Provider Engagement Representative
DentaQuest

Job Info

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** Must be located in the 5 boroughs of NYC or mid-Hudson Valley **

Responsible for managing relationships with Providers within their assigned market. As such, spends most
time in the field communicating with providers about suite of benefit programs (Medicaid, Medicare
Advantage, Marketplace and Direct to Consumer and Commercial and any blend of dental products),
supporting the P&L of the network. Works collaboratively with reporting to understand provider reports and
stressing continuous improvement to the Providers (high performance metrics, cost, outliers, quality, etc.)

PRIMARY JOB RESPONSIBILITIES:
* Maintain visibility within their market, with an eye toward managing their book of business across
all product lines.
* Analyze and monitor provider cost reports on an ongoing basis in order to educate and improve
providers' cost and quality performance.
* Actively support VBP (Value Based Pay) program.
* Maintain network participation by providing support to dentists and dental office managers to
improve their understanding of all available benefit programs.
* Educate providers by instructing and advising of the comprehensive policies and procedures
involving all phases of the corporation's benefits and contracts through office visits and
communication over the phone and email.
* Promote dentist adoption of technology solutions by promoting Web applications and increasing the
volume of electronic claims.
* Seek continuous improvements by recommending changes in internal methods and procedures to
Quality Assurance process.
* Facilitate Oral Health presentations to various educational institutions and organizations.
* Represent clients and company at trade shows, health fairs, audits, dental summits, etc. throughout
the designated market.
* Maintain and submit all required reports.
* Develop complete understanding of the Office Reference Manuals for implementation within their
region.
* Develop and continually improve personalized presentations of company benefit programs
* Provide recommended solutions to market related issues.
* Measure impact of provider satisfaction (as tied to annual objectives of the team) and respond to
provider issues.
* Organize and present information to providers and their staff by speaking before various provider
organizations and representing the corporation in dental related activities.
* Assist in problem resolution by identifying improvement opportunities, evaluating feasibility of
programs and presenting recommendations when appropriate.
* Develop and implement approaches by working with dentists and their office staff to improve the
quality of information exchanged between the company and dental offices.
* Help to maintain a secondary network.
* Other duties as assigned.

Bachelor's Degree in Business, Healthcare Administration or related field (or relevant work
experience)
* 3 years' related work experience in healthcare environment
* Strong presentation skills.
* Excellent verbal and written communication skills.
* Ability to work independently and as part of a team.
* Knowledge of Microsoft Office.
* Proven problem-solving skills.
* Up to 50% local travel required).
* Problem solving and training experience.
* Ability to make good judgment conclusions based on data available with minimal supervision.
Preferred Qualifications:
* Dental knowledge with five (5) or more years of office experience.
* Managed Care experience.

PHYSICAL DEMANDS:
* Ability to work in a traditional professional office setting or remote equivalent.
* Ability to effectively operate computer equipment.
* Work schedule may vary and is determined by project schedules.
* Ability to travel as projects dictate
* Ability to efficiently operate all job-related office equipment.
* Ability to communicate via telephone and work in virtual teams
* The office environment is active with high voice levels and interruptions that may challenge hearing
and concentration.

, New York City, New York 10025

This job has expired.