Responsable de Missions Audit clé dans l'audit légal et contractuel chez Exco Socodec. Supervisant les équipes et assurant la qualité des travaux, avec un portefeuille diversifié de clients.
About the role
- Provider Engagement Sr. Manager improving provider understanding of benefit programs and maintaining network participation through support and education. Leading provider recruitment and relationship management in a hybrid work setting.
Responsibilities
- Maintain network participation by providing support to dentists and dental office managers to improve their understanding of all available benefit programs
- Educate providers by instructing and advising of the comprehensive policies and procedures involving all phases of the corporation’s benefits and contracts through office visits and communication over the phone and email
- Promote dentist adoption of technology solutions by promoting Web applications and increasing the volume of electronic claims
- Recruit non-participating providers within cost and access goals
- Negotiate special deals to maintain compliance and increase access in networks
- Seek continuous improvements by recommending changes in internal methods and procedures to Quality Assurance process
- Vendor relationship management for provider-facing technologies
- Facilitate Oral Health presentations to various educational institutions and organizations
- Assist provider offices in filing their claims electronically
- Serve as a liaison with dental offices by answering remittance, payment, benefit, claims, and eligibility questions when necessary
- Follow up with all termination letters submitted
- Represent clients and company at health fairs, audits, dental summits, etc. throughout your designated market
- Maintain and submit all required reports
- Assist in resolving elevated complaints and issues for clients, members and providers
Requirements
- 5 years’ experience in healthcare practice or managed care environment
- 3 years’ supervisory/management experience
- Bachelor’s degree in Business, Healthcare Administration (or related field) or equivalent, relevant experience
- Strong presentation skills
- Excellent verbal and written communication skills
- Ability to work independently and as part of a team
- Knowledge of Microsoft Office
- Proven problem-solving skills
- Problem solving and training experience
- Ability to make sound judgment conclusions based on data available with minimal supervision
- Up to 25% travel required (primarily local)
Benefits
- Health insurance
- 401(k) employer match
- Generous vacation and sick time
- Paid family, parental, and adoption leave
- Medical coverage
- Company paid life and AD&D insurance
- Disability programs
- Partially paid sabbatical program
- Flexible, inclusive, and collaborative work environment
Job title
Job type
Experience level
Salary
Degree requirement
Location requirements
Task Order, Warranty and Repair Manager for Leidos managing CHS - 6 contract operations. Leading relationships and strategies for warranty and repair services with the U.S. Army.
Assistant Manager in Finance Data & Analytics Office managing data strategy alignment and operational demands. Collaborating across teams to implement change and improve customer outcomes.
Corporate Senior Quality Manager overseeing quality management systems, compliance, and continuous improvement across multiple business units. Driving quality culture and risk management initiatives in a regulated environment.
Manager Tender Desk leading the tender function for iBabs, ensuring successful participation in bids. Coordinating with various departments to enhance tender documentation quality and win ratios.
Senior Manager for Care Center Workforce Management at Truist leading strategy and governance. Overseeing performance and enhancing client experience at scale across various locations.
Administrative Services Manager providing support to the SOF AT&L Program Executive Office for Maritime. Managing program execution, documentation, meetings, and communications at MacDill AFB, FL.
Manager, Decision Science leveraging data expertise and statistical principles at Travelers. Driving business strategies through actionable insights and relationship building across departments.
Renewals Manager responsible for managing contract renewals and expansions at Kong. Contributing to the revenue growth in the Asia Pacific region.
Case Manager responsible for interdisciplinary coordination of patient care at PAM Health. Working collaboratively with the team to ensure effective care management and discharge planning.