AVP Network Management

Description

Join Liberty Dental Plan as We Shape the Future of Dental Insurance!

This position supports our Western Region. Ideal Candidates will reside in the Western US and work Pacific Time zone office hours, to best support our operations.

The AVP Network Management is responsible for overseeing the development, management, and financial performance of the provider network to ensure comprehensive access, high quality, and efficient service delivery for our members.

Job Summary Details

• Oversee provider network development and implementation of new and existing markets to ensure objectives are met at both organization and client levels; networks to include general and specialty offices to support commercial, Medicaid and Medicare lines of business, as appropriate.

• Develop and implement strategic plans for network growth and optimization, ensuring alignment with organizational goals for cost, quality, and access.

• Evaluate network composition and performance, identifying opportunities for improvement and expansion.

• Lead provider relations initiatives to build and maintain positive relationships with current network providers.

• Develop strategies to enhance provider satisfaction and engagement.

• Oversee the negotiation of provider contracts, focusing on terms that promote quality, access, and cost-effectiveness.

• Implement and oversee a comprehensive network performance monitoring system, including quality, utilization, cost, and provider satisfaction metrics.

• Use data to drive network improvements and strategic decision-making.

• Ensure the provider network complies with all federal, state, and local regulations, as well as accreditation standards.

• Stay abreast of changes in healthcare regulations affecting network management.

• Collaborate with departments across the organization, including Account Management Claims, Member Services, and Quality Management, to ensure the network supports overall member satisfaction and organizational goals.

• Lead and develop a high-performing network management team, fostering a culture of accountability, innovation, and continuous improvement.

• Ensure and manage the financial performance of the networks in the assigned region.

• Perform other duties as assigned.

Qualifications

Education/Experience

• 4 Year / Bachelor Degree in Health Administration, Business Administration, or a related field, or equivalent combination of education and relevant work experience.
• 12 Years' experience in healthcare network management, provider relations, or a similar role within a managed care organization.
• 5 Years' experience leading and developing high performing teams.

Specific Skills/Knowledge

• Proven track record of successful network development and provider relations management.

• Strong understanding of healthcare delivery systems, provider payment methodologies, and regulatory compliance requirements.

• Excellent negotiation and contract management skills.

• Strong analytical and problem-solving abilities, with the capacity to utilize data in decision-making processes.

• Exceptional leadership and team development skills, with a demonstrated ability to engage and motivate a diverse team.

• Effective communication and interpersonal skills, capable of building and maintaining strong relationships with providers, staff, and external partners.

• Ability to travel as required to meet with providers, attend industry events, and represent the organization in various forums.

• Presentation skills

• Project management skills

• Strong verbal and written communication skills

• Proficient in Microsoft Office specifically Word, Excel and Outlook

• Ability to prioritize and meet deadlines

Location

Our employees are distributed in office locations in multiple markets across the United States. We are unable to hire or allow employees to work outside of the United States.  This position supports our Western Region. Ideal Candidates will reside in the Western US and work Pacific Time zone office hours, to best support our operations.

What Liberty Offers

Happy, healthy employees enhance our ability to assist our members and contribute more actively to their communities. That’s why Liberty offers competitive and attractive benefit packages for our employees. We strive to care for employees in ways that promote wellness and productivity.

Our first-class benefits package supports employees and their dependents with:

• Competitive pay structure and savings options to help you reach your financial goals.
• Excellent 401(k) retirement benefits, including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines.
• Affordable medical insurance, with low-cost premiums for employee-only coverage. Liberty subsidizes the cost for eligible dependents enrolled in the plan.
• 100% employer-paid dental coverage for employees and eligible dependents.
• Vision insurance with low-cost premiums for employee-only coverage and dependents.
• Company-paid basic life and AD&D insurance, equal to one times your base salary, with options to purchase additional supplemental coverage.
• Flexible Spending Accounts for healthcare and dependent care expenses.
• Voluntary benefit programs, including accident, critical illness, and hospital indemnity insurance.
• Long-term disability coverage.
• Expansive wellness programs, including company-wide wellness challenges, BurnAlong memberships, and gym discounts.
• Employee Assistance Program (EAP) to support mental health and well-being.
• Generous vacation and sick leave policies, with the ability to roll over unused time.
• 10 paid company holidays.
• Tuition reimbursement for eligible educational expenses.
• Remote or hybrid work options available for various positions.

Compensation

In the spirit of pay transparency, the base salary range for this position is $155,000 - $175,000, not including fringe benefits or potential bonuses. At Liberty, your final base salary will be determined by factors such as geographic location, skills, education, and experience. We are committed to pay equity and also consider the internal equity of our current team members when making final compensation decisions.

Please note that the range listed represents the full base salary range for this role. Typically, offers are not made at the top of the range to allow for future salary growth.

Liberty Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives. We strive to have every person within the organization have a sense of belonging while encouraging individuals to unleash their full potential. Liberty will leverage diverse perspectives in building high performance teams and organizational culture. 

Liberty Dental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve. 

We comply with all applicable laws and regulations on non-discrimination in employment, recruitment, promotions, and transfers, as well as work authorization and employment eligibility verification requirements.

Sponsorship and Relocation Specifications

Liberty Dental Plan is an Equal Opportunity Employer / VETS / Disabled.

No relocation assistance or sponsorship available at this time.