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Provider Relations Manager, Dental

Avēsis
Work From Home - OH, United StatesRemotefull_timeVerifiedPosted 8 Nov 2024
💰 $105,590/yr($67,490/yr$105,590/yr)

About the role

Join us for an exciting career with the leading provider of supplemental benefits!

Our Promise
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 a Provider Relations Manager, you will develop and execute the key components to drive initiatives for overall department strategies to service and manage our provider networks. The Provider Relations Manager will oversee day-to-day activities with an innovative thought leader approach on collaboration with all departments that will result in an exceptional provider experience that is supported by outstanding education, customer service, and issue resolution. The Provider Relations Manager role is a hybrid position which will include remote office and field travel to support provider network relationships and initiatives.

Essential Job Functions:

  • Oversee the Provider Relations Dental Team: Supervisors, Team Leads and Provider Relations representatives – all remotely located in multiple cities/states to ensure the highest level of care to our providers, clients and subsequently the members we serve.
  • Ensure that team members meet departmental performance metrics, related to provider engagement activities.  
  • Manage provider network engagement activity, identify trends, and identify opportunities for process improvement.
  • Responsible for participating in the recommendation, development and implementation of quality-of-service strategies which improve operations and provider satisfaction.
  • Manage provider facing educational documents.
  • Align operational initiatives to achieve targeted outcomes.
  • Interview, hire, and provide direction to staff, including coaching and mentoring, professional development opportunities through work assignments, special projects, further education, and performance feedback; Review and recommend merit, promotion and pay increases.
  • Assists the Senior Manager of Provider Relations with projects as necessary, including compliance with regulatory responsibilities, implementation projects, date validation reviews, etc.
  • Identify inefficiencies or gaps in existing processes and present an implementation plan with specific and innovative changes to effect improved efficiencies. Develop standards and practices for effective oversight.
  • Oversee development and maintain an ongoing collaborative relationship with provider network as well as Internal and external departments.
  • Coach, mentor, and develop team members, including overseeing new employee onboarding process and ensuring that new staff are prepared to manage territory and role.
  • Provide effective and ongoing performance feedback, including the responsibility for the completion of annual reviews, as well as the regular attendance in field staff provider site visits and trade shows. 
  • Maintain adequate team coverages and approve time off requests. 
  • Act as a good steward of Company funds related to budget, timesheets, outgoing expenses.  Identify opportunities to create savings and minimize over utilization of funds.
  • Identify trends and issues in provider claim activity, provider calls and/or site visits and either resolve or elevate to senior management as necessary.
  • Be the first point of elevation for team members in their provider workflows. 
  • Serve as the point of contact for escalated provider issues and complaints.
  • Collaborate across internal and external operational teams to drive positive provider outcomes.
  • Review Representative correspondence and documentation for content, accuracy and appropriateness prior to mailing as needed.
  • Meet regularly with staff to educate on changes to workflow, organizational updates, and other information as needed. 
  • Perform other duties as assigned.

Qualification Requirements:

  • High School Diploma or equivalent required:  Bachelor’s degree preferred.
  • 3+ years government and/or commercial dental background required.
  • 3+ years in a Leadership capacity (management, projects, processes, etc.) required.
  • Candidates in Central and/or Eastern Time Zones preferred due to territory oversight and ease of travel.
  • Ability to travel up to 25% as needed. See additional detail below.
  • Ability to operate and manage in a virtual environment.
  • Intermediate PowerPoint skills required; ability to highlight details, provide visual structure using themes, importing Excel data, adding links, playing video files, using animation, and preparing for a live slideshow.
  • Microsoft applications and other windows-based applications to include a moderate level in Microsoft Excel,

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Company

Avēsis

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