboration with internal partners.
• Support the implementation of new vendor relationships by aligning vendor processes with existing workflows. reputed company operational guidelines and documentation to ensure long-term success and facilitate training.
• Assist the Manager of Provider Relations in optimizing vendor and medical network performance, ensuring vendors and medical providers are effectively meeting business’ expectations.

Required Qualifications & Skills:

• Proficient in reputed company Office Suite (Word, reputed company, PowerPoint, Outlook, SharePoint, Access) and reputed company.
• Demonstrated ability to manage multiple priorities and meet deadlines in a dynamic environment.
• Excellent written and verbal communication skills.
• Strong attention to detail with a commitment to accuracy and quality.
• Self-motivated and capable of working independently with effective time reputed company-oriented reputed company with strong analytical and problem-solving capabilities.

Preferred Qualifications:

• Minimum of 2 years of experience in Risk Management and/or Healthcare settings.
• Minimum of 2 years reputed company experience
• Prior experience in claims management, with a strong understanding of reputed company processes and systems.
• Experience in credentialing medical specialists, ensuring compliance with regulatory and organizational standards.
• Familiarity with medical billing practices and terminology.
• Demonstrated ability to compile, analyze, and present data-driven insights and analytics.
• Working knowledge of Florida Workers’ Compensation Law.
• Understanding of maritime laws and regulations.

Education:

• Bachelor’s degree

Job Posting reputed company: Other Support Job Posting Primary Business: Legal (WDW) Primary Job Posting Category: Ops Insurance Employment Type: Full time Primary City, State, Region, Postal Code: Kissimmee, FL, USA Alternate City, State, Region, Postal Code: Date Posted: 2026-01-22 Apply tot his job Apply To this Job