Working at United Health Care Dental, I develop and execute strategies on the local, regional, and national level that spans both internal and external customer expectations. I direct the development & service maintenance for network of dental practitioners that participate with Medicaid Government Program, through a defined team of recruiters that yield a geographically competitive, broad access, and stable network. I ensure new and existing provider contract reimbursement levels meet defined cost of care standards, thereby; offering an affordable, predictable, and an appropriate distribution of provider types that meets expectation of regulatory agencies, sales and account management teams. Oversee end-to-end provider on-boarding and servicing experience, including contractual negotiations and renewals. Identify service gaps for practitioners, members, and clients to bring those issues forward and develop strategies for resolution.I Work cross-functionally with internal and external customers and recruiters. Identify and assist in resolution and resolve business problems impacting internal and external customer satisfaction.I am a Subject Matter Expert in the area of provider network development (growth, retention, and pricing) strategies.I consult regarding product, service or process gaps, assisting with gap analysis, competitive analysis, and strategy development. Drives programs that impact recruiter effectiveness within marketsI provide input to forecasting and planning activities, assessing network accessibility requirements for new and existing clients and developing network expansion strategies accordingly.Receiving and assessing client-level project requirements from Government Programs counterparts within Client Operations and aligning resources to meet or exceed expectations.
Listed skills include Healthcare, Strategy, Medicaid, Health Insurance, and 16 others.
