Lead, Provider Reimbursement Specialist

5 days ago


Holmdel, New Jersey, United States Guardian Life Full time
Job Summary

We are seeking a highly skilled and experienced professional to lead our dental network performance team at Guardian Life. As a key member of our team, you will be responsible for driving business growth and improving network efficiency through data-driven insights and strategic planning.

Key Responsibilities
  • Lead and mentor a team of analysts to foster a collaborative and high-performance work environment.
  • Design and execute complex data analysis projects to assess network performance, identify trends, and generate actionable insights.
  • Create and present comprehensive reports and dashboards for senior management, highlighting key metrics and recommendations.
  • Collaborate with cross-functional teams to identify opportunities for network improvement and cost reduction.
  • Develop models and simulations to forecast network performance and evaluate potential changes.
  • Monitor and assess the financial impact of network changes.
  • Contribute to the development of strategic initiatives and goals for the dental network.
  • Provide expert advice and insights to support network expansion, provider relations, and quality improvement efforts.
Requirements
  • Minimum of 6 years of experience in analytics with a strong background in leadership and a deep understanding of dental networks and provider compensation strategy.
  • Proficiency in Excel and VBA, with experience in using Tableau and Alteryx software preferred.
  • Ability to manage and lead multiple projects and manage 4 or more direct reports.
  • Strong analytical and communication skills.
What We Offer
  • A competitive salary range of $121,000 to $199,905, depending on experience.
  • A comprehensive benefits package, including health, dental, and vision insurance, as well as a 401(k) retirement plan with a company match.
  • Flexible work arrangements, including remote work options and a hybrid work schedule.
  • Opportunities for professional growth and development, including training and education programs.
About Guardian Life

Guardian Life is a leading insurance company dedicated to helping our customers achieve their financial goals. We offer a range of insurance and financial products and services, and are committed to providing excellent customer service and support.



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