Sr. Provider Network Manager

Sr. Provider Network Manager

Hybrid • Syracuse - Syracuse, NY

We're hiring a Senior Provider Network Manager to lead the relationships and strategy behind our leased provider networks.

The Sr. Provider Network Manager is responsible for developing, recruiting, and sustaining a high-performing dental provider network to support Liberty Dental Plan's business objectives and regulatory requirements. This role leads provider recruitment and retention efforts, ensures network adequacy and compliance, and serves as a strategic partner to providers and internal stakeholders. The Sr. Provider Network Manager analyzes market dynamics, negotiates provider contracts, and educates providers on Liberty's policies and procedures to deliver quality access and service to members. Regular travel is required to support recruitment initiatives, provider audits, and relationship management.

What You Will Do!

• Recruit general dentists and dental specialists to meet access, growth, and network adequacy standards across assigned territories
• Analyze existing provider networks to identify recruitment gaps and ensure compliance with access standards
• Review competitor and market data to develop effective recruitment strategies
• Research, analyze, and evaluate fee schedules within assigned territories to ensure cost-effective contracting
• Negotiate contract terms and fee schedules with existing and prospective providers
• Collect, review, and submit required contract documentation for accuracy and completeness
• Manage and service contracted network providers in accordance with established guidelines and policies
• Establish and maintain strong, collaborative relationships with providers to ensure network stability and satisfaction
• Serve as a primary point of contact for escalated provider and member issues, coordinating resolution with internal teams
• Conduct provider orientations and ongoing education related to Liberty's policies, procedures, and operational requirements
• Ensure network compliance with annual attestation and regulatory requirements
• Conduct service calls, site visits, and provider audits as required by contract or compliance standards
• Assist with counseling providers demonstrating aberrant utilization or questionable billing practices in partnership with leadership
• Process facility changes and submit timely updates to internal systems
• Prepare and analyze quarterly network performance reports, trends, and summaries
• Conduct external-facing communications with clients and internal-facing communications with cross-functional partners
• Evaluate and analyze provider fee increase requests and present recommendations with justification to executive leadership
• Create and maintain DSO and group provider contracts
• Support Provider Relations leadership with day-to-day operational needs and strategic initiatives
• Assist in developing and delivering training for Network Managers on functional and operational topics
• Participate in special projects and cross-departmental initiatives as assigned
• Travel as required, including occasional nights and weekends, to support provider engagement and events
• Perform other duties as assigned

What You Bring!

Education

Bachelor's degree in Healthcare Administration, Business, or a related field required. Equivalent combination of education and relevant experience may be considered.

Experience

• Minimum of 6 years of experience in provider network management, dental office management, managed healthcare, or related provider-facing roles
• Prior experience with Dental PPO and/or DHMO networks strongly preferred
• Previous insurance network management experience required
• Contracting and customer service experience strongly preferred
• Medicaid and/or Medicare experience preferred

Skills & Knowledge

• Strong working knowledge of dental terminology and dental practice operations
• Proven ability to recruit, negotiate, and contract with dental providers
• Strong presentation, facilitation, and public speaking skills
• Excellent verbal and written communication skills; bilingual skills a plus
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook)
• Strong organizational, time management, and prioritization skills
• Detail oriented with a high degree of accuracy and follow-through
• Ability to analyze problems, research issues, and drive resolution independently
• Understanding of provider compliance, utilization review, and billing practices
• Ability to process and manage provider contracts and documentation
• Availability for night and weekend travel for special events, as needed
• Valid driver's license, reliable transportation, and proof of insurance with a minimum liability of $100,000.

Why Join Us

Play a key role in shaping and strengthening Liberty Dental Plan's provider network. Directly impact member access, provider satisfaction, and network quality. Collaborate with experienced Provider Relations leaders and cross-functional partners. Opportunity to influence recruitment strategy, provider engagement, and compliance initiatives. Competitive compensation with a comprehensive benefits package.

Qualifications

Location

Our employees are distributed in office locations in multiple markets across the United States. We are unable to hire or allow employees to work outside of the United States.

What Liberty Offers

Happy, healthy employees enhance our ability to assist our members and contribute more actively to their communities. That's why Liberty offers competitive and attractive benefit packages for our employees. We strive to care for employees in ways that promote wellness and productivity.

Our first-class benefits package supports employees and their dependents with:

• Competitive pay structure and savings options to help you reach your financial goals.
• Excellent 401(k) retirement benefits, including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines.
• Affordable medical insurance, with low-cost premiums for employee-only coverage. Liberty subsidizes the cost for eligible dependents enrolled in the plan.
• 100% employer-paid dental coverage for employees and eligible dependents.
• Vision insurance with low-cost premiums for employee-only coverage and dependents.
• Company-paid basic life and AD&D insurance, equal to one times your base salary, with options to purchase additional supplemental coverage.
• Flexible Spending Accounts for healthcare and dependent care expenses.
• Voluntary benefit programs, including accident, critical illness, and hospital indemnity insurance.
• Long-term disability coverage.
• Expansive wellness programs, including company-wide wellness challenges, BurnAlong memberships, and gym discounts.
• Employee Assistance Program (EAP) to support mental health and well-being.
• Generous vacation and sick leave policies, with the ability to roll over unused time.
• 10 paid company holidays.
• Tuition reimbursement for eligible educational expenses.
• Remote or hybrid work options available for various positions.

Compensation

In the spirit of pay transparency, the base salary range for this position is $95,000 - $105,000 a year, not including fringe benefits or potential bonuses. At Liberty, your final base salary will be determined by factors such as geographic location, skills, education, and experience. We are committed to pay equity and also consider the internal equity of our current team members when making final compensation decisions.

Please note that the range listed represents the full base salary range for this role. Typically, offers are not made at the top of the range to allow for future salary growth.

Liberty Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives. We strive to have every person within the organization have a sense of belonging while encouraging individuals to unleash their full potential. Liberty will leverage diverse perspectives in building high performance teams and organizational culture.

Liberty Dental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve.

We comply with all applicable laws and regulations on non-discrimination in employment, recruitment, promotions, and transfers, as well as work authorization and employment eligibility verification requirements.

Sponsorship and Relocation Specifications

Liberty Dental Plan is an Equal Opportunity Employer / VETS / Disabled.

No relocation assistance or sponsorship available at this time. #LI-MB1