Dental Network Provider Relations Representative

Summary As a Dental Network Provider Relations team member, you will work directly with contracted providers to help resolve issues, assess and negotiate provider fee schedules, and attempt to reverse termination requests. You will work in a variety of different systems and partner with other network team members, also working on different projects related to dental network providers. The role requires a self-driven team player with a positive attitude, focused on delivering exceptional results and providing best-in-class customer service to DHMO and PPO dentists, while meeting productivity requirements. Must Have • Work directly with contracted providers to help resolve issues. • Assess and negotiate provider fee schedules. • Attempt to reverse termination requests. • Work in a variety of different systems and partner with other network team members. • Work on different projects related to dental network providers. • Provide best in class customer service to all DHMO and PPO dentists. • Meet productivity requirements as established by the role. • Leverage available data to negotiate mutually beneficial fee schedule increases with providers. • Research and resolve a variety of provider issues. • Grow knowledge base of Network strategy. • Be accountable for meeting contractual and procedural turnaround times. • Put forth all reasonable efforts to retain providers in the network. • Provide outstanding customer service to providers and internal partners. Good To Have • Knowledge of Dental Perks • Support and flexibility to achieve professional and personal goals • Skill-building opportunities • Leadership development opportunities • Philanthropic opportunities • Opportunities to build communities • Career growth • Diverse colleagues with high ethical standards • Contemporary, supportive, flexible, and inclusive benefits and resources As a Dental Network Provider Relations team member, you will work directly with contracted providers to help resolve issues, assess and negotiate provider fee schedules, and attempt to reverse termination requests. You will work in a variety of different systems and partner with other network team members. You will also work on different projects related to our dental network providers. “People Count,” “We Do the Right Thing,” and “We Hold Ourselves to Very High Standards” are integral to our team culture. You are: • A team player with a positive attitude who is self-driven and focused on delivering exceptional results • Provide best in class customer service to all DHMO and PPO dentists • Meet productivity requirements as established by the role. You have: • 3+ years of dental insurance industry experience • The ability to accelerate impact and drive results • Excellent decision making, critical thinking and communication skills • Knowledge of Dental a plus • Knowledge of MS Word/Excel/PPT • Excellent written and verbal communication skills • Bachelor’s Degree or equivalent work experience required You Will: • Assess and analyze provider fee schedules • Leverage available data to negotiate mutually beneficial fee schedule increases with providers • Research and resolve a variety of provider issues • Grow knowledge base of Network strategy • Work on a variety of projects • Be accountable for meeting contractual and procedural turnaround times • Put forth all reasonable efforts to retain providers in the network • Provide outstanding customer service to providers and internal partners Leadership Behaviors: • Demonstrates intellectual curiosity • Displays technical and functional competence and expertise • Proactively looks at new and different ways of approaching work Travel: • Minimal travel to/from regional offices as needed for project work/team meetings Salary Range: $48,170.00 - $72,260.00 The salary range reflected above is a good faith estimate of base pay for the primary location of the position. The salary for this position ultimately will be determined based on the education, experience, knowledge, and abilities of the successful candidate. In addition to salary, this role may also be eligible for annual, sales, or other incentive compensation. Our Promise At Guardian, you’ll have the support and flexibility to achieve your professional and personal goals. Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards. Inspire Well-Being As part of Guardian’s Purpose – to inspire well-being – we are committed to offering contemporary, supportive, flexible, and inclusive benefits and resources to our colleagues. Explore our company benefits at www.guardianlife.com/careers/corporate/benefits . Benefits apply to full-time eligible employees. Interns are not eligible for most Company benefits._ Equal Employment Opportunity Guardian is an equal opportunity employer. All qualified applicants will be considered for employment without regard to age, race, color, creed, religion, sex, affectional or sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law. Accommodations Guardian is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Guardian also provides reasonable accommodations to qualified job applicants (and employees) to accommodate the individual's known limitations related to pregnancy, childbirth, or related medical conditions, unless doing so would create an undue hardship. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact [email protected] . Current Guardian Colleagues: Please apply through the internal Jobs Hub in Workday. About Guardian Every day, Guardian helps our 29 million customers realize their dreams through a range of insurance and financial products and services. Our Purpose, to inspire well-being, guides our dedication to the colleagues, consumers, and communities we serve. We know that people count, and we go above and beyond to prepare them for the life they want to live, focusing on their overall well-being — mind, body, and wallet. As one of the largest mutual insurance companies, we put our customers first. Behind every bright future is a GuardianTM. Learn more about Guardian at guardianlife.com . Apply tot his job