Director Network Management & Performance - Western Region

Description

Building Brighter Futures, One Smile at a Time!

Liberty Dental Plan is seeking a Director Network Management & Performance to lead our Western Region. Ideal candidates will currently reside in the Central or Western United States.

The Director Network Management & Performance is responsible for developing/creating strategy and execution to create a strong provider network that is financially viable. This role will work with Network Management leadership to coordinate areas of opportunities where potential risk/savings can be identified to ensure that LIBERTY 's Network is performing in a manner that aligns with company goals and objectives.

Job Summary Details

• Develop and implement strategic plans for expanding and optimizing the provider network to meet organizational goals and member needs.
• Review competitor information and propose strategies to meet recruitment needs.
• Identify and address gaps in network coverage and services.
• Establish and maintain strong relationships with providers to assure stable networks.
• Research and analyze fee schedules within assigned territory to determine cost effectiveness of contracting providers.
• Assist in the negotiation of provider contracts/renegotiation, ensuring competitive terms that promote high-quality care, accessibility, and cost-effectiveness.
• Assist in providing Network Leaders in the contract renewal process and manage contract performance.
• Monitor and evaluate the performance of the provider network using key metrics such as quality, utilization, and cost.
• Implement strategies to improve network performance and provider satisfaction.
• Ensure all network management activities comply with federal, state, and local regulations, as well as accreditation standards.
• Stay updated on regulatory changes and adjust strategies accordingly.
• Foster strong relationships with network providers, addressing concerns, resolving issues, and enhancing collaboration.
• Develop and implement initiatives to improve provider engagement and satisfaction.
• Collaborate with internal departments such as claims, member services, and quality improvement to ensure the network supports overall organizational goals and member needs.
• Lead, mentor, and develop a team of network management professionals.
• Foster a culture of high performance, continuous improvement, and exceptional service.
• Performs other duties as assigned.

Qualifications

Education/Experience

• 4 Year / Bachelors Degree or equivalent experience
• 10 Year developing recruitment and/or network management strategies, and executing network strategies in assigned markets, including a minimum of 4 years leading network recruitment or provider relations teams.

Specific Skills/Knowledge

• Ability to identify problems, research issues and follow through until resolved at an Advanced Level
• Must be detail oriented, strong customer service skills, strong organizational and time management skills at an Advanced Level
• Strong verbal and written communication skills in English language; bilingual (Spanish) a plus
• Proficient in Microsoft Office specifically Word, Excel, and Outlook
• Medicaid or Medicare experience preferred
• Previous sales and customer service experience OR network management experience strongly preferred
• Knowledge of dental terminology
• Advanced Presentation skills
• Ability to negotiate fee schedules with providers
• Experience in processing provider contracts preferred

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 currently reside in the Central or Western United States.

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 $123,000 - $160,000, 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.