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Guardian Life is seeking a Network Partnership Specialist to manage day-to-day operations for key account leasing relationships, serving as the primary contact for partner coordination and issue resolution. The role includes developing communications, supporting audits and regulatory activities, and ensuring provider engagement across networks.
You will collaborate with internal and external stakeholders to resolve complex issues, monitor performance, and drive process improvements to enhance
Fully Remote
Remote - United States
Full time
R000110364
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.
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.
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.
Assist team members with inquiries and operational activities related to other network leasing, rental partnerships and repricing.
Provide cross-functional support during periods of increased volume, special projects, or partner implementations.
Contribute to departmental initiatives aimed at strengthening partner relationships, provider engagement, and operational effectiveness.
As our Network Partnership Specialist, you will report to our Dental Network Partnership Manager who reports to our Head of Network Strategy & Strategic Partnerships.
The primary location for this position is remote.
10% Travel is required for this position.
$59,110.00 - $88,660.00
The salary range reflected above is a good faith estimate of base pay for the primary location of the position. The salary for this position ultimately will be determined based on the education, experience, knowledge, and abilities of the successful candidate. In addition to salary, this role may also be eligible for annual, sales, or other incentive compensation.
At Guardian, you’ll have the support and flexibility to achieve your professional and personal goals. Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.
As part of Guardian’s Purpose – to inspire well-being – we are committed to offering contemporary, supportive, flexible, and inclusive benefits and resources to our colleagues. Explore our company benefits at www.guardianlife.com/careers/corporate/benefits . Benefits apply to full-time eligible employees. Interns are not eligible for most Company benefits.
Guardian is an equal opportunity employer. All qualified applicants will be considered for employment without regard to age, race, color, creed, religion, sex, affectional or sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law.
Guardian is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Guardian also provides reasonable accommodations to qualified job applicants (and employees) to accommodate the individual's known limitations related to pregnancy, childbirth, or related medical conditions, unless doing so would create an undue hardship. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact MyHR@glic.com . Please note: this resource is for accommodation requests only. For all other inquires related to your application and careers at Guardian, refer to the Guardian Careers site.
Guardian Life is not currently or in the foreseeable future sponsoring employment-based visas (e.g., such as an H-1B). In order to be a successful applicant, you must be legally authorized to work in the United States, without the need for employer sponsorship/support now or at any time in the future.
As part of Guardian’s job application process, Guardian may use artificial intelligence tools (“AI Tools