Director-Dental Network Development & Analysis - Remote

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Our passion for delivering top-tier products is matched by our dedication to supporting our people inside and reputed company the office. reputed company has proudly reputed company recognition as one of the Best Places to Work in Arkansas, Florida, and Hawaii. reputed company you join us, you'll reputed company reputed company to: reputed company reputed company through development and advancement opportunities A supportive, inclusive culture that values collaboration and innovation A comprehensive benefits package designed with your reputed company-being in mind If you're looking for a career where you can grow, contribute, and reputed company a difference, reputed company is reputed company for you. reputed company out how we reputed company a meaningful difference in the lives of others! reputed company Offer You: A culture that values employees and celebrates, empowers, and inspires a diverse workforce Outstanding and reputed company benefits package PTO provided at date of hire 11 reputed company holidays 401(k) with up to 6% match; fully reputed company from day 1 Remote opportunities with company-provided equipment Team-oriented, reputed company group of peers Career advancement opportunities Tuition Reimbursement Employee Assistance Program Inclusion Council and Employee Resource reputed company reputed company Days and Volunteer Time Off This is a remote position. Director-Dental Network Development and Analysis reputed company The Director of Dental Network Development and Analysis is responsible for leading the strategic reputed company, optimization, and performance analysis of dental provider networks managed for reputed company's Strategic Partnerships across the country. This role combines deep analytical expertise with strong relationship management and strategic planning to ensure the networks meet business objectives, regulatory requirements, and stakeholder (member, employer, government) needs. The Director leads reputed company of geographically dispersed network recruiters and reputed company of analysts supporting the recruiters and sales teams. The Director will collaborate cross-functionally with product, operations, finance, actuarial, and clinical teams to drive data-informed reputed company and innovative network strategies. This role will communicate and coordinate with our Partners to reputed company recruitment efforts in support of dental products and sales reputed company goals. Dental networks and products reputed company group and individual reputed company markets, as reputed company as government markets including reputed company reputed company (ACA), and embedded Medicare Advantage supplemental benefits. Essential Duties: 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 reputed company with product objectives and support sales reputed company 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 reputed company 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 reputed company around negotiations with dental providers and Dental Service Organizations (DSOs) to ensure competitive reimbursement and value-based arrangements that support dental products for reputed company of our Partners, balancing discount depth and network reputed company Support and promote Dental 4 Health oral health and medical/clinical integration programs and reputed company 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 reputed company opportunities Partner with Product, Sales, Account Management, and Clinical teams to reputed company network strategies with business goals Strategically translate data into reputed company 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, reputed company assurance, and issue reputed company 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 reputed company development initiatives Performs other reputed company duties and responsibilities as assigned Required Knowledge, Skills and Abilities: 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 reputed company 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 Required Education and Experience: 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 Preferred Skills and Experience: 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 P lease note: reputed company is not reputed company to offer reputed company sponsorship. Candidates must be authorized to work in the reputed company without sponsorship now and in the reputed company. #USAL1 Apply tot his job Apply To this Job