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    Dental Provider Network Manager - Roseville, United States - LIBERTY Dental Plan

    LIBERTY Dental Plan
    LIBERTY Dental Plan Roseville, United States

    3 weeks ago

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    Description
    Braces yourself, the job you've been searching for is just a click away

    This position supports Central and Northern California

    The ideal Candidate lives in Sacramento or Modesto, CA . (LOCAL Candidates Only, Please.)


    The Network Manager is responsible for developing a strong provider network, recruiting, and retaining network providers, and educating provider to ensure compliance with LIBERTY's policies and procedures.

    This position requires the ability to regularly travel in the course of work.

    Job Summary Details


    • Recruit General Dentists and Specialists for various networks as assigned to meet objective at department and corporate levels.
    • Review competitor information and propose strategies to meet recruitment needs.
    • Analyze existing network and determine if additional recruitment of provider is necessary to meet access standards.
    • Research and analyze fee schedules within assigned territory to determine cost effectiveness of contracting providers.
    • Negotiate contract terms with existing and potential providers.
    • Work with office staff to collect necessary contract documents for submission.
    • Manage and service network providers within assigned territory according to established guidelines.
    • Establish and maintain strong relationships with providers to assure stable networks.
    • Work with internal and provider staff to coordinate resolution of provider and member issues.
    • Assist and coordinate counseling of providers with aberrant utilization or questionable billing patterns to ensure compliance.
    • Counsel providers as needed.
    • Educate and train providers on policies and procedures when necessary.
    • Conduct orientation according to established guidelines.
    • Verify and monitor assigned network for accuracy.
    • Process facility changes and submit them timely to update internal systems.
    • Assist with special projects as assigned by management.
    • Ensure network compliance with annual Attestation requirements.
    • Conduct service calls and site visits as required by contract to ensure provider has no grievances with LIBERTY or assist with any concerns.
    • Complete and review quarterly reports.
    • Review necessary contract documents for accuracy & completeness for submission at Intermediate Level.
    • Create and maintain DSO/Group Contracts at Intermediate Level.
    • Conduct external facing communication with client management and internal facing partners at Intermediate Level.
    • Performs other related duties as assigned.
    Qualifications


    Education/Experience:

    • Associate Degree, or equivalent experience, required.
    • Bachelors Degree preferred.
    • 2 Years of previous network management experience in Dental PPO or DHMO environment; dental office management, managed healthcare, sales, and/or customer service experience.

    Specific Skills/Knowledge:

    • Knowledge of dental terminology
    • Presentation skills
    • Strong verbal and written communication skill sin English language; bilingual a plus
    • Proficient in Microsoft Office specifically Word, Excel, and Outlook
    • Please be prepared to Complete an Online Skills Assessment as part of the Application process.
    • Ability to negotiate fee schedules with providers
    • Must be detail oriented, strong customer service skills, strong organizational and time management skills at an Advanced Level
    • Ability to identify problems, research issues and follow through until resolved at an Intermediate Level
    • Medicaid or Medicare experience preferred
    • Experience in processing provider contracts preferred
    • Previous sales and customer service experience OR network management experience strongly preferred

    Location:
    Our employees are distributed in office locations in multiple markets across the United States. We are unable to hire or allow employees to work outside of the United States.


    What LIBERTY Offers:
    Happy, healthy employees enhance our ability to assist our members and contribute more actively to their society. That's why LIBERTY offers competitive and attractive benefit packages for their employees. We strive to care for employees in positive ways that promotes wellness and productive employees.

    Our first-class benefit package supports our employees and their dependents with:


    • Competitive pay structure and saving options that help you reach your financial goals
    • Excellent 401k retirement benefits available which includes employer match and ability to save via a Roth IRA, plus immediate vesting during Safe Harbor period and professional financial advice through Financial Engines
    • Medical insurance offered with low-cost premium for employee only coverage and LIBERTY subsidizes 50% of dependent coverage for eligible enrolled dependents.
    • 100% employer paid dental coverage for employees and eligible dependents.
    • 100% employer paid vision coverage for employee only coverage, low-cost premium for dependents
    • Company paid basic life and AD&D coverage; options to elect additional supplemental coverage.
    • Long Term Disability coverage
    • Expansive wellness program including companywide Get Active challenges and Burn-A-Long with option for gym discounts.
    • Employee Assistance Program
    • Generous vacation and sick leave with the ability to roll time over.
    • 10 paid company holidays
    • Tuition Reimbursement
    • Remote or Hybrid options for various positions
    • And so much more...

    Compensation:


    In the spirit of pay transparency, we are excited to share the base salary for this position is $65,000 - $85,000, exclusive of fringe benefits or potential bonuses.

    If you are hired at LIBERTY, your final base salary compensation will be determined based on factors such as geographic location, skills, education, and/or experience.

    In addition to those factors - we believe in the importance of pay equity and consider internal equity of our current team members as a part of any, final offer.

    Please keep in mind that the range mentioned above is the full base salary range for the role.

    Hiring at the maximum of the range would not be typical in order to allow for future & continued salary growth.


    LIBERTY Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives.

    We strive to have every person within the organization have a sense of belonging while encouraging individuals to unleash their full potential.

    LIBERTY will leverage diverse perspectives in building high performance teams and organizational culture.


    LIBERTY Dental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve.


    We comply with all applicable laws and regulations on non-discrimination in employment, recruitment, promotions, and transfers, as well as work authorization and employment eligibility verification requirements.


    Sponsorship and Relocation Specifications:
    LIBERTY Dental Plan is an Equal Opportunity Employer / VETS / Disabled.

    No relocation assistance or sponsorship available at this time.
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