Provider Relations Liaison

Location: Remote, working from home in California; must be a US citizen

Company

United Concordia Dental, an affiliate of hirify.global, manages dental provider networks and related insurance services.

What you will do

• Recruit prospective dental providers and manage provider agreements, renewals, updates, and confidentiality documentation.
• Build provider relationships through face-to-face meetings, present participation and reimbursement information, and develop network retention strategies.
• Educate and train dental office staff on claims, electronic data interchange, electronic funds transfer, automated services, and quality assurance guidelines.
• Collaborate with sales, customer service, dental directors, and advisers to resolve contract, claims, provider file, clinical, and terminology-related inquiries.
• Analyze network performance, reimbursement models, market changes, and leasing risks to support network and sales strategy.
• Conduct office reviews and audits, analyze site-visit data, and support continuous quality improvement and URAC accreditation requirements.

Requirements

• US citizenship is required.
• High school diploma or GED required.
• 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.
• Travel requirement of 0%–25%.
• Work includes occasional lifting of 25–50 pounds and frequent lifting of up to 10 pounds.
• Responsibilities require compliance with HIPAA, data security policies, the Code of Business Conduct, and applicable laws and regulations.
• Work supports quality improvement and URAC accreditation for network practices associated with government programs.