About The Position

The job profile for this position is Provider Contracting Associate Analyst, which is a Band 2 Senior Contributor Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. Provider Contracting Associate Analyst The position is responsible for dental provider recruitment. Conducts daily outreach to dental offices or providers to develop and maintain positive relationships with the purpose of negotiating a contract for participation in our dental networks (DHMO and DPPO). Assists with new provider or location credentialing, contracting and recredentialing requests. Respond to status requests and other non-routine contract questions. Assists with preparation or modification of provider compensation or contracts. Completes output in specific work area to appropriate time and quality targets. Works under own initiative, prioritizes own work, and meets agreed timescales. Work is subject to frequent review by more experienced professionals in Provider Contracting.

Requirements

  • High School Diploma or GED Required
  • Minimum of 3 months experience in dental office negotiations, relations or contracting
  • Ability to multi-task and priorities workload
  • Strong verbal and written communication skills
  • Must be a current Cigna or Express Scripts contractor
  • Basic to intermediate proficiency in Microsoft Office products
  • Demonstrates ability to manage multiple tasks simultaneously while maintaining quality service
  • If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

Responsibilities

  • Identifying, recruiting, and contracting, qualified health care professionals in geographic area within established guidelines to meet health plan needs
  • Handle incoming calls from dental providers, reroute misdirected calls
  • Takes ownership of issues and works to resolve them over the phone with a “one and done philosophy”.
  • Perform research and interpret guidelines to respond to inquiries, complaints or disputes, ensuring compliance
  • Outreach to providers to obtain missing or additional information to ensure applications and contracts meet compliance
  • Collaborate with internal departments as needed
  • Maintain positive relationships with health care professionals and their office staff extending high quality service

Benefits

  • Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
  • We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.
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