OrangeRecruiter Since 2001
the smart solution for Orange jobs

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

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Executive Jobs


Chief Executive Officer
Description: Morgan Consulting Resources is an executive search firm focusing on the Healthcare Industry for over 25 years. We have been retained by Gold Coast Health Plan to conduct the search for their--Chief Executive (more...)
Company: Morgan Consulting Resources, Inc. - Healthcare Exe
Location: Camarillo
Posted on: 03/31/2020

Account Manager
Description: OverviewBrighter futures start here. BrightView takes pride in providing consistent, high-quality landscape services with a dependable service commitment. As the nation---s leading landscape services (more...)
Company: BrightView
Location: National City
Posted on: 03/31/2020

Production Manager
Description: Responsible for planning, coordinating, administering and guiding the production floor staff and activities of Flexco. Coordinates with operations to ensure that product is produced on-time and efficiently. (more...)
Company: Coneybeare
Location: Bell Gardens
Posted on: 03/31/2020


VP, Branch Operations Manager
Description: Responsible for achieving branch goals and overall business success.-- Provide direction, leadership and motivation to ensure that the office team achieves service, sales and operational goals.-- This (more...)
Company: PacWest Bancorp
Location: Gardena
Posted on: 03/31/2020

VP/SVP, Business Development Officer
Description: Primary role of the New Business Development Officer BDO is to develop new business for Pacific Western Bank the Bank , Identifying opportunities for new deposit relationships, servicing the banking (more...)
Company: Pacific Western Bank
Location: Beverly Hills
Posted on: 03/31/2020

Senior Manager, Warranty Operations
Description: At Hyundai, we've rethought our business and created cars that combine performance, quality, design and innovation into a complete package. br br It's time you rethink what you expect from an employer. (more...)
Company: Hyundai Motor America
Location: Fountain Valley
Posted on: 03/31/2020

Strategic Account Manager, Government and Education --- Spectrum Enterprise
Description: Date posted 03/13/2020Requisition Number: 260344BRLocation: United States - California - CerritosArea of Interest: Enterprise Sales, Information Technology ServicesPosition Type: Full TimeAt a glance:Are (more...)
Company: Charter Spectrum
Location: Cerritos
Posted on: 03/31/2020

Senior Project Manager - Licensed Architect - Hospitality
Description: Minimum Required Skills Hospitality, Licensed Architect, Project Architect, Senior Project Architect, Revit, hotels, Luxury Hotels, High End Hotels, Senior Project Manager, Project Manager If you are (more...)
Company: CyberCoders
Location: Beverly Hills
Posted on: 03/31/2020

Sales Manager, Strategic Sales- Spectrum Enterprise
Description: Date posted 03/25/2020Requisition Number: 261078BR-2Location: United States - California - CerritosArea of Interest: Business Development, Enterprise Sales, Information Technology ServicesPosition Type: (more...)
Company: Charter Spectrum
Location: Cerritos
Posted on: 03/31/2020

Senior Manager, Quality Assurance GCP
Description: The incumbent is responsible for planning and conducting GxP audits i.e. clinical vendors, investigator sites, quality systems, etc. in addition to supporting clinical manufacturing operations. The (more...)
Company: Avanir Pharmaceuticals
Location: Aliso Viejo
Posted on: 03/31/2020

Log In or Create An Account

Get the latest California jobs by following @recnetCA on Twitter!

Orange RSS job feeds