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Dental Health Services · 2 months ago

Dental Network Recruiter (Healthcare Network/Sales)

Seattle, WA

Full-time

Onsite

Entry, Mid Level

2+ years exp

Dental Health Services is an Employee-Owned company focused on delivering outstanding specialized healthcare. The Provider Recruiter is responsible for the growth, development, and maintenance of the company’s dental providers and networks, achieving results through active prospecting and relationship management with dental organizations.

Health CareInsurance

Responsibilities

Responsible for recruiting providers including general dentists and specialists in their given territory

Performs evaluations and audits of dental provider offices and operations and makes recommendations for providing optimal service to Company members and address/resolve provider concerns or issues

Works in partnership with Professional Services management regarding the addition or deletion of provider contracts and coordinates the termination of territory dentists

Orients and trains general and specialist providers on Company plans and materials, quality standards and expectations, etc

Provides updates to Company data systems including ACT, Website, Aldera, various directories and PICK systems to ensure accuracy of provider information

Prevents/resolves Member Service concerns and issues regarding the delivery of dental services and works to resolve grievances with appropriate personnel

Develops all required reporting in an accurate and timely manner

Assists in the development of marketing materials for prospective and current providers

Assists with DMHC, OIC, OID audits

Effectively growing and maintaining a provider network in assigned territory and efficiently and completely supporting dental providers and specialists

Resolving provider/member issues, effectively addressing inquiries to the satisfaction of all parties

Effectively working with team members across the company to accomplish projects and performance goals

Maintaining a high level of integrity and appropriate confidentiality in all activities and efforts

Addresses and resolves a wide variety of basic to moderately complex provider and network issues and problems

Supports improvements in processes, programs, productivity, and services

Compiles and analyzes competitor information and internal data to determine network needs, grows enterprise networks to remain competitive and compliant with state and federal regulations; evaluates and determines the cost-effectiveness of contracting each dental organization, balancing the needs of the dental organization with those of the business

Develops deep understanding of dental organization business plans as they relate to the maintenance and growth of our networks, allowing for creative solutioning that benefit both the dental organization and the company

Interacts professionally with dental organizations, including with Executives at the corporate level and with staff at individual practice locations

Represents the enterprise as the point of contact for multiple dental organizations and conducts training, including contract completion and Provider Tools functions

Creates effective presentations and conducts impactful reviews that help dental organizations understand the values of network participation and partnered growth with our enterprise networks

Effectively negotiates with dental organization Executives and internal stakeholders, utilizing excellent consultative selling and negotiation skills with the ability to influence decision-makers

Monitors utilization patterns of dental organizations, interpret statistics, and recommends efficiency tools to facilitate effective plan administration

Resolves concerns timely, and brings creative solutions, including identifying opportunities to grow and enhance services/processes to benefit all stakeholders. This includes digital adoption, as well as the promotion and management of delegated credentialing participation for dental organizations

Partners with Professional Services Coordinators and Credentialing team to monitor dental organization rosters and ensure efficient, seamless contract processing, credentialing, and re-credentialing, demographic changes and terminations

Participates on assigned committees and meetings to provide ongoing feedback using market conditions, industry trends, and insights

Performs any and all additional duties as requested and directed for this position

Qualification

Provider recruitingDental industry knowledgeNegotiation skillsContracting knowledgePC literacyCommunication skillsBusiness analysisConstructive feedbackResourcefulnessProblem-solvingAttention to detailTime managementCollaborationFlexibility

Required

Minimum of 2 years of related experience

Driver License and ability to maintain an acceptable Department of Motor Vehicle record

Knowledge of provider service operations in a dental plan member/provider environment

Knowledge of provider service principles, HIPAA, PHI and other applicable regulations and requirements in a healthcare setting

Strong written and verbal communication skills and problem-solving techniques

PC literacy required, MS Office skills

Proven track record in negotiating large, complex provider agreements, including varying compensation methodologies

Knowledge of contracting for multiple lines of business

Ability to maintain consistent, regular attendance

Ability to work in a secure remote environment

Ability to travel, including overnight stays; airplane travel required

Ability to obtain and maintain sufficient credit to manage related job expenses including, but not limited to, applying to and being approved by a third-party charge card agency

Outstanding attention to detail, and strong planning and organizational skills including time management, collaboration, and business analysis skills

Ability to provide and receive constructive feedback and/or industry related feedback

Ability to maintain confidentiality and appropriately share information with discretion

Ability to operate in an environment of rapidly changing priorities

Ability to prioritize and complete multiple projects, a demanding workload, and tight timelines

Detail oriented, flexible, and creative

Skilled at working independently, demonstrated resourcefulness, and requiring little oversight

Demonstrate knowledge of Current Dental Terminology ('CDT') codes and dental nomenclature

Preferred

Bachelor's degree is preferred, but candidates with a minimum of four years network recruiting, sales and/or account management experience will be considered

A minimum of three years of dental office and/or insurance administration is preferred