Manager, Network Management – Performance
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Job Description
Provider network manager leading recruitment, retention, contracting, and fee schedules for Liberty Dental Plan’s dental networks. Managing staff and cross-functional provider operations.
Responsibilities:
- Lead targeted recruitment efforts and execute retention strategies for general dental practitioners and specialty care provider networks
- Oversee provider network retention initiatives to ensure long-term stability and engagement
- Review and manage provider contract documents for accuracy, completeness, and regional fee-schedule alignment
- Evaluate fee increase requests and present justified proposed adjustments to Executive Leadership
- Research market trends and competitor compensation structures to develop and maintain competitive provider fee schedules
- Implement internal controls and oversee fee schedule addenda for assigned territories
- Manage provider service initiatives and ensure timely execution of deadlines
- Establish and maintain strong provider relationships
- Coordinate network recruitment outreach with Provider Relations Operations staff, including mailings, fax blasts, and notifications
- Develop staff performance standards and monitor productivity
- Hire and train staff, conduct interviews, schedule training, and prepare instructional materials
- Address employment matters with PR executive staff and Liberty's People Team, including performance-related disciplinary actions
- Prepare and deliver internal and external reports on recruitment and service projects
- Collaborate cross-functionally with Claims, Quality Management, Member Services, and other departments to resolve provider-related issues
- Participate in Utilization Review Committees and other relevant committees
- Develop and refine processes, policies, and procedures to improve network operations
- Conduct weekly meetings with direct reports
- Provide strategic insights and performance updates to the PR executive team
- Perform other duties as assigned by executive leadership
Requirements:
- Bachelor's degree in Health Administration, Business Administration, or a related field, or an equivalent combination of education and relevant work experience
- 4 to 6 years of experience in dental and/or healthcare network management, provider relations, or a related field, including prior leadership experience
- Proven experience managing provider relationships and driving network performance improvements
- Strong leadership, team-building, and coaching abilities with a collaborative management approach
- Analytical skills for reporting and trend analysis
- Knowledge of healthcare delivery systems, provider payment methodologies, and regulatory compliance
- Strong problem-solving capabilities with a proactive approach to issue resolution
- Knowledge of dental terminology preferred
- Familiarity with government dental programs (Medicaid/Medicare)
- Experience negotiating provider fee schedules
- Proficiency in Microsoft Office (Word, Excel, Outlook)
- Ability to work independently while achieving organizational objectives
- Strong attention to detail and well-developed organizational skills
- Excellent customer service orientation
- Proficient written and verbal communication
- Ability to present to diverse audiences and negotiate effectively
- Ability to analyze problems, gather relevant data, establish facts, and draw valid conclusions
- Experience conducting thorough research and ensuring issue resolution
- Must be willing and able to travel up to 50%
- Must live and work in the United States; Liberty is unable to hire or allow employees to work outside the United States
- No relocation assistance or sponsorship available at this time
Benefits:
- Competitive pay structure and savings options
- 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 eligible dependents' coverage
- 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 base salary, with options to purchase supplemental coverage
- Flexible Spending Accounts for healthcare and dependent care expenses
- Voluntary 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) supporting mental health and well-being
- Generous vacation and sick leave policies, with unused time rollover
- 10 paid company holidays
- Tuition reimbursement for eligible educational expenses
- Remote or hybrid work options available for various positions
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