Job Title: Provider Administration SpecialistDuration: 6+ MonthsLocation: RemotePay Rate Range:$32-$34 Per Hour on W2Job Description:The Provider Network Ambassador is the face of the company in the provider community and will be a critical member of Client's Network Development team with responsibility for maintaining the nationwide provider network to the overall persistency level set by the Enterprise for all lines of business, continuous provider education and outreach as well as ensure provider network compliance within his or her assigned geographic area.This role will help develop and implement business intelligence and market analysis reports on the marketplace, collaborate with teams within the enterprise, dental provider community and organized dentistry to gain perspective on trends, issues and areas of opportunity to support the dental profession. The incumbent must cultivate new and existing relations with providers and their staff, internal business partners across the enterprise, local dental societies/dental associations and well as participate in all provider outreach and community focused events. ESSENTIAL DUTIES & RESPONSIBILITIES:
- Provider and Network Management Duties:
- Interacts professionally with the provider community; represents as the face of the company and point of contact for various organized dental associations.
- Provide consultative support to providers and their staff; so they reflect our service to our enrollees.
- Educate and train providers; so, they provide high quality dentistry in compliance with contractual and community norms.
- Represents as the point of contact for various organized dental associations.
- Ensure that the provider network in assigned geographic areas is complaint with all applicable regulatory requirements by providing necessary training, ongoing education, and on-site dental office reviews.
- Conducts Quality Management follow-up; coordinate grievance information, including contact with office and record retrieval and resolution follow-up as needed.
- Reviews and analyzes internal data to determine network improvement needs.
- Be a resource to coordinate aspects of all dental conventions and provider workshops schedule, as determined by Network Development leadership.
- Reporting Duties:
- Tracks and reports on ongoing provider relations interactions using various application tracking mechanisms on a regular basis, including on-site visits to the practices.
- Collects competitive information for ongoing competitor analysis and process improvement.
- Other Duties:
- Works with Growth Organization leadership to monitor provider utilization patterns and recommend practice management tools to facilitate effective plan administration.
- Participates on assigned committees and Sales meetings to provide ongoing feedback using market conditions, industry trends and providers insights.
- Performs miscellaneous duties as assigned including, but not limited to, assisting other department.
EDUCATION, EXPERIENCE & TRAINING REQUIRED:
- Bachelor's degree or equivalent successful work experience
- A minimum of 2 years of managed care experience.
- A minimum of 3 years of front office dental administration and/or back office dental assisting experience.
- Demonstrated experience in provider network management, customer service and/or account management.
ESSENTIAL FUNCTIONSPHYSICAL POSITION REQUIREMENTS; MACHINES AND/OR EQUIPMENT USED:
- PC literacy required; MSOffice skills.
- Regularly required to work standard office equipment.
- Ability to work on a computer up to 7 hours a day.
- Regularly required to sit for long periods of time.
- Close vision required for computer usage.
- Ability to maintain consistent, regular attendance.
- Ability to report to perform tasks in a physical work office environment.
About AgreeYa:AgreeYa is a global systems integrator delivering a competitive advantage for its customers through software, solutions, and services. Established in 1999, AgreeYa is headquartered in Folsom, California, with a global footprint and a team of more than 1,800+ professionals across offices. AgreeYa works with 550+ organizations ranging from Fortune 100 firms to small and large businesses across industries such as Telecom, Banking, Financial Services & Insurance, Healthcare, Utility & Energy, Technology, Public Sector, Pharma & Biotech, Retail, Client, and others. Please visit us at www.agreeya.com for more information.Equal Opportunity:AgreeYa is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, gender identity, sexual orientation, national origin, disability, veteran status or other protected characteristics. Visit our website at www.agreeya.com/career-culture to learn about our Career & Culture.