Provider Relations Supervisor - Dental

Avesis; Central City (CO); On-site; USD 90,000 - 120,000; Full time

Job summary

Avesis is seeking a Provider Relations Supervisor - Dental to lead the day-to-day performance of the dental Provider Relations team and support essential network management activities.

The role drives provider engagement, improves access to care for members, and partners with cross-functional teams to translate network insights into practical actions. Strong leadership, data-informed decision making, and relationship-building are key.

Qualifications

• 3+ years in dental provider relations, dental health plan operations, network management, or related experience in government and/or commercial lines of business.
• 1+ years of leadership experience, including direct supervision, team leadership, project leadership, process ownership, or comparable responsibility.
• A valid driver's license with proof of auto insurance and the ability to use your own vehicle.

Responsibilities

• Supervise and develop the dental Provider Relations team, establish consistent operating practices, and ensure timely resolution of complex provider matters.
• Oversee network management, including monitoring provider capacity, performance, network composition, geographic access, and recurring operational trends.
• Assist the Provider Relations Manager with oversight of the dental Provider Relations function, driving a positive provider experience, provider satisfaction, operational consistency, and effective network performance.
• Lead, coach, and develop assigned Provider Relations staff through regular team meetings, individual check-ins, performance feedback, career development, and support for team engagement and morale.
• Serve as a subject matter expert and escalation point for complex provider, claims, contract, credentialing, directory, and operational issues.

Skills

Provider relations

Leadership

Data analysis

Excel

PowerPoint

Word

OneNote

Provider directories

Geographic access

Communication

Cross-functional collaboration

Mentoring

Contracting oversight

Education

High School Diploma or equivalent

3+ years in dental provider relations / network ops

1+ years of leadership experience

Tools

Excel

PowerPoint

Word

OneNote

Databases

Job description

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 a Provider Relations Supervisor - Dental at Avesis, you will lead the day-to-day performance and development of the dental Provider Relations team while supporting key network management activities.

This role serves as a bridge between Avesis and the participating dental provider network, promoting strong provider relationships, operational effectiveness, network adequacy, provider engagement, and member access to care.

This role is ideal for a proactive leader who combines people leadership, relationship management, data-informed decision-making, and cross-functional collaboration. The Supervisor helps translate provider and network insights into practical actions that improve provider experience, network effectiveness, compliance, and service to members.

Responsibilities

• In this role, you will supervise and develop the dental Provider Relations team, establish consistent operating practices, and ensure timely resolution of complex provider matters. You will also oversee aspects of network management, including monitoring provider capacity, performance, network composition, geographic access, and recurring operational trends. Working closely with Network Recruitment, Credentialing, Claims, Customer Service, Utilization Management, Clinical Management, Account Management, and other partners, you will help identify coverage gaps, support contracting and credentialing coordination, improve provider adoption of tools and processes, and implement solutions that strengthen provider engagement, member access, and overall network effectiveness.
• Assist the Provider Relations Manager with oversight of the dental Provider Relations function, driving a positive provider experience, provider satisfaction, operational consistency, and effective network performance.
• Lead, coach, and develop assigned Provider Relations staff through regular team meetings, individual check-ins, performance feedback, career development, and support for team engagement and morale.
• Serve as a subject matter expert and escalation point for complex provider, claims, contract, credentialing, directory, and operational issues, ensuring timely research, appropriate routing, resolution, and communication.
• Hold staff accountable for departmental, quality, productivity, service, documentation, and individual performance measures, and use results to identify coaching and process-improvement opportunities.
• Oversee provider outreach, education, orientation, and engagement activities across applicable dental product lines, including in-person, virtual, telephone, and email interactions.
• Ensure providers receive training and guidance that promotes self-service and effective use of available tools for eligibility, claims submission, payment, prior authorization, directories, portals, and other administrative processes.
• Oversee the quality and timeliness of provider interaction records, outreach documentation, office visit notes, concerns, action items, and issue-resolution activities in accordance with departmental standards.
• Monitor provider capacity, performance, network adequacy, geographic access, network composition, and market conditions to identify systemic gaps and opportunities to improve member access to care.
• Partner with Network Recruitment to support provider contracting activities, recruitment priorities, network expansion, and adequacy-related initiatives based on identified network needs.
• Partner with Credentialing to support timely provider credentialing and recredentialing activities, document intake, inquiry resolution, and escalation of barriers affecting network participation.
• Analyze provider, claims, directory, access, and operational data to identify trends, recurring issues, performance concerns, and opportunities for corrective action or workflow improvement.
• Support provider adoption of portals, digital tools, electronic transactions, and standardized processes that improve administrative efficiency, directory accuracy, provider engagement, and operational effectiveness.
• Partner cross-functionally to develop and implement operational and network solutions that enhance provider experience, access to care, regulatory and contractual compliance, and overall network effectiveness.
• Identify recurring provider issues and process breakdowns, elevate risks appropriately, and lead or support corrective actions and continuous-improvement initiatives.
• Attend work-related events and conferences while representing the organization and brand in a professional manner.
• Perform other duties and support special projects related to Provider Relations and network management as assigned.

Skills and Qualifications

• Ability to highlight details, provide visual structure using themes, importing Excel data, adding links, playing video files, using animation, and preparing for a live slideshow.
• Intermediate proficiency in Microsoft Excel, Word, PowerPoint, OneNote, databases, and systems used for provider documentation and data analysis.
• Microsoft applications and other windows-based applications to include a moderate level in Microsoft Excel, Microsoft Word, Microsoft OneNote, and databases.
• Working knowledge of dental health plan operations, provider contracts and agreements, claims, credentialing, contracting, provider directories, and network adequacy principles.
• Ability to evaluate provider performance, network adequacy, geographic access, capacity, and operational metrics and translate findings into clear priorities and action plans.
• Ability to analyze network composition and market conditions to identify recruitment, expansion, retention, and provider coverage opportunities.
• Ability to communicate data-informed network and provider insights to leadership and cross-functional partners through clear written summaries, reports, spreadsheets, and presentations.
• Collegiality: building strong relationships on company-wide, approachable, and helpful, ability to mentor and support team growth.
• Communicative: ability to relay issues, concepts, and ideas to others easily orally and in writing.

Desired Personal Attributes

• Detail-oriented and thorough: managing and completing details of assignments without too much oversight.
• Flexible and responsive: managing new demands, changes, and situations.
• Integrity & responsibility: acting with a clear sense of ownership for actions, decisions and keeping information confidential when required.

Education and Experience

• High School Diploma or equivalent. (3+ years of dental provider relations, dental health plan operations, network management, or related experience in government and/or commercial lines of business.
• 1+ years of leadership experience, including direct supervision, team leadership, project leadership, process ownership, or comparable responsibility.
• A valid driver's license with proof of auto insurance and the ability to use your own vehicle.

Compensation and Benefits

• FLSA Status: Salary/Exempt. This role may also be eligible for benefits, bonuses, and commission.
• Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period.
• Life and disability insurance.
• Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best.
• Employee Resource Groups that advocate for inclusion and diversity in all that we do.
• We volunteer within our local communities, create educational alliances with colleges, drive a variety of initiatives in sustainability.

Equal Employment Opportunity Statement

We celebrate differences and are building a culture of inclusivity and diversity. We are proud to be an Equal Employment Opportunity employer that considers all qualified applicants and does not discriminate against any person based on ancestry, age, citizenship, color, creed, disability, familial status, gender, gender expression, gender identity, marital status, military or veteran status, national origin, race, religion, sexual orientation, or any other characteristic. We focus on recruiting, training and retaining those individuals that share similar goals.