Full job description As a Dental Network Provider Relations Manager, you will be responsible for managing the retention of the HMO and PPO dentists in Guardian's provider network. You will review monthly dental network data with your Lead, Dental Networks to identify successes, roadblocks, or patterns and will implement strategies to drive success across different national markets. You will have ownership of some regional and mid-size Dental Service Organization renegotiations and assist in complex negotiations and terminations to retain and/or reverse terminations. You will also participate in ad hoc projects, train new team members, ensure resolution of escalated issues and approve fee schedule proposals. You will work in various systems and partner with other network team members and Pricing and Actuary partners. "People Count," "We Do the Right Thing," and "We Hold Ourselves to Very High Standards" are integral to our team culture.
You are
A team player and leader with a positive attitude who is self-driven and focused on delivering exceptional results.
Demonstrates intellectual curiosity. Displays technical and functional competence and expertise. Proactively looks at new and different ways of approaching work. Collaborates across teams, organizations, external partners, and all levels of staff to produce optimum performance results, efficiencies, and success.
You have
Knowledge of Dental benefits and networks. Knowledge of MS Word/Excel/PPT and Salesforce, a plus. Experience working with Salesforce is a plus. Bachelor's Degree or equivalent work experience required. 5+ years of dental insurance industry experience. The ability to work independently, accelerate impact and drive results. Excellent negotiation and decision-making skills. Strong written and verbal communication skills. You will
Provide best in class customer service to all DHMO and PPO dentists. Assess, analyze, and approve provider fee schedules. Meet productivity requirements as established by the role. Leverage available data to negotiate mutually beneficial fee schedule increases with providers. Research and resolve a variety of provider issues. Grow knowledge base of Network strategy. Work on a variety of projects. Be accountable for meeting contractual and procedural turnaround times. Put forth all reasonable efforts to retain providers in the network. Provide outstanding customer service to external and internal partners. Ensure quality assurance and productivity measures are in place and adhered to for your provider relations team. Act as a resource and Subject Matter Expert for the Provider Relations team. Act as a first level escalation point for provider issues. Work alongside your leader to suggest new ways of working for the team to create efficiencies and maintain a best-in-class Provider Relations organization. Location & Travel
This is a flexible position requiring 2 days per week in office, with preference given to candidates within commuting proximity to a Guardian office, which include:
Bethlehem, PA New York, NY Holmdel, NJ Pittsfield, MA Stamford, CT Atlanta, GA Plano, TX Chicago, IL Boston, MA Newport Beach, CA Will consider remote candidates if experience is aligned and ability to travel to Guardian offices as determined by the People Leader.
Business travel is expected to occur 0-20% of the time. Travel to/from regional offices as needed for project work/team meetings.
Salary Range
$66,130.00 - $108,640.00 The salary range reflected above is a good faith estimate of base pay for the primary location of the position. The salary for this position ultimately will be determined based on the education, experience, knowledge, and abilities of the successful candidate. In addition to salary, this role may also be eligible for annual, sales, or other incentive compensation.
Our Promise
At Guardian, you'll have the support and flexibility to achieve your professional and personal goals. Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.
Inspire Well-Being
As part of Guardian's Purpose – to inspire well-being – we are committed to offering contemporary, supportive, flexible, and inclusive benefits and resources to our colleagues.
Health Care
Choice of [high deductible/copay] medical plans* with prescription drugs, including coverage for fertility and transgender inclusive benefits
Dental plan
Vision plan
Health care accounts – flexible spending, health reimbursement, and health savings accounts
Critical illness insurance
Life and Disability Insurance
Company-paid Life and Disability insurance plus voluntary supplemental coverage
Accident insurance
Retirement and Financial
401(k) retirement plan with a company match, plus an annual age/service-based Company contribution and an annual profit-sharing contribution, if applicable
Complimentary 1:1 financial guidance with a licensed Fidelity representative
Time Off and Remote Work
Flexible work arrangements (part in-person/part remote)
Unlimited paid time off for most roles plus time off for volunteering, jury duty, voting, and bereavement
Personal holidays for colleagues to use in recognition of religious, cultural, or civic days
Paid parental leave and paid family and medical leave policies
Emotional Well-being and Work-Life
Emotional well-being, mental health, and work/life resources powered by Spring Health
Wellness programs, including fitness program and equipment reimbursement
Child, adult, and elder back-up care support through Bright Horizons
Adoption assistance
College planning
Tuition reimbursement
Student loan assistance
Commuter benefits in select metropolitan areas
Benefits apply to full-time eligible employees. Interns are not eligible for most Company benefits.
Equal Employment Opportunity
Guardian is an equal opportunity employer. All qualified applicants will be considered for employment without regard to age, race, color, creed, religion, sex, affectional or sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law.
Accommodations
Guardian is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Guardian also provides reasonable accommodations to qualified job applicants (and employees) to accommodate the individual's known limitations related to pregnancy, childbirth, or related medical conditions, unless doing so would create an undue hardship. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact
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