Associate Provider Partner Consultant, DentaQuest

Job Description:

  • Educate dental offices on policies, procedures, and value-based programs via phone, email, webinars, and in-office visits
  • Promote technology adoption including web portal functionality, electronic claims submission, and EFT options
  • Support onboarding of new providers and re-credentialing processes, ensuring accurate data, directory updates, and timely activation
  • Conduct training sessions and webinars; serve as SME on company tools, portals, and engagement processes
  • Manage team SharePoint and internal resource sites; maintain updated link libraries, acronyms, and definition pages for Provider Partners
  • Create and maintain dashboards to track provider engagement metrics and outcomes
  • Generate leadership reports and monthly summaries highlighting performance, network status, and key initiatives
  • Submit AP requests, Committee submissions, and vendor oversight tracking (Trachmar, Veritas, etc.)
  • Maintain communication templates, newsletters, FAQs, quick reference guides, and provider notifications with appropriate approvals (DMX, client, and compliance)
  • Prepare and distribute provider scorecards, performance summaries, and compliance updates where applicable
  • Coordinate internal and client-facing projects by creating project plans, maintaining timelines, recording notes, and following up on deliverables
  • Track new business implementations and network loads, including opt-outs, amendments, and provider terminations
  • Participate with initiatives, ensuring materials, ORMs, and communications are validated and timely
  • Support implementation of new tools and systems, serving as a super user or trainer for new software/hardware rollouts
  • Partner with marketing and communications to align materials across all markets for consistency and professional presentation
  • Run and validate reports to maintain provider directories, GeoAccess, and network validation compliance
  • Perform Excel-based comparisons, file merges, and network analyses to identify disruptions, gaps, or discrepancies
  • Maintain tracking logs for provider notifications, trainings, and regulatory deliverables
  • Ensure compliance with all policies, CMS, and state contractual requirements including annual provider compliance trainings
  • Develop and facilitate team training on dashboards, reporting, purchasing, vendor management, and provider communications
  • Lead and coordinate internal engagement efforts (holiday events, team meetings, SME presentations, etc.) to promote collaboration

Requirements:

  • Associate’s degree; Bachelor’s preferred (Business, Healthcare Administration, or related field)
  • Minimum of 3 years’ experience in healthcare or managed dental care, including provider support or network administration
  • Proficiency in Microsoft Office Suite (Excel, PowerPoint, Word, Teams, SharePoint)
  • Strong project management, data analysis, and organizational skills
  • Excellent written and verbal communication; ability to work across teams and with providers
  • Up to 25% travel required for provider office visits, meetings, and events.
  • 5+ years of dental or managed care experience preferred
  • Experience with DentaQuest systems (Oracle, Veritas, Trachmar, DMX, NGPP) preferred.
  • Demonstrated expertise in provider training, communications, and process improvement preferred.
  • Experience building dashboards, managing SharePoint content, and coordinating multi-state initiatives preferred.

Benefits:

  • Generous vacation and sick time
  • Market-leading paid family, parental and adoption leave
  • Medical coverage
  • Company paid life and AD&D insurance
  • Disability programs
  • Partially paid sabbatical program
  • 401(k) employer match
  • Stock purchase options
  • Employer-funded retirement account
  • Flexible, inclusive and collaborative work environment
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