What are the responsibilities and job description for the Provider Network Manager (Healthcare / Dental Insurance) position at Liberty Dental?
Job Details
Job Location
LIBERTY Dental Plan of California - Tustin, CA
Position Type
Full Time
Job Shift
Description
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This position supports our Southern California market and regular travel within the region is required.
The Provider Network Manager is responsible for developing and maintaining a strong provider network, recruiting and retaining General Dentists and Specialists, and training providers to ensure compliance with Liberty's policies and procedures. The role involves building strategic relationships, analyzing market needs, and supporting providers with contractual and operational guidance. Regular travel is required to support recruitment efforts and conduct provider audits.
Job Summary Details
- Recruit General Dentists and Specialists for various networks to meet objectives at department and corporate levels.
- Review competitor information and propose strategies to meet recruitment needs.
- Analyze existing network providers and determine if additional recruitment of providers is necessary to meet access standards.
- Research and analyze fee schedules within assigned territory to determine cost effectiveness of contracting providers.
- Manage and service network providers within assigned territory according to established guidelines.
- Counsel providers with aberrant utilization or questionable billing patterns to ensure compliance.
- Educate and train providers on policies and procedures when necessary .
- Collect necessary contract documents from providers and follow up on outstanding paperwork.
- Conduct on-site structural audit and orientation according to established guidelines.
- Process and submit facility changes promptly to update internal systems.
- Establish and maintain strong relationships with providers to assure stable networks.
- Complete monthly activity reports and provide updates on various recruitment projects.
- Resolves more complex issues related to claims, grievances, and provider compliance.
- Performs other related duties as assigned.
Qualifications
Education / Experience
Specific Skills / Knowledge
Please be prepared to complete online skills assessments as part of the application process.
Location
Our employees are distributed in office locations in multiple markets across the United States. We are unable to hire or allow employees to work outside of the United States. Candidates for this position must currently reside in Southern California and be able to travel regularly within the assigned market.
What Liberty Offers
Happy, healthy employees enhance our ability to assist our members and contribute more actively to their communities. That's why Liberty offers competitive and attractive benefit packages for our employees. We strive to care for employees in ways that promote wellness and productivity.
Our first-class benefits package supports employees and their dependents with :
Compensation
In the spirit of pay transparency, the base salary range for this position is $68,640 - $80,000, not including fringe benefits or potential bonuses. At Liberty, your final base salary will be determined by factors such as geographic location, skills, education, and experience. We are committed to pay equity and also consider the internal equity of our current team members when making final compensation decisions.
Please note that the range listed represents the full base salary range for this role. Typically, offers are not made at the top of the range to allow for future salary growth.
Liberty Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives. We strive to have every person within the organization have a sense of belonging while encouraging individuals to unleash their full potential. Liberty will leverage diverse perspectives in building high performance teams and organizational culture.
Liberty Dental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve.
We comply with all applicable laws and regulations on non-discrimination in employment, recruitment, promotions, and transfers, as well as work authorization and employment eligibility verification requirements.
Sponsorship and Relocation Specifications
Liberty Dental Plan is an Equal Opportunity Employer / VETS / Disabled.
No relocation assistance or sponsorship available at this time.
Salary : $68,640 - $80,000
