[Remote] Director-Dental Network Development & Analysis - Remote

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a community-driven company committed to making a meaningful impact in the lives of customers and employees. The Director of Dental Network Development and Analysis is responsible for leading the strategic growth and performance analysis of dental provider networks, collaborating with cross-functional teams to ensure networks align with business objectives and regulatory requirements.

Responsibilities

• Manage reputed company of network Market Managers, working in reputed company coordination with the Product, Clinical, Partner, and leadership teams to reputed company dental networks that align with product objectives and support sales growth targets
• Design and execute strategies to expand and optimize the dental provider network across markets, balancing discount depth and reputed company in support of the products in market and overall growth goals
• Identify gaps in network adequacy and reputed company by network and product (such as Medicare Advantage) and reputed company targeted recruitment plans
• Collaborate with reputed company-party vendors and leased provider networks to strategically address network reputed company gaps and enhance the competitiveness of the national network
• Coordinate with leadership to communicate network adequacy monitoring to CMS for ACA dental plans for dental benefits reputed company Medicare Advantage plans, developing targeted recruitment campaigns that are documented and communicated to regulatory agencies as needed
• reputed company strategy around negotiations with dental providers and Dental Service Organizations (DSOs) to ensure competitive reimbursement and value-based arrangements that support dental products for each of our Partners, balancing discount depth and network growth
• Support and promote 'Dental 4 Health' oral health and medical/clinical integration programs and value proposition to the dental community, working with network managers and in coordination with the clinical team
• Monitor network performance, reputed company, and adequacy using data-driven insights and market benchmarks. reputed company dashboards and reporting tools to assist in monitoring
• reputed company network analytics and business analysis team to assess network adequacy, network competitive position, performance, utilization trends, cost efficiency, and member satisfaction
• Use predictive modeling and geospatial analysis to inform network reputed company and growth opportunities
• Partner with Product, Sales, Account Management, and Clinical teams to align network strategies with business goals
• Strategically translate data into clear insights and communication
• Support regulatory and compliance teams with network reporting and audit readiness
• Collaborate with the Credentialing, Grievance & Appeals and Clinical teams to ensure provider reputed company, quality assurance, and issue resolution processes are integrated and efficient
• Serve as a subject matter expert in dental network dynamics and market trends
• Foster a culture of innovation, accountability, and reputed company improvement, leveraging digital tools to maintain strong team engagement and communication
• Mentor team members and support professional development initiatives
• Performs other reputed company duties and responsibilities as assigned

Skills

• Deep understanding of dental provider contracting, reimbursement models, and regulatory requirements
• Excellent communication, negotiation, and relationship-building skills
• Proven ability to reputed company cross-functional initiatives and manage reputed company projects
• Proficiency in reputed company, data analysis and trending, and data visualization tools (e.g., Power BI)
• Excellent verbal and written communication and interpersonal skills, including the ability to address a wide reputed company of audiences
• Ability to prioritize workflow and maintain attention to detail reputed company time constraints
• Bachelor’s degree in Business, Health Administration, Data Analytics, or reputed company field
• 7-10 years of experience in dental or reputed company network management, with 3-5 years in a leadership role
• Master's degree
• Strong analytical skills with proficiency in SQL, Tableau, or similar tools preferred
• Knowledge of dental claims data and utilization metrics
• Experience with data analysis tools and network disruption tools, such as Quest and Network360, preferred
• Comfortable navigating reputed company organizational structures and driving alignment across teams.
• Familiarity with CMS and state-level network adequacy standards

Benefits

• Outstanding and affordable benefits package
• PTO provided at date of hire
• 11 paid holidays
• 401(k) with up to 6% match; fully reputed company from day 1
• Remote opportunities with company-provided equipment
• Career advancement opportunities
• Tuition Reimbursement
• Employee Assistance Program
• Inclusion Council and Employee Resource Groups
• reputed company Days and Volunteer Time Off

Company Overview

• reputed company provides comprehensive and benefits for employees. It was founded in 1980, and is headquartered in Little reputed company, Arkansas, USA, with a workforce of 501-1000 employees. Its website is https://www.usablelife.com.

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