Delta Dental of Missouri ยท 1 day ago
Senior Producer Contract Specialist
Delta Dental of Missouri is seeking a Senior Producer Contract Specialist to lead and optimize producer contracting processes in a dynamic health insurance environment. The role involves onboarding new producers, maintaining contract records, and collaborating with various internal teams to ensure compliance and enhance workflow efficiency.
Insurance
Responsibilities
Effectively communicate with existing and prospective producers regarding contract and appointment related matters
Oversee and ensure timely processing of producer contracts and appointments, including terminations and transitions
Collaborate with compliance and legal teams to ensure adherence to licensing and appointment regulations
Serve as the initial point of contact for complex producer contracting and appointment matters, including escalations, mergers, acquisitions, and legal inquiries
Conduct internal audits of producer contract records
Ensure readiness for and participate in external audits, as requested
Mentor and train Producer Contract Specialists
Lead the development and implementation of best practices for producer onboarding and contract lifecycle management such as:
Initiating cross-functional collaboration as needed to improve internal processes
Identify and initiate efforts to improve producer reporting and analytics
Enhance and ensure producer data integrity across systems
Lead the implementation of key software improvements and/or implementation of new software solutions, as directed
Represent the department in strategic meetings and on special projects, as assigned
Qualification
Required
Bachelor's degree required
Minimum 5 years of experience in contracting, preferably in insurance, managed care, or healthcare
Experience in contract analysis and implementation
Strong understanding of insurance licensing procedures and regulatory compliance
Advanced proficiency in Microsoft Office, contract management software, and CRM required
Proven leadership, mentoring, and project management skills
Exceptional verbal and written communication skills with the ability to influence and collaborate across departments
Strong analytical and problem-solving abilities with a strategic mindset
High level of confidentiality, professionalism, and ethical standards
Ability to manage multiple priorities and lead initiatives independently
Demonstrated commitment to the company's core values of integrity, adaptability, service-focused, accountability, curiosity, and community
Company
Delta Dental of Missouri
Delta Dental of Missouri is a nonprofit 501(c)4 organization with a social mission to improve oral health in the communities we serve.