Colleen Moore Email & Phone Number

BeneCare designs and administers high quality, comprehensive and cost-effective value-based dental benefit programs. BeneCare provides transparent, turn-key and custom dental administration solutions for both the private and public sectors.Benecare administers the MassHealth Dental Program within the Massachusetts Executive Office of Health and Human Services (EOHHS). The MassHealth Dental Program provides access to comprehensive dental care to approximately 2.0 million residents in the Commonwealth of Massachusetts.

Arlington, Virginia, United States

Dominion National, incorporated in 1996, is an agile and innovative provider and administrator of dental and vision benefits. The Dominion National group of companies includes Dominion Dental Services, Inc., a licensed issuer of dental plans, and Dominion Dental Services USA, Inc., a licensed administrator of dental and vision benefits. Vision plans are underwritten by Avalon Insurance Company and administered by DDSUSA, in DC, DE, MD, PA and VA. Vision Plans are underwritten by DDSI in all other states where Dominion National operates.

Responsible for maintaining the nationwide provider network to the overall persistency level set by the enterprise for all lines of business, continuous provider education and outreach as well as ensure provider network compliance. Develop and implement business intelligence and market analysis reports on the market place, collaborate with teams within the enterprise, dental provider community and organized dentistry to gain perspective on trends, issues and areas of opportunity to support the dental profession. Cultivate new and existing relationships with providers and their staff, internal business partners across the enterprise, local dental societies/dental associations as well as participate in all provider outreach and community focused events.• Ensures that the provider network size and stability meets growth needs by reducing provider turnover while maintaining a profitable network. • Ensures that the provider network in assigned geographic areas is compliant with all applicable regulatory requirements by providing necessary training, ongoing education and on-site dental office reviews.• Interacts professionally with the provider community. Represents as the point of contact for various organized dental associations and coordinate resolution to escalated provider inquiries.• Conducts Quality Management follow-up; coordinate grievance information, including contact with office and record retrieval and resolution follow-up, as needed. • Reviews and analyzes internal data to determine network improvement needs.• Be a resource to coordinate aspects of all dental conventions and provider workshops scheduled, as determined by Network Development leadership. Team Lead: Manage Reverse Table States to include AK, CT, LA, ME, MS, MT, NH, OK, SD, and VT. Responsibilities include training and troubleshooting how HMO plan is administered in those states and serve as subject matter expert.

Responsible for recruiting provider networks to ensure they are competitive and can provide broad based dentist access that meets federal, state and DDPA standards for our DeltaCare USA program. Responsible for maintaining effective relationships with our contracted providers by providing support services to include fee negotiations, as well as provide education and support on all products, policies, procedures and operational issues. Work with and collaborate with credentialing, claims, customer service and other departments as needed to facilitate resolution with complex provider/member issues. Responsible for network development and expansion plan for PPO and EPO programs for 2nd brand initiative in Massachusetts and also help to manage and expand Medicaid networks.• Implement development strategies to grow network and minimize terminations.•Work collaboratively with sales organization, conduct sales presentations for products and proposals. Attend open enrollment and finalist presentations as needed. • Partner with sales, actuarial and other departments to design innovative, but yet cost effective dental programs that keep costs down and deliver quality care.• Responsible for supporting and training of newly-hired Network Managers within the Eastern Region.• Help to develop, in conjunction with corporate communications, provider communications, including updates to policies, procedures, provider handbooks and newsletters.Team Lead: Manage Reverse Table States to include AK, CT, LA, ME, MS, MT, NH, OK, SD and VT. Responsibilities include training and troubleshooting how HMO plan is administered in those states and serve as subject matter expert for management, field recruiters, internal staff, groups, dental office staff members, sales and brokers.

Brontes Technologies, acquired by 3M ESPE in 2006 is the Developer of a 3D imaging system for in vitro scanning of Digital Dental Impressions in which I managed the daily operations of the clinical training team as well as tech service department post launch of optical dental impression system

Execute the pre-launch clinical testing of optical dental impression system. Conduct Field Trials to obtain clinical results to validate feasibility via double-blind study. Implement the first end-to-end digital dental workflow incorporating digital impression data, 3D-model manipulation, stereo lithography rapid manufacturing, and restoration fabrication.

Education record

Education record