Manager, Network Management – Performance

This is a fully remote position, open to applicants in Nevada.

📋 Description

• Direct targeted recruitment initiatives and implement retention strategies for general dental practitioners and specialty care provider networks.

• Manage provider network retention efforts to guarantee long-term stability and engagement.

• Review and oversee provider contract documents to ensure accuracy, completeness, and alignment with regional fee schedules.

• Assess fee increase requests and present justified recommendations to Executive Leadership.

• Investigate market trends and competitor compensation frameworks to create and sustain competitive provider fee schedules.

• Establish internal controls and supervise fee schedule addenda for designated territories.

• Oversee provider service initiatives and ensure deadlines are met promptly.

• Build and maintain strong relationships with providers.

• Coordinate network recruitment outreach with Provider Relations Operations staff, including mailings, fax blasts, and notifications.

• Develop performance standards for staff and monitor productivity levels.

• Recruit and train personnel, conduct interviews, schedule training sessions, and prepare instructional materials.

• Handle employment-related matters with PR executive staff and Liberty's People Team, including performance-related disciplinary actions.

• Prepare and present internal and external reports on recruitment and service initiatives.

• Collaborate across departments such as Claims, Quality Management, and Member Services to address provider-related challenges.

• Participate in Utilization Review Committees and other relevant committees.

• Develop and enhance processes, policies, and procedures to optimize network operations.

• Conduct weekly meetings with direct reports.

• Provide strategic insights and performance updates to the PR executive team.

• Perform additional duties as assigned by executive leadership.

⛳️ Requirements

• Bachelor's degree in Health Administration, Business Administration, or a related field, or an equivalent combination of education and relevant work experience.

• 4 to 6 years of experience in dental and/or healthcare network management, provider relations, or a related field, including prior leadership roles.

• Demonstrated experience in managing provider relationships and enhancing network performance.

• Strong leadership, team-building, and coaching skills with a collaborative management style.

• Analytical abilities for reporting and trend analysis.

• Understanding of healthcare delivery systems, provider payment methodologies, and regulatory compliance.

• Excellent problem-solving skills with a proactive approach to resolving issues.

• Familiarity with dental terminology is preferred.

• Knowledge of government dental programs (Medicaid/Medicare).

• Experience in negotiating provider fee schedules.

• Proficient in Microsoft Office (Word, Excel, Outlook).

• Ability to work independently while meeting organizational goals.

• Strong attention to detail and exceptional organizational skills.

• Excellent customer service orientation.

• Proficient in both written and verbal communication.

• Capable of presenting to diverse audiences and negotiating effectively.

• Ability to analyze issues, gather pertinent data, establish facts, and draw valid conclusions.

• Experience in conducting thorough research and ensuring resolution of issues.

• Must be willing and able to travel up to 50% of the time.

• Must reside and work in the United States; Liberty is unable to hire or allow employees to work outside the United States.

• No relocation assistance or sponsorship is available at this time.

🏝️ Benefits

• Competitive pay structure and savings options.

• 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 coverage for eligible dependents.

• 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 base salary, with options for supplemental coverage purchase.

• Flexible Spending Accounts for healthcare and dependent care expenses.

• Voluntary accident, critical illness, and hospital indemnity insurance.

• Long-term disability coverage.

• Comprehensive wellness programs, including company-wide wellness challenges, BurnAlong memberships, and gym discounts.

• Employee Assistance Program (EAP) supporting mental health and well-being.

• Generous vacation and sick leave policies, with unused time rollover.

• 10 paid company holidays.

• Tuition reimbursement for eligible educational expenses.

• Remote or hybrid work options available for various positions.