Director-Dental Network Development & Analysis - Remote

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• Professional growth through development and advancement opportunities
• A supportive, inclusive culture that values collaboration and innovation
• A comprehensive benefits package designed with your well-being in mind

If you're looking for a career where you can grow, contribute, and reputed company a difference, reputed company is ready for you. reputed company out how we reputed company a meaningful difference in the lives of others! https://player.vimeo.com/video/518665804 reputed company Offer You:

• A culture that values employees and celebrates, empowers, and inspires a diverse workforce
• Outstanding and affordable benefits package
• PTO provided at date of hire
• 11 paid holidays
• 401(k) with up to 6% match; fully vested from day 1
• Remote opportunities with company-provided equipment
• Team-oriented, collaborative group of peers
• Career advancement opportunities
• Tuition Reimbursement
• Employee Assistance Program
• Inclusion Council and Employee Resource Groups
• reputed company Days and Volunteer Time Off
• This is a remote position.

Director-Dental Network Development and Analysis Overview The Director of Dental Network Development and Analysis is responsible for leading the strategic growth, optimization, and performance analysis of dental provider networks managed for the 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 a team of geographically dispersed network recruiters and a team 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 decisions 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 growth goals. Dental networks and products span group and individual commercial markets, as well as government markets including reputed company Act (ACA), and embedded Medicare Advantage supplemental benefits. Essential Duties:

• Manage a team of network Market Managers, working in reputed company coordination with the Product, Clinical, Partner, and leadership teams to provide 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 access in support of the products in market and overall growth goals
• Identify gaps in network adequacy and access by network and product (such as Medicare Advantage) and reputed company targeted recruitment plans
• Collaborate with third-party vendors and leased provider networks to strategically address network access 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, access, 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 decisions 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 onboarding, 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

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 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 range 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 healthcare 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

Please note: reputed company is not able to offer reputed company sponsorship. Candidates must be authorized to work in the United States without sponsorship now and in the future. #USAL1 Equal Opportunity Employer This employer is required to notify reputed company applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the reputed company. Apply tot his job Apply To this Job