Provider Network Manager (Dental Experience Required)
Exciting New Hybrid Opportunity: Provider Network Manager
(Candidates in Central New York; strong preference given to candidates in these regions.)
Join a growing organization that is transforming access to dental care! We’re looking for a Provider Network Manager who is passionate about building and maintaining strong provider networks. In this role, you will play a vital part in recruiting and retaining General Dentists and Specialists while supporting providers through education, training, and strategic relationship-building. You’ll collaborate cross-functionally, conduct market analysis, and ensure providers align with organizational goals and compliance standards.
Location and Position Requirements:
- Candidates in Central New York; strong preference given to candidates in this region.
- Local commuting within Central New York
Key Responsibilities:
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Recruit General Dentists and Specialists to meet network adequacy and corporate objectives.
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Analyze existing provider networks to identify recruitment needs based on access standards and cost effectiveness.
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Conduct competitor analysis and develop strategic recruitment plans for assigned markets.
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Negotiate fee schedules and contract terms to align with company goals.
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Support network providers within assigned territories with claims issues, grievances, facility updates, and contract guidance.
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Conduct on-site provider orientations and structural audits as needed.
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Collect and process provider contracts, ensuring complete and accurate documentation.
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Maintain and strengthen long-term relationships with providers.
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Deliver monthly activity reports and updates on recruitment and retention progress.
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Educate providers on Liberty policies, procedures, and compliance standards.
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Collaborate cross-functionally to resolve escalated provider concerns and lead problem-solving efforts.
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Perform other related duties as assigned.
Provider Network Manager:
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Minimum 4 years’ experience in provider network management, dental office management, managed care, or related sales.
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Independently manages recruitment and retention strategies in assigned regions.
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Handles complex provider issues and leads recruitment initiatives.
Education & Experience Requirements:
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Bachelor’s degree or equivalent combination of education and relevant work experience.
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Minimum 4 years of experience in network management, dental office management, managed healthcare, and/or related sales.
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Prior experience working with Medicaid, Medicare and/or DHMO networks is highly preferred.
Key Skills & Knowledge:
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Knowledge of dental terminology and credentialing processes.
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Strong communication, public speaking, and negotiation skills.
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Detail-oriented with excellent time management and organizational abilities.
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Proficient in Microsoft Office Suite (Word, Excel, Outlook).
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Ability to identify and resolve problems independently.
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Experience with Medicaid or Medicare is a plus.
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Valid driver’s license, reliable transportation, and minimum $100,000 liability insurance.
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Availability to travel 50% of the time, including occasional evenings and weekends for special events.