Provider Relations Supervisor – Dental

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

📋 Description

• Support the Provider Relations Manager in managing the dental Provider Relations function.

• Guide, mentor, and enhance the Provider Relations team through meetings, regular check-ins, constructive feedback, career development, and engagement initiatives.

• Act as a subject matter expert and escalation point for intricate provider, claims, contract, credentialing, directory, and operational matters.

• Ensure staff accountability for quality, productivity, service, documentation, and performance metrics.

• Supervise provider outreach, education, orientation, and engagement across various dental product lines.

• Offer training and assistance on eligibility, claims submission, payment processes, prior authorization, directories, portals, and administrative workflows.

• Manage provider interaction records, outreach documentation, office visit notes, concerns, action items, and issue resolution.

• Track provider capacity, performance, network adequacy, geographic access, network composition, and market trends.

• Collaborate with Network Recruitment on contracting, recruitment, network expansion, and adequacy initiatives.

• Partner with Credentialing on credentialing, recredentialing, document intake, inquiries, and escalations.

• Evaluate provider, claims, directory, access, and operational data to uncover trends and opportunities for improvement.

• Promote the adoption of portals, digital tools, electronic transactions, and standardized procedures.

• Design and execute cross-functional operational and network solutions.

• Lead or assist in corrective actions and continuous improvement initiatives.

• Attend work-related events and conferences, representing the organization in a professional manner.

• Execute additional Provider Relations and network management responsibilities and special projects.

⛳️ Requirements

• High School Diploma or equivalent; experience may substitute for education.

• Associate degree or higher is preferred.

• A minimum of 3 years of experience in dental provider relations, dental health plan operations, network management, or related fields in government and/or commercial sectors.

• At least 1 year of leadership experience, including direct supervision, team leadership, project leadership, process ownership, or similar responsibilities.

• A valid driver's license with proof of auto insurance and the ability to use your own vehicle.

• Intermediate skills in PowerPoint.

• Intermediate proficiency in Microsoft Excel, Word, PowerPoint, OneNote, databases, and provider documentation/data-analysis systems.

• Familiarity with dental health plan operations, provider contracts and agreements, claims, credentialing, contracting, provider directories, and network adequacy principles.

• Capability to assess provider performance, network adequacy, geographic access, capacity, and operational metrics.

• Ability to analyze network composition and market conditions.

• Proficient in communicating data-informed insights through written summaries, reports, spreadsheets, and presentations.

• Attributes such as collegiality, initiative, communication skills, member focus, attention to detail, flexibility, critical thinking, integrity, responsibility, and collaboration are essential.

🏝️ Benefits

• Competitive compensation package.

• Comprehensive medical, dental, supplemental health, life, and vision coverage for you and your dependents with no waiting period.

• Life and disability insurance.

• 401(k) plan with company matching.

• Tuition assistance program.

• Paid parental leave.

• Backup family care support.

• Flexible time off options.

• Flexible dress code and work location policies.

• Access to Employee Resource Groups.

• Opportunities for social responsibility and volunteerism.

• Educational alliances and sustainability initiatives.

• Potential bonuses and commissions may be available.