Senior Dental Provider Services Representative
4 weeks ago
JOB DESCRIPTION
Job Summary
Molina Health Plan Dental Provider Network Management and Operations jobs are responsible for dental network development, dental network adequacy and dental provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state, and local regulations. Provider Services staff are the primary point of contact between Molina Healthcare and the contracted dental provider network. They are responsible for the dental provider training, dental network management and ensuring knowledge of and compliance with Molina healthcare policies and procedures while achieving the highest level of customer service.
KNOWLEDGE/SKILLS/ABILITIES
- Under general supervision, responsible for various dental provider services functions with an emphasis on working externally with the Plan's highest priority, high volume, strategic providers to educate, advocate and engage as valuable partners.
- Requires an in-depth knowledge of dental provider services and contracting subject matter expertise.
- Resolves complex dental provider issues that may cross departmental lines and involve Senior Leadership.
- Serves as a subject matter expert for other departments.
- Trains other Provider Services Representatives, as appropriate.
Required Education
Bachelor's Degree or equivalent dental provider contract, dental network development and management, or project management experience in a managed healthcare setting.
Required Experience
- 3 - 5 years customer service, provider service, or claims experience in a managed care setting.
- 3-5 years' experience in managed healthcare administration and/or Dental Provider Services.
- 5 years' experience in dental provider contract negotiations in a managed healthcare setting ideally in negotiating different dental provider contract types, i.e., physician, group and hospital contracting, etc.
- Working familiarity with various managed healthcare dental provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to; fee-for service, capitation, and various forms of risk, ASO, etc.
Bachelor's or master's degree.
Preferred Experience
- 5+ years' experience in managed healthcare administration and/or Dental Provider Services.
- 5+ years' experience in dental provider contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, i.e., physician, group and hospital contracting, etc.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
#PJHPO
-
Senior Provider Relations Representative
1 month ago
Long Beach, United States Molina Healthcare Full timeJob Description***Remote and must live in New Mexico***Job DescriptionJob SummaryMolina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal,...
-
Senior Provider Relations Representative
2 weeks ago
Long Beach, United States Molina Healthcare Full timeJob Description***Remote and must live in New Mexico***Job DescriptionJob SummaryMolina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal,...
-
Senior Provider Relations Representative
4 weeks ago
Long Beach, United States Molina Healthcare Full timeJob Description***Remote and must live in New Mexico***Job DescriptionJob Summary Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal,...
-
Senior Provider Relations Representative
1 week ago
Long Beach, United States Molina Healthcare Full timeJob Description***Remote and must live in New Mexico***Job DescriptionJob Summary Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal,...
-
Senior Provider Relations Representative
1 day ago
Long Beach, United States Molina Healthcare Full timeJob Description***Remote and must live in Wisconsin***Job DescriptionJob Summary Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal,...
-
Dental Assistant
4 weeks ago
Long Beach, United States Dentserv Dental Services Full timeJob DescriptionJob DescriptionOur dental practice is searching for motivated assistants! No prior dental training is required. We have been providing high quality dental care to residents in healthcare settings such as nursing homes and rehab facilities for over 40 years. As an assistant, you will be trained to support our dentists with patient related...
-
Provider Relations Representative
5 days ago
Long Beach, United States Molina Healthcare Full time**Remote and must live New York** **Job Description**: Job Summary Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and...
-
Provider Relations Representative
4 weeks ago
Long Beach, United States Molina Healthcare Full timeJob Description***Remote and must live in the San Diego area***Job DescriptionJob SummaryMolina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant...
-
Dental Call Center Representative
2 weeks ago
Long Beach, United States 4M Dental Implant Center Full time_**Dental Call Center Representative**_ **Responsibilities**: Our practice is looking for a hard working, goal minded individual with strong sales skills to fill the position we have as a Patient Service Representative. In this role, you will be the first point of contact for people calling in attempting to book a New Patient appointment. Below is a list of...
-
Provider Relations Representative
4 weeks ago
Long Beach, United States Molina Healthcare Full timeJob Description***Remote and must live in downstate New York***Job DescriptionJob Summary Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant...
-
Provider Relations Representative
1 day ago
Long Beach, United States Molina Healthcare Full timeJob Description***Remote and must live in the San Diego area***Job DescriptionJob Summary Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant...
-
Provider Contract Recruiter
4 weeks ago
Long Beach, United States Dental Health Services Full timeJob DescriptionJob DescriptionYou will contribute to the strength of our team approach to collaborative dental health.Do you value making an impact and doing meaningful work? Are you ready to be a difference-maker at an established independent Employee-Owned specialized healthcare company? If you enjoy working with a team of caring and dedicated people, this...
-
Provider Contract Recruiter
2 weeks ago
Long Beach, United States Dental Health Services Full timeJob DescriptionJob DescriptionYou will contribute to the strength of our team approach to collaborative dental health.Do you value making an impact and doing meaningful work? Are you ready to be a difference-maker at an established independent Employee-Owned specialized healthcare company? If you enjoy working with a team of caring and dedicated people, this...
-
Provider Relations Coordinator
2 weeks ago
Long Beach, United States Dental Health Services Full timeYou will contribute to the strength of our team approach to collaborative dental health. Do you value making an impact and doing meaningful work? Are you ready to be a difference-maker at an established independent Employee-Owned specialized healthcare company? If you enjoy working with a team of caring and dedicated people, this could be your new...
-
Provider Relations Coordinator
2 weeks ago
Long Beach, United States Dental Health Services Full timeJob DescriptionJob DescriptionYou will contribute to the strength of our team approach to collaborative dental health.Do you value making an impact and doing meaningful work? Are you ready to be a difference-maker at an established independent Employee-Owned specialized healthcare company? If you enjoy working with a team of caring and dedicated people, this...
-
Provider Relations Coordinator
2 weeks ago
Long Beach, United States Dental Health Services Full timeJob DescriptionJob DescriptionYou will contribute to the strength of our team approach to collaborative dental health.Do you value making an impact and doing meaningful work? Are you ready to be a difference-maker at an established independent Employee-Owned specialized healthcare company? If you enjoy working with a team of caring and dedicated people, this...
-
Provider Relations Manager
2 weeks ago
Long Beach, United States Dental Health Services Full timeYou will contribute to the strength of our team approach to collaborative dental health. Do you value making an impact and doing meaningful work? Are you ready to be a difference-maker at an established independent Employee-Owned specialized healthcare company? If you enjoy working with a team of caring and dedicated people, this could be your new...
-
Provider Relations Manager
2 weeks ago
Long Beach, United States Dental Health Services Full timeJob DescriptionJob DescriptionYou will contribute to the strength of our team approach to collaborative dental health.Do you value making an impact and doing meaningful work? Are you ready to be a difference-maker at an established independent Employee-Owned specialized healthcare company? If you enjoy working with a team of caring and dedicated people, this...
-
Provider Relations Manager
2 weeks ago
Long Beach, United States Dental Health Services Full timeJob DescriptionJob DescriptionYou will contribute to the strength of our team approach to collaborative dental health.Do you value making an impact and doing meaningful work? Are you ready to be a difference-maker at an established independent Employee-Owned specialized healthcare company? If you enjoy working with a team of caring and dedicated people, this...
-
Senior Specialty Representative
2 weeks ago
Long Beach, California, United States Amgen Full timeTerritory Covers: Long Island, NY, both Nassau and Suffolk counties. HOW MIGHT YOU DEFY IMAGINATION?At Amgen, our shared missionto serve patientsdrives all that we do. It is key to our becoming one of the worlds leading biotechnology companies, reaching over 10 million patients worldwide. Become the professional you are meant to be in this meaningful...