Senior Analyst, Dental Network Relations
Job Description:
- Act as a primary resource for all dental products for providers, sales and marketing, and Dental Service Centers to aid in the achievement of Aetna Key Performance Measures.
- Act as the liaison with the Primary Care Dentists and Specialists nationally retaining providers within the PPO network.
- Maintain and strengthen provider relationships to ensure network stability.
- Negotiate contract language and provider compensation.
- Timely response to correspondence from Provider offices, included, but not limited to termination requests, tax id changes, hold requests, claim reimbursement, system, directory accuracy and various contractual issues.
- Documented resolution and follow through communicated to all parties.
- Presentation of PPO plan design, compensation process, claim submission, and referral policies during new office orientations and reorientations via the telephone.
Requirements:
- 5 years of Experience such as Sales, Service, Dental Office and/or payor setting
- Strong verbal and written communication skills.
- Bachelor's degree or relevant experience
Benefits:
- medical, dental, and vision coverage
- paid time off
- retirement savings options
- wellness programs
- other resources
- bonus eligibility
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