Provider Network Manager (Dental Experience Required)

Provider Network Manager (Dental Experience Required)

Hybrid • Jacksonville, FL - Jacksonville, FL 32218

Overview

Position Type Full Time

Description

Exciting New Hybrid Opportunity: Provider Network Manager (Candidate Must Reside in Jacksonville, FL or the surrounding area)

Join a growing organization that is transforming access to dental care! We're looking for a Provider Network Manager who is passionate about building and maintaining strong provider networks. In this role, you will play a vital part in recruiting and retaining General Dentists and Specialists while supporting providers through education, training, and strategic relationship-building. You'll collaborate cross-functionally, conduct market analysis, and ensure providers align with organizational goals and compliance standards.

Location and Position Requirements:

• Candidate Must Reside in Jacksonville, FL or the surrounding area

Key Responsibilities:

• Recruit General Dentists and Specialists to meet network adequacy and corporate objectives.
• Analyze existing provider networks to identify recruitment needs based on access standards and cost effectiveness.
• Conduct competitor analysis and develop strategic recruitment plans for assigned markets.
• Negotiate fee schedules and contract terms to align with company goals.
• Support network providers within assigned territories with claims issues, grievances, facility updates, and contract guidance.
• Conduct on-site provider orientations and structural audits as needed.
• Collect and process provider contracts, ensuring complete and accurate documentation.
• Maintain and strengthen long-term relationships with providers.
• Deliver monthly activity reports and updates on recruitment and retention progress.
• Educate providers on Liberty policies, procedures, and compliance standards.
• Collaborate cross-functionally to resolve escalated provider concerns and lead problem-solving efforts. Perform other related duties as assigned

Education & Experience Requirements:

• Bachelor's degree or equivalent combination of education and relevant work experience.
• Minimum 4 years of experience in network management, dental office management, managed healthcare, and/or related sales.
• Prior experience working with Medicaid, Medicare and/or DHMO networks is highly preferred.
• Independently manages recruitment and retention strategies in assigned regions.
• Handles complex provider issues and leads recruitment initiatives.
• Valid driver's license, reliable transportation, and minimum $100,000 liability insurance.
• Availability to travel 50% of the time, including occasional evenings and weekends for special events.