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Dental Network Support Associate IV - Remote Eligible

Negotiate and optimize provider fee schedules to retain network providers
Remote
Mid-Level
$49,260 – 73,890 USD / year
6 days ago
New Mexico Staffing

New Mexico Staffing

Provides staffing, recruitment, and workforce support services for state government agencies and public sector organizations in New Mexico.

885 Similar Jobs at New Mexico Staffing

Dental Network Support Associate IV - Provider Relations

As the Dental Network Support Associate IV on the Provider Relations team, you will work directly with contracted providers to help resolve issues, assess and negotiate provider fee schedules, and attempt to reverse termination requests. You will work in a variety of different systems and partner with other network team members. You will also work on different projects related to our dental network providers. 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 with a positive attitude who is self-driven and focused on delivering exceptional results. Able to deliver top customer service to all DHMO and PPO dentists and maintain productivity requirements as established by the role. Intellectually curious and proactive. Displays technical and functional competence and expertise. Proactively looks at new and different ways of approaching work. You have 3+ years of dental insurance industry experience or comparable insurance experience communicating with Dental or Doctor offices. The ability to accelerate impact and drive results. Excellent decision making, critical thinking and communication skills. Knowledge of Dental or related experience. Knowledge of MS Word/Excel/PPT. Excellent written and verbal communication skills. Bachelor's Degree or equivalent work experience required. You will assess and analyze provider fee schedules. 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 providers and internal partners.

Location: This is a remote role with 0-10% Travel - Travel to/from regional offices as needed for project work/team meeting.

Salary Range: $49,260.00 - $73,890.00 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.

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.

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. Explore our company benefits at www.guardianlife.com/careers/corporate/benefits. Benefits apply to full-time eligible employees. Interns are not eligible for most Company benefits.

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. 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 MyHR@glic.com.

Guardian is not currently or in the foreseeable future sponsoring employment visas. In order to be a successful applicant, you must be legally authorized to work in the United States, without the need for employer sponsorship.

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Dental Network Support Associate IV - Remote Eligible
Remote
$49,260 – 73,890 USD / year
Support
About New Mexico Staffing
Provides staffing, recruitment, and workforce support services for state government agencies and public sector organizations in New Mexico.