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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in dental provider relations, including oversight of provider interactions, claims processes, and network management. Proficient in analyzing operational data and leading teams to enhance provider engagement and performance.
Highest-signal resume keywords
Dental Provider RelationsLeadership ExperienceClaims SubmissionNetwork ManagementData Analysis
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Provider RelationsClaims ProcessingCredentialingNetwork AdequacyOperational MetricsData AnalysisProvider DocumentationContract ManagementProject LeadershipProcess Ownership
Soft Skills
CommunicationCritical ThinkingCollaborationAttention to DetailInitiative
Tools & Technologies
Microsoft ExcelMicrosoft PowerPointMicrosoft WordOneNoteData-Analysis Systems
Industry Keywords
Dental Health Plan OperationsProvider ContractsNetwork CompositionMarket ConditionsGeographic Access
About the role
Key responsibilities & impact- Assist the Provider Relations Manager with oversight of the dental Provider Relations function
- Lead, coach, and develop Provider Relations staff through meetings, check-ins, feedback, career development, and engagement support
- Serve as subject matter expert and escalation point for complex provider, claims, contract, credentialing, directory, and operational issues
- Hold staff accountable for quality, productivity, service, documentation, and performance measures
- Oversee provider outreach, education, orientation, and engagement across dental product lines
- Provide training and guidance on eligibility, claims submission, payment, prior authorization, directories, portals, and administrative processes
- Oversee provider interaction records, outreach documentation, office visit notes, concerns, action items, and issue resolution
- Monitor provider capacity, performance, network adequacy, geographic access, network composition, and market conditions
- Partner with Network Recruitment on contracting, recruitment, network expansion, and adequacy initiatives
- Partner with Credentialing on credentialing, recredentialing, document intake, inquiries, and escalations
- Analyze provider, claims, directory, access, and operational data to identify trends and improvement opportunities
- Support adoption of portals, digital tools, electronic transactions, and standardized processes
- Develop and implement cross-functional operational and network solutions
- Lead or support corrective actions and continuous-improvement initiatives
- Attend work-related events and conferences and represent the organization professionally
- Perform other Provider Relations and network management duties and special projects
Requirements
What you’ll need- High School Diploma or equivalent; experience may substitute for education
- Associate degree or higher preferred
- 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
- Valid driver's license with proof of auto insurance and ability to use your own vehicle
- Intermediate PowerPoint skills
- Intermediate proficiency in Microsoft Excel, Word, PowerPoint, OneNote, databases, and provider documentation/data-analysis systems
- 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
- Ability to analyze network composition and market conditions
- Ability to communicate data-informed insights through written summaries, reports, spreadsheets, and presentations
- Collegiality, initiative, communication, member focus, attention to detail, flexibility, critical thinking, integrity, responsibility, and collaboration
Benefits
Comp & perks- Competitive compensation package
- Medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period
- Life and disability insurance
- 401(k) with company match
- Tuition assistance
- Paid parental leave
- Backup family care
- Flexible time off
- Flexible dress code and work location policies
- Employee Resource Groups
- Social responsibility and volunteer opportunities
- Educational alliances and sustainability initiatives
- Bonuses and commission may be available