Talent.com
Senior Representative, Dental Provider Services
Senior Representative, Dental Provider ServicesArizona Staffing • Chandler, AZ, US
Senior Representative, Dental Provider Services

Senior Representative, Dental Provider Services

Arizona Staffing • Chandler, AZ, US
[job_card.variable_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Job Summary

Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy, and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state, and local regulations. Provider Services staff are the primary point of contact between Molina Healthcare and contracted provider network. They are responsible for the provider training, network management and ensuring knowledge of and compliance with Molina healthcare policies and procedures while achieving the highest level of customer service.

Knowledge / Skills / Abilities :

  • Under general supervision, responsible for various provider services functions with an emphasis on working externally with the Plan's highest priority, high volume, strategic providers to educate, advocate and engage as valuable partners.
  • Requires an in-depth knowledge of provider services and contracting subject matter expertise.
  • Resolves complex provider issues that may cross departmental lines and involve Senior Leadership.
  • Serves as a subject matter expert for other departments.
  • Trains other Provider Services Representatives, as appropriate.

Job Qualifications : Required Education :

  • Bachelor's Degree or equivalent provider contract, network development and management, or project management experience in a managed healthcare setting.
  • Required Experience :

  • 3 - 5 years customer service, provider service, or claims experience in a managed care setting.
  • 3-5 years' experience in managed healthcare administration and / or Provider Services.
  • 5 years' experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, i.e., physician, group and hospital contracting, etc.
  • Working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to; fee-for service, capitation, and various forms of risk, ASO, etc.
  • Preferred Education :

  • Bachelor's or master's degree.
  • Preferred Experience :

  • 5+ years' experience in managed healthcare administration and / or Provider Services.
  • 5+ years' experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, i.e., physician, group and hospital contracting, etc.
  • Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V. Pay Range : $77,969 - $116,835 / ANNUAL

  • Actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.
  • [job_alerts.create_a_job]

    Dental Representative • Chandler, AZ, US

    [internal_linking.related_jobs]
    Remote Customer Service Representative – Product Testing

    Remote Customer Service Representative – Product Testing

    GLOCPA • Maricopa, Arizona
    [filters.remote]
    [job_card.full_time]
    We’re looking for Customer Support Product Testers across the US to work from home and help top brands improve their products before they hit the market.[show_more]
    [last_updated.last_updated_30] • [promoted]
    Dentist

    Dentist

    InterDent Service Corporation • Phoenix, AZ, United States
    [job_card.part_time]
    Part-time General Dentist Opportunity in North Phoenix, AZ.With over 170 practices across the West Coast and beyond, we're more than just a dental network-we're a community rooted in quality care, ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Per Diem Senior Health Physician (Casual Employee)

    Per Diem Senior Health Physician (Casual Employee)

    One Medical • Paradise Valley, AZ, US
    [job_card.full_time]
    About Us One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn’t your average doctor’s office.We’r...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    General Dentist- Scottsdale, Arizona

    General Dentist- Scottsdale, Arizona

    The Dentist Agent • Scottsdale, AZ, United States
    [job_card.full_time]
    A well established, private practice based in Scottsdale, AZ is currently searching for a full time General Dentist.This 4 operatory practice is fully digital, has a CBCT, trios scanner, 3D printer...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Associate Dentist

    Associate Dentist

    Menlo Dental Consulting • Phoenix, AZ, United States
    [job_card.full_time]
    About the job Associate Dentist.Patient-Focused,Large Private Practice.Fantasticopportunity for an experienced Associate Dentist to join a largepatient-focused, family practice in Phoenix, AZ.The p...[show_more]
    [last_updated.last_updated_30] • [promoted]
    General Dentist - Maricopa, AZ

    General Dentist - Maricopa, AZ

    Edison Family Dental Care • Maricopa, AZ, United States
    [job_card.full_time]
    General Dentist to join our team.You'll work in an environment that encourages full clinical autonomy, with the ability to tap into a robust mentorship program and a network of more than 3000 suppo...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Remote Customer Care Associate

    Remote Customer Care Associate

    TurboTax • Maricopa, Arizona
    [filters.remote]
    [job_card.full_time]
    Work from home with TurboTax Product Expert.Get a $405 Certification bonus³.Work from home & set your own flexible schedule between 8am EST and 12am midnight EST Monday to Sunday⁴.Earn an ...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Inbound Sales Representative - Unlimited Commission

    Inbound Sales Representative - Unlimited Commission

    EchoStar • MARICOPA, Arizona, United States
    [job_card.full_time]
    Are you highly competitive, motivated by results, and looking for a role where your earning potential has no limits? Our award-winning Inside Sales & Retention teams excel at driving customer decis...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Branch Relationship Banker (Personal Banker) - Carefree (AZ)

    Branch Relationship Banker (Personal Banker) - Carefree (AZ)

    BankTalent HQ • Carefree, AZ, United States
    [job_card.full_time]
    At National Bank of Arizona, we're a community of professionals with relationships at our core.We strive to promote an engaging environment with accessible leadership and on-going employee developm...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Senior Manager of Technical Accounting

    Senior Manager of Technical Accounting

    Vaco by Highspring • Maricopa, Arizona, United States
    [job_card.permanent]
    Senior Manager of Technical Accounting.Greater Phoenix, AZ (hybrid schedule 4 days in office) .Vaco has partnered with a prestigious company seeking a Senior Manager of Technical Accounting to join...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    VP, Commercial Card Sales

    VP, Commercial Card Sales

    Enterprise Bank and Trust • Paradise Valley, AZ, US
    [job_card.full_time]
    Enterprise Bank & Trust was founded in the spirit of entrepreneurship and community.From the small mom-and-pop coffee shop to the large construction company that employs local people, our goal ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    General Dentist

    General Dentist

    Jobot • Phoenix, AZ, US
    [job_card.full_time]
    Pediatric Dentist or General Dentist with Pediatric Dentistry experience needed in Phoenix, AZ!!.This Jobot Job is hosted by : Susan Hanchett. Are you a fit? Easy Apply now by clicking the "Apply Now...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Associate Dentist| Phoenix, AZ

    Associate Dentist| Phoenix, AZ

    Affordable Dentures & Implants • Phoenix, AZ, United States
    [job_card.full_time]
    This is your opportunity to grow your career with the nation's largest network of implant providers!.As a dentist in our network, you not only change smiles. Our practices provide best-in-class dent...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Senior Representative, Dental Provider Services

    Senior Representative, Dental Provider Services

    Molina Healthcare • Phoenix, AZ, United States
    [job_card.full_time]
    Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Mental Health Therapist

    Mental Health Therapist

    SonderMind Careers • Maricopa, AZ, US
    [job_card.full_time]
    Join Our Team as a Mental Health Therapist at SonderMind!.Are you a compassionate and skilled mental health professional looking to make a real difference? At. Here, you can manage your own practice...[show_more]
    [last_updated.last_updated_30] • [promoted]
    CDL Truck Driver - Home Daily - Excellent Benefits and Equipment

    CDL Truck Driver - Home Daily - Excellent Benefits and Equipment

    C.R. England • Maricopa, AZ, US
    [job_card.full_time]
    England is Now Hiring Dedicated Local Drivers!.Dedicated Local Fleet - Competitive Pay - Full Benefits Package.Valid CDL-A and 3+ months of current experience required. This lane is not suitable for...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Regional Sales Representative- Phoenix - Remote, AZ

    Regional Sales Representative- Phoenix - Remote, AZ

    Ameritas • Phoenix, AZ, United States
    [filters.remote]
    [job_card.full_time] +1
    Regional Sales Representative- Phoenix.Remote, Arizona, United States.In this role, you will build and maintain strong business relationships with brokers, agents and other insurance professionals ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Customer Service Representative (Remote Position)

    Customer Service Representative (Remote Position)

    GOLD GATE • Maricopa, Arizona
    [filters.remote]
    [job_card.full_time] +1
    [filters_job_card.quick_apply]
    Customer Service Representative (Remote Position).Part-Time : $15–$18 per hour.Full-Time : $17–$22 per hour.We are seeking a friendly, patient, and professional Remote Customer Service Re...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]