Associate Provider Network Manager

🔥 0 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $53k - $63k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

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Liberty Dental Plan

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2002

⚕️ Healthcare Insurance

🤝 B2B

Healthcare Insurance • B2B

Liberty Dental Plan is a U. S. -based dental insurance provider offering Medicaid (including Medi-Cal), Medicare Advantage, commercial, individual & family, and group dental plans across multiple states. The company operates member-facing services (find-a-dentist, member portal, mobile app, claims and eligibility tools) and provider-facing services (provider portal, network enrollment, claims submission, clinical guidelines, and value-based programs). Liberty Dental Plan focuses on dental benefits administration, provider network management, compliance and credentialing, and serving members, providers, and brokers.

📋 Description

• Assist in recruiting General Dentists and Specialists to support network growth and meet access standards. • Analyze network needs and identify gaps requiring additional provider recruitment. • Manage and service provider relationships within assigned territory. • Conduct service calls and site visits to ensure provider satisfaction and address concerns. • Collect, review, and process provider contract documents for accuracy and completeness. • Ensure compliance with annual attestation requirements and internal policies. • Partner with internal teams and provider offices to resolve provider and member issues. • Educate providers on policies, procedures, and network requirements.

🎯 Requirements

• Associate degree in a related field preferred or an equivalent combination of education and experience. • 2+ years of experience supporting provider networks, dental offices, managed healthcare, or related sales. • Experience with Dental PPO or DHMO networks preferred. • Knowledge of dental terminology and provider network operations. • Strong communication, presentation, and relationship-building skills (bilingual a plus). • Proficiency in Microsoft Office (Word, Excel, Outlook). • Strong organizational, time management, and problem-solving skills. • Ability to manage multiple priorities and follow through to resolution. • Customer-focused, detail-oriented, and proactive approach. • Medicaid or Medicare experience preferred.

🏖️ Benefits

• Comprehensive medical coverage through Anthem, with affordable premiums and multiple plan options - including an HDHP with HSA eligibility. • 100% employer-paid dental insurance and low-cost vision coverage for employees and dependents. • 401(k) retirement plan with immediate vesting, employer match, Roth option, and access to professional financial advice. • Short-term disability and a variety of voluntary benefits, including accident, critical illness, and hospital indemnity insurance. • Generous paid time off, including vacation and sick leave with rollover options, plus 10 paid company holidays and a wellness day. • Additional benefits including company-paid life insurance, tuition reimbursement, an employee perks program, and flexible work options for eligible positions.