Dental Network Partnership Specialist

Guardian Life

Frankfort (KY)

Remote

USD 70,000 - 95,000

Full time

3 days ago
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Job summary

Guardian Life is seeking a Network Partnership Specialist to manage day-to-day operations and leasing relationships within Guardian's provider network. You will coordinate partner communications, support audits, and ensure Medicare standards are met, while collaborating across internal and external teams to maintain strong provider experiences.

The role focuses on network leasing, partner engagement, and regulatory reporting, with a strong emphasis on compliance and operational excellence across

Qualifications

  • 3+ years of experience in provider relations, network management, healthcare operations, or related field.
  • Knowledge of healthcare provider networks, managed care, dental or medical benefits administration, or third-party administrator relationships.
  • Strong written and verbal communication skills.
  • Demonstrated ability to manage multiple priorities and meet deadlines in a fast-paced environment.
  • Strong analytical, problem-solving, and organizational skills.

Responsibilities

  • Manage day-to-day operations for assigned key account leasing relationships, serving as the primary point of contact for partner coordination, issue resolution, and ongoing account support.

Skills

Healthcare provider networks knowledge
Communication skills
Multitasking / prioritization
Analytical / problem solving
Organizational skills

Education

Bachelor's degree or equivalent experience

Tools

Microsoft Office
SharePoint
Reporting tools

Job description

Fully Remote

Remote - United States

Full time

R000110364

Network Partnership Specialist

The Network Partnership Specialist is responsible for the day-to-day management and administration of Guardian's key account network leasing relationships. This role serves as the primary point of coordination for provider-related communications, audit support, compliance-driven inquiries, and operational oversight to ensure a positive provider experience and adherence to Medicare requirements.

The Network Partnership Specialist will collaborate across internal teams and external partners to facilitate timely issue resolution, communicate program updates, support provider engagement efforts, and maintain strong operational performance. In addition to supporting the Key account relationship, this individual will assist the broader Network Strategy team with network leasing and rental partner activities as needed.

You have

Required:

  • 3+ years of experience in provider relations, network management, healthcare operations, or related field.

  • Knowledge of healthcare provider networks, managed care, dental or medical benefits administration, or third-party administrator relationships.

  • Strong written and verbal communication skills.

  • Demonstrated ability to manage multiple priorities and meet deadlines in a fast-paced environment.

  • Strong analytical, problem-solving, and organizational skills.

Preferred:

  • Bachelor's degree or equivalent experience.

  • Experience working with Medicare Advantage programs or regulated healthcare products.

  • Knowledge of provider network leasing, rental networks, or payer-provider relationships.

  • Experience supporting audits, compliance reviews, or regulatory reporting requirements.

  • Proficiency with Microsoft Office applications, SharePoint, and reporting tools.

You will
  • Manage day-to-day operations for assigned key account leasing relationships, serving as the primary point of contact for partner coordination, issue resolution, and ongoing account support.

  • Develop and manage provider and partner communications, including network updates, educational materials, operational notices, and responses to inquiries related to participation, reimbursement, network access, and related processes.

  • Coordinate and support audit, credentialing, compliance, and regulatory activities, ensuring timely completion of requests, accurate documentation, and adherence to applicable requirements, including Medicare-related standards.

  • Partner with internal and external stakeholders to research and resolve complex provider and partner issues, identify trends and risks, and implement effective solutions that support service excellence and partner satisfaction.

  • Maintain operational records, reporting, and tracking mechanisms to monitor account activity, partner requests, compliance obligations, and key performance indicators.

  • Identify opportunities to improve processes, enhance the provider experience, strengthen partnership performance, and support the successful growth and administration of leased network relationships.

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