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Senior Manager, ADA Credentialing Policy and Delegated Services

2 months ago


Chicago, Illinois, United States American Dental Association Full time
About the Role

The American Dental Association is seeking a highly skilled Senior Manager to oversee the ADA's existing Credentialing Service powered by CAQH and launch a new business endeavor to support delegated credentialing for multi-site group practices.

Key Responsibilities
  • Oversee the ADA's existing Credentialing Service powered by CAQH and launch a new business endeavor to support delegated credentialing for multi-site group practices.
  • Manage an interdivisional team including staff from Information Technology, Communications, Government Affairs, Membership Data Center, and Product Development, as well as external vendors, group practices, payers, and other third parties to maintain and update the service.
  • Identify issues based on dentist and payer feedback and guide the development of solutions to address these issues.
  • Develop and implement strategies to improve the user experience for both dentists and payers.
  • Manage relationships with CAQH, other credentialing solution vendors, dentists, and private dental benefit plans and their provider network administrators.
Requirements
  • Bachelor's degree
  • Minimum 8 years' experience in program management in either the dental or medical field with experience in a multi-site medical/dental practice, dental society, clearinghouse, or payer
  • Experience in network management or credentialing
  • Prior product management experience working on complex projects related to customer value
  • Excellent oral/written communications, analytical, facilitation, and negotiation skills
  • Solid spreadsheet, presentation, and other decision support computer skills
  • Extensive knowledge of data management/integrity concepts
  • Strategic agility - ability to connect strategic vision and goals with day-to-day execution
  • Ability to influence others directly and indirectly to share information and take action towards shared objectives and manage multiple priorities
  • Ability to meet deadlines and deliver innovative and compelling value to customers in collaboration with internal content experts, key external client channels, and multiple stakeholders
  • Self-starter, results-focused, and able to effectively establish priorities and accomplish outcomes
  • Ability for occasional evening and weekend work/meetings
  • Ability for 10-25% travel
Preferred Qualifications
  • Project management experience, including managing large interdivisional teams to achieve customer and revenue growth goals
  • Specific experience within dentistry or the dental benefits industry
Benefits
  • Promotes Work/Life Balance
  • Hybrid Work Schedule (2 days in office, 3 days remote)
  • Health insurance/dental reimbursement plan
  • Ample Paid time off
  • 401(k)
  • Pension
  • Flexible Spending Account
  • Life insurance
  • Tuition reimbursement
  • Paid Parental Leave
  • Pet Insurance
  • Student Loan Refinance
  • 2 days off to work at a charity event of your choice