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Network Manager

Company: Western Dental Services, Inc.
Location: Orange
Posted on: March 24, 2020

Job Description:

Job Description Responsible for assigned local and out of state network development as needed. The ability to understand dental plan processes and activities as necessary. The ability to negotiate fee scheduled and train office staff on policies and procedures. Responsible for project management, metrics and internal communication to Operation departments. Subject matter expert. JOB RESPONSIBILITIESDUTIES middot Develop and maintain a competitive network of providers middot Meet Health Care cost outlined for targeted assigned territories middot Support marketing, sales and client activities as needed middot Ensure network providers understand and adhere to company goals and initiatives set forth in the Policies and Procedures middot Ensure network providers and staff understand DHMC regulations and guidelines middot Support the Quality Management Program by monitoring provider compliance and quality. middot Projects deadlines and success ratio met middot Hi quarterly recruitment goals and efficiently monitored and evaluated progress. middot Effective teamwork and collaboration middot Communications with all Operational Departments middot Developing and maintaining the provider network middot Train provider network staff in OSHA compliance and assist in correcting deficiencies middot Contracting providers within the targeted reimbursement levels middot Responsible for successfully negotiating lower provider compensations models to meet targeted PMPM levels. middot Manage assigned projects to a success conclusion middot Analyze annual goals and meet goals and deadlines on a quarterly basis middot Work closely with internal departments to identify any contracting or compensation concerns middot Responsible for territory metrics middot Provide subject matter expertise and advise as requested QUALIFICATIONSREQUIREMENTS AND EDUCATION January 2018 middot Strong negotiation and reasoning skills middot Thorough knowledge of managed dental care o Reimbursement mechanisms o Quality improvement initiatives middot Ability to create and present solutions to specific problems middot Thorough knowledge of government agency fee for services and managed care dental plans. middot Ability to manage multiple projects o Meet goals o Meet timelines middot Ability to conduct trainings to small and large groups middot Experience working with Account Executives and the ability to present products to Brokers in a formal and in-formal environment middot Bachelorrsquos degree preferred middot Minimum of 5 yearsrsquo experience combined in dental managed care, dental industry, Denti-Cal and DHMO middot Travel 90 middot CADP Auditor preferred

Keywords: Western Dental Services, Inc., Orange , Network Manager, Executive , Orange, California

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