Remote Dental Network Partnerships Specialist

Guardian Life; Santa Fe (NM); Remote; USD 59.000 - 89.000; Vollzeit

Zusammenfassung

Guardian Life is seeking a Network Partnership Specialist for remote work in the United States. The role focuses on day-to-day management of key account leasing relationships, provider communications, and compliance-related activities to ensure excellent partner experience and Medicare adherence.

The position requires 3+ years in provider relations or related fields, strong communication, and ability to manage multiple priorities in a fast-paced environment. Travel is up to 10%.

Qualifikationen

• 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.

Aufgaben

• 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.

Kenntnisse

Provider relations

Network management

Communication skills

Prioritization

Analytical skills

Ausbildung

Bachelor's degree or equivalent experience

Tools

MS Office

SharePoint

Reporting tools

Jobbeschreibung

Guardian Life is seeking a Network Partnership Specialist for remote work in the United States. The role focuses on day-to-day management of key account leasing relationships, provider communications, and compliance-related activities to ensure excellent partner experience and Medicare adherence.

The position requires 3+ years in provider relations or related fields, strong communication, and ability to manage multiple priorities in a fast-paced environment. Travel is up to 10%.