Director Provider Network Development Jobs in Riverside, CA

About the Role

Liberty Dental Plan is seeking a skilled Manager of Provider Relations Network Management & Performance to oversee provider network operations, drive performance improvements, and foster strong provider relationships. This role ensures cost-effective care delivery while meeting all contractual service requirements. The Manager will lead Provider Relations staff, including Provider Network Managers and Provider Network Assistants, to support the recruitment and retention of Liberty Dental Plan provider networks across designated regions nationwide.
 

Important: This is a Provider Relations/Provider Network Management leadership role, not an IT position. Strong experience leading dental provider networks, provider relations, contracting, and network development teams is highly preferred.

Candidates in the Sacramento or Los Angeles area and willing to travel up t0 50% highly preferred! 

Key Responsibilities

• Lead targeted recruitment efforts within assigned regions and execute retention strategies for General Dental Practitioners and Specialty Care Provider Networks to meet contractual obligations.
• Oversee provider network retention initiatives, ensuring long-term stability and engagement.
• Review and manage provider contract documents to ensure accuracy, completeness, and alignment with regional fee schedules.
• Evaluate fee increase requests from Network Managers and present proposed adjustments with justification to Executive Leadership.
• Research market trends and competitor compensation structures to develop and maintain competitive provider fee schedules.
• Implement internal controls and oversee the preparation of fee schedule addenda for assigned territories.
• Manage provider service initiatives, ensuring timely execution and adherence to deadlines.
• Establish and maintain strong provider relationships to promote network stability and trust.
• Collaborate with Provider Relations Operations staff to coordinate network recruitment outreach, including mailings, fax blasts, and notifications.
• Develop performance standards for staff, monitoring productivity to ensure goals are met.
• Hire and train new staff, including conducting interviews, scheduling training, and preparing instructional materials.
• Work with PR executive staff and Liberty's People Team to address employment matters, including performance-related disciplinary actions.
• Prepare and deliver internal and external reports, providing updates on recruitment and service projects to PR executive leadership.
• Work cross-functionally with Claims, Quality Management, Member Services, and other departments to resolve provider-related issues.
• Participate in Utilization Review Committees and other relevant committees as directed by executive leadership.
• Assist in developing and refining processes, policies, and procedures to improve network operations.
• Conduct weekly meetings with direct reports to assess progress and address challenges.
• Provide strategic insights and performance updates to the PR executive team.
• Perform other duties as assigned by executive leadership.

Education & Experience

• Education: Bachelor's degree in Health Administration, Business Administration, or a related field, or an equivalent combination of education and relevant work experience.
• Experience: 4 to 6 years of experience in dental and/or healthcare network management, provider relations, or a related field, including prior leadership experience. 

Skills & Knowledge

• Proven experience managing provider relationships and driving network performance improvements.
• Strong leadership, team-building, and coaching abilities with a collaborative management approach.
• Analytical skills for reporting and trend analysis.
• Knowledge of healthcare delivery systems, provider payment methodologies, and regulatory compliance.
• Strong problem-solving capabilities with a proactive approach to issue resolution.
• Knowledge of dental terminology preferred.
• Familiarity with government dental programs (Medicaid/Medicare)
• Experience negotiating provider fee schedules.
• Proficiency in Microsoft Office (Word, Excel, Outlook).
• Skilled at working independently while achieving organizational objectives.
• Strong attention to detail and well-developed organizational skills.
• Excellent customer service orientation.
• Proficient in written and verbal communication.
• Capable of presenting to diverse audiences and negotiating effectively.
• Adept at analyzing problems, gathering relevant data, establishing facts, and drawing valid conclusions.
• Experienced in conducting thorough research and ensuring issue resolution.

Location

Our employees are distributed in office locations in multiple markets across the United States. We are unable to hire or allow employees to work outside of the United States. 
• Willing and able to travel up to 50%

What Liberty Offers

Happy, healthy employees enhance our ability to assist our members and contribute more actively to their communities. That’s why Liberty offers competitive and attractive benefit packages for our employees. We strive to care for employees in ways that promote wellness and productivity.

Our first-class benefits package supports employees and their dependents with:

• Competitive pay structure and savings options to help you reach your financial goals.

• Excellent 401(k) retirement benefits, including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines.

• Affordable medical insurance, with low-cost premiums for employee-only coverage. Liberty subsidizes the cost for eligible dependents enrolled in the plan.

• 100% employer-paid dental coverage for employees and eligible dependents.

• Vision insurance with low-cost premiums for employee-only coverage and dependents.

• Company-paid basic life and AD&D insurance, equal to one times your base salary, with options to purchase additional supplemental coverage.

• Flexible Spending Accounts for healthcare and dependent care expenses.

• Voluntary benefit programs, including accident, critical illness, and hospital indemnity insurance.

• Long-term disability coverage.

• Expansive wellness programs, including company-wide wellness challenges, BurnAlong memberships, and gym discounts.

• Employee Assistance Program (EAP) to support mental health and well-being.

• Generous vacation and sick leave policies, with the ability to roll over unused time.

• 10 paid company holidays.

• Tuition reimbursement for eligible educational expenses.

• Remote or hybrid work options available for various positions.

Compensation

In the spirit of pay transparency, the base salary range for this position is $105,000 - $115,000, not including fringe benefits or potential bonuses. At Liberty, your final base salary will be determined by factors such as geographic location, skills, education, and experience. We are committed to pay equity and also consider the internal equity of our current team members when making final compensation decisions.

Please note that the range listed represents the full base salary range for this role. Typically, offers are not made at the top of the range to allow for future salary growth.

Liberty Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives. We strive to have every person within the organization have a sense of belonging while encouraging individuals to unleash their full potential. Liberty will leverage diverse perspectives in building high performance teams and organizational culture. 

Liberty Dental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve. 

We comply with all applicable laws and regulations on non-discrimination in employment, recruitment, promotions, and transfers, as well as work authorization and employment eligibility verification requirements.

Sponsorship and Relocation Specifications

Liberty Dental Plan is an Equal Opportunity Employer / VETS / Disabled.

No relocation assistance or sponsorship available at this time.