The Provider Network Manager is responsible for recruiting and retaining dental providers while ensuring network adequacy and compliance with corporate objectives. They will conduct market analysis, negotiate contracts, and provide ongoing support and education to providers within their assigned territory.
The Director of Client Services leads account management teams to ensure service excellence, client retention, and business growth. This role serves as a key escalation point for complex client issues and aligns departmental strategies with organizational goals.
The Community Dental Health Advocate provides oral health education, performs screenings at community events, and engages members to improve access to dental care. This role involves building relationships with local stakeholders and reporting outreach metrics to internal teams.
The Community Dental Health Advocate coordinates dental wellness education and conducts oral health screenings at schools, community events, and health fairs. They also support member outreach initiatives and maintain data related to community engagement outcomes.
The Community Dental Health Advocate coordinates dental wellness education and conducts oral health screenings at schools and community events. They also support member outreach initiatives and maintain data related to community engagement outcomes.
The IT Applications Engineer is responsible for maintaining and supporting enterprise applications across production and lower environments. They will collaborate with vendors and internal teams to troubleshoot complex issues, manage deployments, and ensure the stability of cloud and on-premises systems.
The Claims Referral Specialist processes dental claims, pre-authorizations, and referral requests while ensuring compliance with plan benefits and regulatory requirements. They also communicate with providers and members to resolve discrepancies and maintain accurate data within processing systems.
Analyze clinical and operational data, track KPIs, prepare reports and executive presentations, and recommend improvements that support clinical and organizational goals. Coordinate projects and stakeholder communication, evaluate workflows, support system testing and implementation, and maintain operational procedures and documentation.
Define and execute enterprise-level product strategy while partnering with executive stakeholders to align business objectives. Lead cross-functional initiatives, mentor product team members, and ensure product roadmaps align with long-term business value.
The Associate Provider Network Manager will support the recruitment, contracting, and credentialing of dental providers to ensure network adequacy and compliance. They will also maintain positive relationships with dental offices, conduct provider education, and resolve operational issues.
The Compliance Program Manager will monitor, research, and analyze federal and state healthcare regulations to assess their impact on the organization. They will lead enterprise-wide implementation initiatives and serve as a trusted advisor to operational teams regarding regulatory requirements.
The Senior Staff Dentist provides clinical leadership for utilization management and review programs to ensure appropriate dental care adjudication. They also engage in quality improvement initiatives, provider counseling, and clinical mentorship to support organizational compliance and performance goals.
The System Configuration Analyst will coordinate and execute claims and utilization management system configurations while ensuring alignment with benefit designs and regulatory standards. This role involves collaborating with cross-functional teams to test system logic, audit rules, and support new business implementations.
