Provider Network Recruiter

Aflac • Tampa, FL

206d • $70,000 - $90,000 • Remote

About The Position

Aflac, a Fortune 500 company, is an industry leader in voluntary insurance products that pay cash directly to policyholders and one of America's best-known brands. Aflac has been recognized as Fortune's 50 Best Workplaces for Diversity and as one of World's Most Ethical Companies by Ethisphere.com. Our business is about being there for people in need. So, ask yourself, are you the duck? If so, there's a home, and a flourishing career for you at Aflac. Depending on your location within the continental US, this role may be hybrid or remote. If you live within 50 miles of the Aflac offices located in Columbus, GA or Columbia, SC, this role will be hybrid. This means you will be expected to work in the office for at least 60% of the work week. You will work from your home (within the continental US) for the remaining portion of the work week. If you live more than 50 miles from the Aflac offices located in Columbus, GA or Columbia, SC, this role will be remote. This means you will be expected to work from your home, within the continental US. If the role is remote, there may be occasions that you are requested to come to the office based on business need.

Requirements

• Bachelor's Degree in Business Administration or related field.
• 3+ years of work experience in the dental sector.
• Experience in HMO Provider/ancillary facility network management.
• Knowledge of AAAHC, NCQA and CMS regulations.

Nice To Haves

• Sales territory management experience.

Responsibilities

• Strategically identify and generate new leads for provider recruitment to the Aflac Dental and Vision network.
• Recruit and maintain an adequate providers' network in assigned regions by being able to explain the value in joining the Aflac Dental and Vision network.
• Obtain and submit accurate and completed provider applications required for credentialing and contracting.
• Serve as the main point of contact between providers and Aflac Dental and Vision.
• Conduct new provider onboarding training to familiarize providers with Aflac Dental and Vision processes and communication channels.
• Maintain and build strong business relationships with providers and champion their requests to ensure a positive Provider experience and instill confidence in the Aflac Dental and Vision brand.
• Negotiate/re-negotiate contracts and fees with providers while being cognizant of utilization and cost.
• Perform virtual and/or in-person site visits for each location to ensure compliance with accreditation standards or contractual obligations.
• Perform network audit duties as necessary to ensure Provider directory accuracy and compliance with accreditation standards.
• As directed, take prompt action with all provider communications to ensure quick resolution to any issue.
• Track assigned duties and activities using the appropriate company resource (i.e. Acuity, logging into phone systems, etc.).
• Contribute to a positive working environment that motivates the team to be successful.
• Meet and exceed performance goals consistently.
• Comply with all Aflac Dental and Vision policy and procedures and accreditation standards.

Benefits

• Medical, dental, and vision coverage.
• Prescription drug coverage.
• Health care flexible spending.
• Dependent care flexible spending.
• Aflac supplemental policies (Accident, Cancer, Critical Illness and Hospital Indemnity offered at no costs to employee).
• 401(k) plans.
• Annual bonuses.
• Opportunity to purchase company stock.
• 11 paid holidays.
• Up to 20 days PTO to be used for any reason.
• State-mandated sick leave (Washington employees accrue 1-hour sick leave for every 40 hours worked).

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree