About the role

Provider Network Manager at Liberty Dental Plan focused on building provider networks in New York. Recruiting General Dentists and Specialists while ensuring compliance and relationship building.

Responsibilities

Recruit General Dentists and Specialists to meet network adequacy and corporate objectives.
Analyze existing provider networks to identify recruitment needs based on access standards and cost effectiveness.
Conduct competitor analysis and develop strategic recruitment plans for assigned markets.
Negotiate fee schedules and contract terms to align with company goals.
Support network providers within assigned territories with claims issues, grievances, facility updates, and contract guidance.
Conduct on-site provider orientations and structural audits as needed.
Collect and process provider contracts, ensuring complete and accurate documentation.
Maintain and strengthen long-term relationships with providers.
Deliver monthly activity reports and updates on recruitment and retention progress.
Educate providers on Liberty policies, procedures, and compliance standards.
Collaborate cross-functionally to resolve escalated provider concerns and lead problem-solving efforts.
Perform other related duties as assigned.

Minimum 4 years’ experience in provider network management, dental office management, managed care, or related sales.
Independently manages recruitment and retention strategies in assigned regions.
Handles complex provider issues and leads recruitment initiatives.
Bachelor’s degree or equivalent combination of education and relevant work experience.
Minimum 4 years of experience in network management, dental office management, managed healthcare, and/or related sales.
Prior experience working with Medicaid, Medicare and/or DHMO networks is highly preferred.
Knowledge of dental terminology and credentialing processes.
Strong communication, public speaking, and negotiation skills.
Detail-oriented with excellent time management and organizational abilities.
Proficient in Microsoft Office Suite (Word, Excel, Outlook).
Ability to identify and resolve problems independently.
Experience with Medicaid or Medicare is a plus.
Valid driver’s license, reliable transportation, and minimum $100,000 liability insurance.
Availability to travel 50% of the time, including occasional evenings and weekends for special events.

Competitive pay structure and savings options to help you reach your financial goals.
Excellent 401(k) retirement benefits, including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines.
Affordable medical insurance, with low-cost premiums for employee-only coverage.
Liberty subsidizes the cost for eligible dependents enrolled in the plan.
100% employer-paid dental coverage for employees and eligible dependents.
Vision insurance with low-cost premiums for employee-only coverage and dependents.
Company-paid basic life and AD&D insurance, equal to one times your base salary, with options to purchase additional supplemental coverage.
Flexible Spending Accounts for healthcare and dependent care expenses.
Voluntary benefit programs, including accident, critical illness, and hospital indemnity insurance.
Long-term disability coverage.
Expansive wellness programs, including company-wide wellness challenges, BurnAlong memberships, and gym discounts.
Employee Assistance Program (EAP) to support mental health and well-being.
Generous vacation and sick leave policies, with the ability to roll over unused time.
10 paid company holidays.
Tuition reimbursement for eligible educational expenses.
Remote or hybrid work options available for various positions.