NY Provider Partner Consultant, DentaQuest

Job Description

Candidate must reside in NY or in the Northeast region of the United States.

How you will contribute

• Maintain visibility within their market, with an eye toward managing their network across all product lines.
• Evaluate and monitor provider cost reports on an ongoing basis to educate and improve providers’ cost and quality performance.
• Handles recruiting new providers and maintaining network participation by aiding dentists and dental office managers to improve their awareness of all available benefit programs.
• Responsible for educating providers, serve as primary point of contact for instruction and advising of the comprehensive policies and procedures involving all phases of the corporation’s benefits and contracts through office visits and communication over the phone and email.
• Promote dentist adoption of technology solutions by promoting Web applications and increasing the volume of electronic claims.
• Seek continuous improvements by recommending changes in internal methods and procedures to Quality Assurance process.
• Facilitate Oral Health presentations to various educational institutions and organizations.
• Represent clients and company at trade shows, health fairs, audits, dental summits, etc. throughout the designated market and/or state.
• Govern creation and submission of all required reports.
• Develop and continually improve personalized presentations of company benefit programs.
• Provide recommended solutions to market related issues.
• Measure impact of provider satisfaction (as tied to annual objectives of the team) and respond to provider issues.
• Organize and present information to providers and their staff by speaking before various provider organizations and representing the corporation in dental related activities.
• Aid innovative business practices and process improvement opportunities for current and prospective clients.
• Maintain a secondary network to ensure access to care for all eligible members.
• Perform in-depth investigation of fee schedules, including fee schedule comparisons, to negotiate competitive custom fee schedules where needed.
• Provide regular updates to senior management on internal and external issues affecting network market performance.
• Develop and implement processes to improve overall client and provider satisfaction.
• Maintain relationships with appropriate functional areas to ensure effective contract performance.

What you will bring with you

• Dental knowledge with five (5) or more years of office experience.
• Managed Care experience.
• Strong presentation skills.
• Excellent verbal and written communication skills.
• Ability to work independently and as part of a team.
• Knowledge of Microsoft Office.

Pay

Salary Range: $63,000 - $94,500

We are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business.

Benefits

At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions.

About the Role

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Qualifications

Comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.

Skills

Comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.

Benefits

Comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.

Schedule

Flexible, inclusive and collaborative work environment that supports career growth.

Company

We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate.