Director - Provider Experience
- Full-time
What are important things that YOU need to know about this role?
This is a key leadership position reporting to our Chief Operating Officer that can be based remotely in the US!
Seeking an experienced leader who knows networks for all products (Commercial, Medicare and Medicaid), has deep credentialing knowledge in the dental and vision space and can quickly learn the complexities of our business while delivering a great provider experience.
- Travel would be about 15-20%, attending conferences and visiting clients and would have about a dozen direct reports.
What will YOU be doing for us?
The Director of Provider Experience is responsible for overseeing the Provider Experience department, ensuring the delivery of a world-class provider experience. This role will manage the Network Development, Credentialing, Field Provider Relations, Internal Provider Relations and Provider Data teams. The Director will develop and implement strategies to enhance provider satisfaction, streamline processes, meet service level obligations and ensure compliance with industry standards.
What will YOU be working on?
Oversee the Credentialing, Field Provider Relations, Internal Provider Relations, and Network Development teams.
Develop network strategies - in general and with respect to specific network builds - in coordination with Executive Leadership and Business Development Teams.
Ensure providers are credentialed in a timely and accurate manner and in accordance with NCQA and, as appropriate, CMS requirements.
Provide the guidance, thought leadership and subject matter expertise to ensure the Dental Hub's Provider Data Services continue to lead the dental industry, while also delivering exceptional value to our clients and aligning with the company's growth strategy.
Help to ensure functionality - particularly critical functionality - is available and reliable for users at all times.
Attend Dental Hub demonstrations as needed to support the adoption of the Provider Data Services.
Represent SKYGEN and the Dental Hub at industry events as appropriate.
Oversee the development and implementation of provider outreach programs, the collection of provider feedback, and the resolution of escalated issues.
What qualifications do YOU need to have to be GOOD candidate?
Bachelor's degree in Business Administration, Healthcare Management, or a related field, or equivalent work experience.
Minimum of 7+ years of experience in provider contracting, credentialing, and / or provider data and directory management.
Strong understanding of healthcare regulations and standards.
An innovative mindset.
What qualifications do YOU need to have to be GREAT candidate?
Master's degree in Business Administration or similar field.
Experience with diverse network development and contracting strategies, network lease arrangements and network stacking
Knowledge of Enterprise Systems.
The salary range and midpoint is listed below for your reference. Please keep in mind that your education and experience along with your knowledge, skills and abilities are taken into consideration when determining placement within the range. Compensation Midpoint : $175,731.50
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