Provider Relations Liaison

Highmark Health; California, Northern (MO, KY); Hybrid; USD 58,000 - 90,000; Full time

Job summary

Highmark Health, through United Concordia Dental, is seeking a results-driven healthcare contract specialist to recruit, train and service dental networks across a remote territory. You will manage contracts, negotiate terms, and ensure compliance with policies while enhancing provider performance and reimbursement processes.

The role requires 3–5 years in healthcare/insurance, strong communication and negotiation skills, and knowledge of ADA/CDT codes.

Qualifications

• Requires 3–5 years in healthcare/insurance or related experience.
• Experience presenting concepts to varied audiences preferred.
• High School diploma required; Bachelor's degree preferred.

Responsibilities

• Identify and contact prospective providers in assigned territory.
• Develop and follow up on leads to support recruitment efforts.
• Customize provider agreements and monitor contract compliance.
• Analyze contract financials and stay informed on reimbursement methods.
• Meet with dental staff to explain guidelines, fee schedules and networks.

Skills

Written and verbal communication

Time management

ADA/CDT codes knowledge

Negotiation skills

Analytical thinking

Education

High School Diploma/GED

Bachelor's Degree - Business

Job description

Company : United Concordia Dental Job Description : JOB SUMMARY

MUST BE A US CITIZEN

This job services United Concordia Dental's (UCD’s) clients by recruiting, training and servicing quality dental networks in assigned territory in a remote and mobile work environment. Manage network contracts including negotiations, contract development/renewal and financial reimbursement. Meet with dentists and office personnel to act as the intermediary between the organization and UCD. Respond to contractual and payment issues both internally and externally. Ensure compliance with contractual terms through regular on-site audits. Apply an active role in network management, training, monitoring and enforcement of company policies and procedures while increasing provider efficiencies.

ESSENTIAL RESPONSIBILITIES

• Identify and initiate contact with prospective providers.
• Develop and follow up on leads in an established time frame, while incorporating a sound business plan strategy to support and execute recruitment efforts that include existing and prospective client needs and provider resignations/terminations.
• Customize participating dental agreement forms for execution, analyze provider changes, facilitate provider file updates and draft confidentiality agreements.
• Monitor financial performance of contracts by tracking utilization and competitive environment, including group specific performance guarantees.
• Analyze and develop network retention strategies for follow up services to providers by establishing and maintaining contact and rapport with dental staff members, office managers, insurance coordinators, hygienists and dentists throughout an assigned territory by scheduling face-to-face meetings with dental offices.
• Formally present and effectively communicate UCD's administrative and claim guidelines and policies, benefits of participation, fee schedules, plan designs, competitive position, product development, network options, strategic partnerships, utilization review, local/national client demographics and dentist distribution.
• Interpret and articulate contractual language and address questions regarding participation with providers, network share/leasing arrangements, opt in/out options, reimbursement methods, compensation models, including pay for performance and value added benefits.
• Meet with all identified practices in assigned territory to review practice financial and quality performance.
• Perform effective on-site visits through educating providers on the financial advantages and marketing incentives of participation.
• Train dental office staff on the use of automated services to ensure they utilize various means of automated communication, as well as, claims and electronic data interchange and electronic funds transfer.
• Collaborate with sales and customer service to respond to client/broker/member inquiries regarding provider contract, claim/member issues or provider file/record/directory discrepancies.
• Consult with dental director/dental advisers regarding clinical-related questions and policies, as well as, current dental terminology (CDT) changes, to resolve provider inquiries within a mutually agreed timeframe.
• Act as subject matter expert with recommendations and data supporting development of network and sales strategy and support of leasing contract negotiation.
• Develop and maintain leasing revenue targets.
• Update network lease risk strategy in response to all market changes.
• Communicate and maintain effective working relationships both internally and externally (providers, dental industry, organized dentistry and dental consultants) keeping management informed on related healthcare industry issues/topics.
• Support competitive position in the marketplace by staying abreast of changes to the business climate.
• Monitor provider reimbursement methods and PPO/DHMO/EPO network models and communicate changes to provider community and leadership team.
• Develop and manage process improvement initiatives designed to maintain URAC accreditation of all network practices associated with government programs using continuous quality improvement principles.
• Conduct, collect and analyze data from office site visits and reviews to continually improve the care and service to members and provide recommendations to internal customer supporting quality improvement programs.
• Train dental office staff and providers on all updates to quality assurance guidelines, with state and local regulations and URAC accreditation requirements.
• Conduct audits as needed.
• Other duties as assigned or requested.

EDUCATION

• Required High School Diploma/GED
• Preferred Bachelor's Degree - Business

EXPERIENCE

• Required 3 - 5 years of experience in the healthcare/insurance industry or professional experience in presenting concepts and influencing others in varying audiences
• Preferred 3-5 years of experience as Dental Office Manager or Dental Hygienist

LICENSES OR CERTIFICATIONS

• Required None
• Preferred None

SKILLS

• Written and oral communication skills
• Time management and organizational skills
• Knowledge of ADA/CDT codes and general dental terminology
• Negotiation skills
• Ability to analyze situations, determine points of relevance and proper course of actions

Language Requirement

• None

Travel Required

• 0% - 25%

POSITION TYPE

• Remote
• Teaches / trains others regularly Does Not Apply Travel regularly from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required No Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds

DISCLAIMER

The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement

This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

California Consumer Privacy Act Employees, Contractors, and Applicants Notice Highmark Health is a national, blended health organization that includes one of America’s largest Blue Cross Blue Shield insurers and a growing regional hospital and physician network. Based in Pittsburgh, Pa., Highmark Health’s 35,000 employees serve millions of customers nationwide through the nonprofit organization’s affiliated businesses, which include Highmark Inc., Allegheny Health Network, HM Insurance Group, United Concordia Dental, HM Health Solutions and HM Home & Community Services. Highmark Health’s businesses proudly serve a broad spectrum of health-related needs including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative, technology solutions.

Pay Range

• Minimum: $58,100.00
• Maximum: $90,000.00

Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.