Colorado Sr. Manager, Provider Engagement, DentaQuest jobs in United States
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DentaQuest · 14 hours ago

Colorado Sr. Manager, Provider Engagement, DentaQuest

DentaQuest is a leading provider of dental and vision benefits, managing services for over 33 million Americans. The Provider Engagement Sr. Manager will be responsible for improving provider understanding of benefit programs and managing provider networks, including education, recruitment, and support for dental practices.

DentalHealth CareHospitalInsuranceMedicalWellness

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. Netminder management
Assist in resolving elevated complaints and issues for clients, members and providers
Provider electronic file maintenance
Coordinate and implement appropriate performance management strategies for team members to include:
Assist in the hiring process, including interviewing candidates
Assist, train and motivate team members
Evaluate and measure effectiveness of team members
Assist in preparation of performance and wage evaluations in accordance to company policy
Responsible for attendance and company approved time off for team members
Participate in the determination and implementation of Performance Improvement Plans and performance management initiatives
Other duties as assigned

Qualification

Healthcare experienceSupervisory experienceProvider engagementMicrosoft OfficePresentation skillsVerbal communicationWritten communicationProblem-solvingTeamwork

Required

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)

Preferred

Individuals must be located in the Colorado, Front-Range Area preferred

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

Company

DentaQuest

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DentaQuest is a healthcare firm that provides medical and surgical treatments and services in dentistry.

Funding

Current Stage
Late Stage
Total Funding
unknown
Key Investors
SMILE Health
2023-08-08Non Equity Assistance
2021-10-03Acquired

Leadership Team

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Brian Watts
CEO
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Shane Patrick, MBA
Managing Client Director (Oklahoma CEO)
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Company data provided by crunchbase