Job Posting End Date: July 03

When you join the team at Unum, you become part of an organization committed to helping you thrive.

Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life’s moments. And this starts with ensuring that every one of our team members enjoys opportunities to succeed both professionally and personally. To enable this, we provide:

• Award-winning culture

• Inclusion and diversity as a priority

• Performance Based Incentive Plans

• Competitive benefits package that includes: Health, Vision, Dental, Short & Long-Term Disability

• Generous PTO (including paid time to volunteer!)

• Up to 9.5% 401(k) employer contribution

• Mental health support

• Career advancement opportunities

• Student loan repayment options

• Tuition reimbursement

• Flexible work environments

• All the benefits listed above are subject to the terms of their individual Plans.

And that’s just the beginning…

With 10,000 employees helping more than 39 million people worldwide, every role at Unum is meaningful and impacts the lives of our customers. Whether you’re directly supporting a growing family, or developing online tools to help navigate a difficult loss, customers are counting on the combined talents of our entire team. Help us help others, and join Team Unum today!

General Summary:

This leadership position is responsible for the dental and vision network support operations teams, including the credentialing and re-credentialing team and the network data specialist team. The team is responsible for knowledge of the provider data for both dental and vision networks, provider record management, provider reports, managing delegated credentialing with our relationships with large dental service organizations and vision organizations, as well as provider portal set up and training. In addition, this leader is responsible for developing and leading strategic operational solutions to meet efficiency and effectiveness needs, managing the credentialing and re-credentialing process, delegated credentialing processes, and compliance with regulatory requirements and policies and procedures. The manager develops, manages, and implements the network operation teams activities, ensuring alignment with the strategic priorities of the organization.

Principal Duties and Responsibilities

• Provides sales support and RFP responses (including reports, provider directories and responses to other questions regarding network composition, operation and provider nomination)
• Serves as liaison to all operational departments of the company
• Drafts regulatory reports and responses as needed and related to network operations
• Manages the Supervisor over Provider Onboarding and Credentialing and the team that manages the provider onboarding and credentialing and re-credentialing processes, as well as supports the Dental Director and Credentialing Committee
• Manages the delegated credentialing process, coordinating with the Dental Director to review and provide input and sign off. This includes the initial delegated credentialing audit as large practices are onboarded, updating policies and procedures around delegated credentialing, monitoring data for clean up around practices that are delegated, and ongoing compliance and audits of delegated entities in accordance with our policies and procedures.
• Partners with the Dental Director in annual review and updates (as needed) to Credentialing Policies and Procedures. Ensures that all changes to the Policies and Procedures are implemented in the Credentialing and Re-credentialing Processes
• Performs project management and implementation regarding provider networks and provider network data
• Acts as a resource to staff on escalated provider issues with more difficult problems they cannot get resolved
• Responsible for daily monitoring, workflows and oversight of provider network maintenance including, but not limited to, the collection and storage of necessary contract paperwork and records, credentialing, welcome packets, databases (improvement, auditing, etc.), provider / member problem resolution, provider portal
• Recommend areas for improvement in the provider onboarding, credentialing and re-credentialing process, claims and network data specialist workflows, and overall provider experience.
• Serves as point person for implementation and maintenance of FLVN partners
• Oversees provider database maintenance in Salesforce, including Go2Dental directory file
• Develops departmental protocol for data management
• Maintains current dental / and vision website data
• Additional duties as assigned

Job Specifications

• Minimum 7 years related experience.
• 4-year college degree preferred. Significant experience considered in lieu of degree
• Strong verbal communication skills
• Excellent customer service philosophy
• Ability to lead and motivate others
• Critical thinking and problem-solving abilities
• Familiarity with Microsoft Office and Client Relationship Management (CRM) databases

#LI-JQ1

~IN1

Unum and Colonial Life are part of Unum Group, a Fortune 500 company and leading provider of employee benefits to companies worldwide. Headquartered in Chattanooga, TN, with international offices in Ireland, Poland and the UK, Unum also has significant operations in Portland, ME, and Baton Rouge, LA - plus over 35 US field offices. Colonial Life is headquartered in Columbia, SC, with over 40 field offices nationwide.

The base salary range for applicants for this position is listed below. Unless actual salary is indicated above in the job description, actual pay will be based on skill, geographical location and experience.

$75,500.00-$135,900.00

Additionally, Unum offers a portfolio of benefits and rewards that are competitive and comprehensive including healthcare benefits (health, vision, dental), insurance benefits (short & long-term disability), performance-based incentive plans, paid time off, and a 401(k) retirement plan with an employer match up to 5% and an additional 4.5% contribution whether you contribute to the plan or not. All benefits are subject to the terms and conditions of individual Plans.

Company:

Starmount Life