Dental Network Partnership Specialist

Guardian Life; Honolulu (HI); Remote; USD 70.000 - 100.000; Vollzeit

Zusammenfassung

Guardian Life is seeking a Network Partnership Specialist to oversee day-to-day operations of key account leasing relationships and to coordinate provider communications and compliance activities. The role supports audit, credentialing, and regulatory requirements, including Medicare-related standards, while collaborating with internal and external partners to resolve complex issues.

The position emphasizes strong communication, analytical skills, and the ability to manage multiple priorities in

Qualifikationen

• 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.
• 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.

Aufgaben

• 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.

Kenntnisse

Provider relations

Healthcare operations

Analytical thinking

Communication skills

Multi-tasking

Regulatory awareness

Ausbildung

Bachelor's degree

Tools

Microsoft Office

SharePoint

Jobbeschreibung

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.