Provider Relations Supervisor – Dental

🔥 1 minute ago

🇺🇸 United States – Remote

💵 $55.8k - $109k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Avēsis

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1978

🛡️ Insurance

⚕️ Healthcare Insurance

🧘 Wellness

Insurance • Healthcare Insurance • Wellness

Avēsis is a company dedicated to providing comprehensive specialty benefits focused on improving access, equity, and health outcomes. Specializing in dental and vision plans, Avēsis offers flexible, affordable, and outcome-focused oral health benefits as well as vision plans that connect eye health to overall well-being. With over 40 years of experience, Avēsis is committed to personalized care and building community health networks to service government partners, commercial providers, employers, and brokers. Avēsis operates as a wholly owned subsidiary of Guardian, and leverages tailored network and product solutions to deliver accessible quality care to members, while also administering Medicaid, Medicare, and other essential benefits programs.

📋 Description

• 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

• 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

• 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