Dental Network Service Representative

Job Opportunity At UCDP Of California, Inc.

This job services United Concordia Dental's (UCD's) clients by recruiting, training and servicing quality dental networks in assigned territory in a remote and mobile work environment. Manage network contracts including negotiations, contract development/renewal and financial reimbursement. Meet with dentists and office personnel to act as the intermediary between the organization and UCD. Respond to contractual and payment issues both internally and externally. Ensure compliance with contractual terms through regular on-site audits. Apply an active role in network management, training, monitoring and enforcement of company policies and procedures while increasing provider efficiencies.

Essential responsibilities include: identifying and initiating contact with prospective providers, developing and following up on leads in an established time frame; analyzing and developing network retention strategies for follow up services to providers; performing effective on-site visits through educating providers on the financial advantages and marketing incentives of participation; acting as a subject matter expert with recommendations and data supporting development of network and sales strategy and support of leasing contract negotiation; communicating and maintaining effective working relationships both internally and externally; developing and managing process improvement initiatives designed to maintain URAC accreditation of all network practices associated with government programs using continuous quality improvement principles; and other duties as assigned or requested.

Education: High School Diploma/GED required, Bachelor's Degree - Business preferred.

Experience: Due to government contracts, this person must be a US citizen. Three - five years of experience in the healthcare/insurance industry or professional experience in presenting concepts and influencing others in varying audiences required. Three-five years of experience as Dental Office Manager or Dental Hygienist preferred.

Skills: written and oral communication skills, time management and organizational skills, knowledge of ADA/CDT codes and general dental terminology, negotiation skills, ability to analyze situations, determine points of relevance and proper course of actions.

Physical, Mental Demands and Working Conditions: Position type is office-based, teaches/trains others regularly, does not apply travel regularly from the office to various work sites or from site-to-site, occasionally works primarily out-of-the office selling products/services, never physical work site required, lifting up to 10 pounds constantly, lifting 10 to 25 pounds occasionally, lifting 25 to 50 pounds.

Pay Range Minimum: $50,200.00 Pay Range Maximum: $91,200.00 Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.