DentaQuest · 1 day ago
Arizona Provider Partner Consultant, DentaQuest - Must Reside in Arizona
Scottsdale, AZ
Full-time
Hybrid
Mid Level
$63K/yr - $94K/yr
3+ years expDentaQuest is a leading provider of dental and vision benefits, managing services for over 33 million Americans. The Provider Partner Consultant is responsible for improving provider understanding of benefit programs, supporting network participation, and educating providers on policies and procedures.
DentalHealth CareHospitalInsuranceMedicalWellness
Responsibilities
Analyze and monitor provider cost reports on an ongoing basis in order to educate and improve providers’ cost and quality performance
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
Negotiate special deals to maintain compliance and increase access in weak networks
Seek continuous improvements by recommending changes in internal methods and procedures to Quality Assurance process
Facilitate Oral Health presentations to various educational institutions and organizations
Assist provider offices in filing their claims electronically
Serve as a partner 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 trade shows, health fairs, audits, dental summits, etc. throughout the designated market
Maintain and submit all required reports
Assist in resolving elevated complaints and issues for clients, members and providers
Obtain letters of recommendation from providers
Develop complete understanding of the Office Reference Manuals
Develop and continually improve personalized presentations of company benefit programs
Recruit participating and non-participating providers to higher level of participation for all applicable market LOBs
Manage CAP office performance
Provide recommended solutions to market related issues
Organize and present information to providers and their staff by speaking before various provider organizations and representing the corporation in dental related activities
Assist in problem resolution by identifying improvement opportunities, evaluating feasibility of programs and presenting recommendations when appropriate
Develop and implement approaches by working with dentists and their office staff to improve the quality of information exchanged between the company and dental offices
Resolve difficult claims issues in a timely manner by working with the appropriate internal resources to research and resolve such issues
Increase access for members by strengthening and expanding existing network
Help to maintain a secondary network
Other duties as assigned
Qualification
Required
Bachelor's Degree in Business, Healthcare Administration or related field (or relevant work experience)
3 years' related work experience in healthcare environment
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
Up to 50% local travel required
Problem solving and training experience
Ability to make good judgment conclusions based on data available with minimal supervision
Candidate must be located in Arizona
Preferred
Dental knowledge with five (5) or more years of office experience
Managed Care experience
Benefits
Generous vacation and sick time
Market-leading paid family, parental and adoption leave
Medical coverage
Company paid life and AD&D insurance
Disability programs
Partially paid sabbatical program
401(k) employer match
Stock purchase options
Employer-funded retirement account
Flexible, inclusive and collaborative work environment
Company
DentaQuest
DentaQuest is a healthcare firm that provides medical and surgical treatments and services in dentistry.
1001-5000 employees
H1B Sponsorship
DentaQuest has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2024 (1)
2023 (5)
2022 (5)
2021 (7)
2020 (7)
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
SMILE Health
2023-08-08Non Equity Assistance
2021-10-03Acquired
Leadership Team
Brian Watts
CEO
Shane Patrick, MBA
Managing Client Director (Oklahoma CEO)
Recent News
2025-10-28
2025-10-16
Company data provided by crunchbase