Remote Dental Network Partnerships Manager

Guardian Life; Augusta (ME); À distance; USD 65 000 - 95 000; Plein temps

Résumé du poste

Guardian Life is seeking a Network Partnership Specialist to manage day-to-day operations for key account leasing relationships and coordinate provider communications. You will support audits, credentialing, and compliance activities, ensuring timely responses and accurate documentation.

You will collaborate with internal and external stakeholders to resolve complex issues, monitor KPIs, and identify opportunities to improve processes and partner satisfaction.

Qualifications

• 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.
• Preferred: Experience with Medicare Advantage programs or regulated healthcare products.
• Preferred: Knowledge of provider network leasing, rental networks, or payer-provider relationships.
• Preferred: Experience supporting audits, compliance reviews, or regulatory reporting requirements.
• Preferred: Proficiency with Microsoft Office applications, SharePoint, and reporting tools.

Responsabilités

• 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.

Connaissances

Communication skills

Multitasking

Analytical thinking

Organizational skills

Formation

Bachelor's degree or equivalent experience

Outils

Microsoft Office

SharePoint

Reporting tools

Description du poste

Guardian Life is seeking a Network Partnership Specialist to manage day-to-day operations for key account leasing relationships and coordinate provider communications. You will support audits, credentialing, and compliance activities, ensuring timely responses and accurate documentation.

You will collaborate with internal and external stakeholders to resolve complex issues, monitor KPIs, and identify opportunities to improve processes and partner satisfaction.