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