3 дня назад
Provider Relations Liaison
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Provider Relations Liaison (Dental Insurance): Managing dental provider networks, contracts, reimbursement arrangements, and quality programs for United Concordia Dental with an accent on provider recruitment, negotiations, training, and network performance. Focus on conducting on-site practice reviews, analyzing provider and contract data, improving network processes, and supporting URAC accreditation requirements.
Location: Remote, Work At Home in California, United States; must be a US citizen. The role includes travel to dental offices and other work sites within an assigned territory, with 0–25% travel.
Company
provides healthcare services, including United Concordia Dental’s dental provider network and insurance operations.
What you will do
- Recruit prospective dental providers, manage leads, and support provider network growth and retention.
- Negotiate, develop, renew, and maintain provider contracts, reimbursement arrangements, leasing agreements, and performance targets.
- Build relationships with dentists and dental office staff through meetings, presentations, training, and on-site practice visits.
- Explain participation terms, claims and administrative policies, fee schedules, network options, and reimbursement models.
- Collaborate with sales, customer service, dental directors, and advisers to resolve provider, claims, contract, and clinical inquiries.
- Conduct audits, analyze site-visit and network data, and support process improvements for quality programs and URAC accreditation.
Requirements
- US citizenship is required.
- High school diploma or GED.
- 3–5 years of experience in healthcare or insurance, or professional experience presenting concepts and influencing varied audiences.
- 3–5 years of experience as a dental office manager or dental hygienist.
- Strong written and oral communication, time management, organizational, negotiation, and analytical skills.
- Knowledge of ADA/CDT codes and general dental terminology.
Culture & Benefits
- Remote and mobile work environment with regular travel to dental offices and other work sites.
- Work involving collaboration with providers, dental industry professionals, consultants, sales, customer service, and clinical advisers.
- Responsibilities include compliance with HIPAA, company privacy and security policies, applicable laws, and the Code of Business Conduct.
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