Skip Navigation

The safety and well-being of our residents, patients, employees and visitors is our priority. Click here for more information about what COVID-19 precautions we are taking.

Advanced Search

Dental Relations and Contracting Representative - Provider Relations - Full Time - Days

Maumee, Ohio
Apply Now
Description

For more than 30 years, Paramount, ProMedica’s health plan, has offered health insurance products across six Midwest states. Paramount is an Ohio-based health insurance company, headquartered in Maumee. Our team of more than 800 employees is dedicated to serving our health plan members.

Paramount offers Medicare Advantage, Medicaid managed care and Marketplace Exchange health plans for individuals and families. We maintain accreditation by the National Committee for Quality Assurance (NCQA) for our HMO, Medicare Advantage and Medicaid products.

We also offer a full complement of insurance products for employers of any size, including medical, dental, vision and workers’ compensation as well as vocational rehabilitation, life-care planning and wellness.

As a part of ProMedica, we are driven by our Mission to improve your health and well-being. ProMedica is ranked the second most integrated health system in the U.S. and No. 1 in the Midwest. At Paramount, we strive to provide an exceptional experience to every member. For more information about Paramount, please visit our website.

Paramount Dental is formerly known as Health Resources, Inc.

 

Position Summary

This position performs work associated with provider contracting and provider relations services within Paramount Dental and the Paramount Provider Network within the state of Kentucky. You will actively work to recruit new providers to Paramount’s dental network to help ensure the growth of our employer group product offering. This position will identify areas for potential expansion of the dental provider network along with network relations including satisfaction, communication, training, education and retention. This role also works with the sales team to help promote Paramount Dental and our positioning against our competitors. Also ensures that all contract boilerplates meet regulatory and compliance standards for Kentucky and any other applicable states.

 

Accountabilities

1. Network expansion activities in new and established Ohio and Michigan areas. 
2. Identify areas for potential expansion. 
3. Initial visits for recruitment purposes. 
4. Market research & analysis for recruitment. <br /> 5. 30 outreach phone calls per week for recruitment purposes. 
6. Review and preparation of contracts for contracting and credentialing. 
7. Assist in network relations, including satisfaction, communication, training, education and retention. 
8. Develop positive relationships with providers, sales representatives, community leaders, and other related organizations. 
9. 15 unscheduled provider office visits per week. 
10. 3 scheduled provider office visits per week. 
11. Ongoing visits for provider relations, education, and relationship building. 
12. Research and problem solving of provider inquiries. Respond rapidly and appropriately to issues that arise. 
13. Achieve network retention of 99.9% satisfaction and benchmarks. 
14. Ability to demonstrate a high degree of personal accountability to goals and integrity. 
15. Other duties as assigned. 

 

 


  • Education: Bachelor’s degree required. 
  • Skills: 
    • Strong communication, negotiation and closure skills 
    • Knowledge of claims payment methodologies, benefits and restrictions and plan design 
    • Excellent presentation and oral and written communication skills 
    • General understanding of dental field 
    • Strong analytical, problem solving skills 
    • Excellent interpersonal, organizational and time management skills 
    • Proficiency with Microsoft Office suite (Word, Excel, Power Point, Access) 
    • Ability to travel overnight 
  • Years of Experience: 3 – 5 years experience 

Preferred Qualification

  • Years of Experience: 5 years + in dental industry preferred. 

Working Conditions

  • Physical Demands: 
    • Sitting for extended periods of time 
    • Dexterity of hands and fingers to operate a computer keyboard, mouse, and phone 
    • Travel capabilities that requires individual mode of transportation to visit client locations and team events 
    • Requires carrying a laptop to meeting locations 
    • Requires packing and carrying product information and supplies to clients and event locations 
  • Normal office environment; possible remote employee 
  • Travel in vehicle and occasional overnight stays 
  • No hazardous chemicals 
     

 

ProMedica is a mission-based, not-for-profit integrated healthcare organizational headquartered in Toledo, Ohio.  For more information, please visit www.promedica.org/about-promedica

Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact employment@promedica.org

Equal Opportunity Employer/Drug-Free Workplace

Apply NowApply Later Returning User

My Saved Jobs

You have no saved jobs.

Talent Community

Stay up to date on news and events as well as details on current opportunities that match your preferences and interests. Sign up below.