Provider Network Manager - West Coast Florida

USAble Life; Florida; Hybrid; USD 71,000 - 99,000; Full time

Benefits offered by this job

Remote opportunities with equipment

Tuition Reimbursement

PTO from date of hire

11 paid holidays

401(k) with up to 6% match

Job summary

USAble Life is seeking a Provider Network Manager in Florida. The role focuses on building and maintaining a large dental provider network, negotiating contracts, and promoting plan policies. You will support providers and staff with training, coordinate with departments to optimize claims, and participate in provider committees.

A relevant degree and some experience are required. The position is hybrid with generous benefits, PTO, and a company culture noted for best-places recognition.

Qualifications

• Broad knowledge of business concepts, practices, and procedures to handle multiple tasks with minimal supervision.
• Knowledge of dental terminology, CDT, dental procedures, and products is preferred.
• Excellent communication skills across diverse audiences.
• Ability to work within time constraints and maintain attention to detail.
• Ability to read, analyze and interpret varied business materials and legal documents.
• Ability to interpret complex instructions and adapt to changing priorities.

Responsibilities

• Manages a large, complex dental provider network and recruits/maintains provider rapport.
• Promotes positive relationships with providers and associations.
• Trains providers on plan policies and procedures for office staff.
• Promotes tech solutions to reduce administrative costs and improve retention.
• Coordinates with multiple departments to correct claims processing and policy changes.
• Attends provider committee meetings to represent the company’s position.

Skills

Provider relations

Contracting

Credentials

Data analysis

Communication

Policy interpretation

Project coordination

Cross-functional teamwork

Education

Bachelor's Degree

Military experience accepted

Job description

Job Category: Provider Network Management

Requisition Number: PROVI002252

• Posted : October 21, 2026
• Full-Time
• Hybrid
• Salary Range : $70,700 USD to $99,000 USD

Locations

Showing 1 location

Florida, USA

Description

When it comes to making a meaningful difference in the lives of our customers and employees, USAble Life is always ready. We are a diverse group of individuals working together to go the extra mile.Through our DEI initiatives, employees feel empowered to bring their talents and voice to our culture.

Our passion for delivering the best products is matched only by our passion for our people. We are committed to making a meaningful difference in the lives of others which extends beyond our office walls. USAble Life has a long tradition of supporting our communities, and we’re proud of the fact that our employees share that commitment.

We have been recognized as a “Best Places to Work” in Arkansas, Florida, and Hawaii. You’ll be rewarded with opportunities for personal and professional development and opportunities for advancement. This, coupled with our engaging culture and a comprehensive benefits package, ensures we are committed to our employees.

Check out how we make a meaningful difference in the lives of others!

What We Offer You:

• A culture that values employees and celebrates, empowers, and inspires a diverse workforce
• Outstanding and affordable benefits package
• PTO provided at date of hire
• 11 paid holidays
• 401(k) with up to 6% match; fully vested from day 1
• Remote opportunities with company-provided equipment
• Team-oriented, collaborative group of peers
• Tuition Reimbursement
• Employee Assistance Program
• Inclusion Council and Employee Resource Groups
• Recharge Days and Volunteer Time Off
• This is a hybrid position.

Pay Transparency: Our salary ranges are structured to provide opportunities for growth and advancement within a role. As a result, most new hires are placed between the minimum and midpoint of the range based on qualifications and experience, while the top of the range is generally reserved for employees who have demonstrated sustained expertise and performance in the position. The anticipated starting pay for a Provider Network Manager is between $70,700 to $84,900. Pay is based on non-discriminatory factors including but not limited to work experience, education, location, licensure requirements, proficiency and qualifications, and company tenure & equity. In addition to base compensation, this role is eligible for an annual incentive plan based on company performance and individual performance.

Manages a large, complex dental provider network. Ensures dental members have access to high quality provider networks by recruiting and maintaining rapport with new and existing providers. Promotes positive relationships with providers and the associations that represent them. Is responsible for continuous training regarding plan policies and procedures to Provider office staff. Promotes technology solutions to reduce overall administrative costs. Maintains provider retention. Works with non-standard contracts including HCR, Medicare Advantage, and tiered networks. Strategically develop provider networks to anticipate and meet future market needs. Provider communication coordination of plan policies, procedures, manuals, and quarterly publications.

• Assists providers with all aspects of contracting to participate with dental plans including credentialing applications, reviewing contractual rights and responsibilities, explaining plan policies and procedures, negotiating fees or other terms, and obtaining signed agreements.
• Contributes and promotes continuous improvement to the provider network database processes
• Conducts regular field visits to providers in assigned areas to provide education and develop a positive relationship with the provider and office staff.
• Demonstrates knowledge on a wide range of subjects including plans and initiatives, policy issues, claims submission requirements, programs that are beneficial to providers, claims payment problems, or other matters raised by the provider or office staff
• Responds to provider inquiries about plans, policies, and payments. Assess inquiries to make sure they are properly defined and understood. These inquiries will often concern issues that are non-routine or more complex, and that require significant research
• Performs internal follow-up in response to escalated provider complaints or concerns
• Coordinates between multiple departments to correct processing of claims, or bring about changes in policies and procedures
• Attends meetings with provider committees, and professional associations and societies to promote the company's presence in the dental community.
• Assists internal decision-making affecting providers by representing the provider's perspective in response to proposed dental plan programs and policies
• Participates in process improvement and training activities as needed
• Develops strategic plans which anticipate and meet future market needs regarding provider networks
• Performs other related duties and responsibilities as assigned

Required Knowledge, Skills, and Abilities:

• Broad knowledge of business concepts, practices, and procedures to handle multiple complex tasks with minimal guidance and limited supervision
• Knowledge of dental terminology, CDT, dental procedures, and products is preferred
• Excellent communication skills including the ability to address a wide range of audiences
• Ability to work within time constraints and maintain attention to detail
• Ability to prioritize workflow and work independently
• Experience with internal claims and provider database administration systems
• Ability to read, analyze and interpret general business periodicals, financial reports, legal documents, professional journals, technical procedures, or governmental dental regulations
• Ability to write reports, business correspondence and memos
• Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members in the business community
• Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, and volume
• Ability to define problems, collect data, establish facts, and draw valid conclusions
• Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables

Required Education and Experience:

• Bachelor's Degree - related experience can substitute
• 2 years of related experience
• Or, equivalent military experience

Preferred Education and Experience:

• Knowledge of dental reimbursement methodology, dental plan designs and provider contracts
• Contracting experience
• Certification(s) may be desired
• Bi-lingual is preferred

#USAL1

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.