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As a Provider Relations Supervisor - Dental at Avesis, you will lead the day-to-day performance and development of the dental Provider Relations team while supporting key network management activities. This role serves as a bridge between Avesis and the participating dental provider network, promoting strong provider relationships, operational effectiveness, network adequacy, provider engagement, and member access to care.
This role is ideal for a proactive leader who combines people leadership, relationship management, data-informed decision-making, and cross-functional collaboration. The Supervisor helps translate provider and network insights into practical actions that improve provider experience, network effectiveness, compliance, and service to members.
In this role, you will supervise and develop the dental Provider Relations team, establish consistent operating practices, and ensure timely resolution of complex provider matters. You will also oversee aspects of network management, including monitoring provider capacity, performance, network composition, geographic access, and recurring operational trends. Working closely with Network Recruitment, Credentialing, Claims, Customer Service, Utilization Management, Clinical Management, Account Management, and other partners, you will help identify coverage gaps, support contracting and credentialing coordination, improve provider adoption of tools and processes, and implement solutions that strengthen provider engagement, member access, and overall network effectiveness.
Functional:
Assist the Provider Relations Manager with oversight of the dental Provider Relations function, driving a positive provider experience, provider satisfaction, operational consistency, and effective network performance
Lead, coach, and develop assigned Provider Relations staff through regular team meetings, individual check-ins, performance feedback, career development, and support for team engagement and morale.
Serve as a subject matter expert and escalation point for complex provider, claims, contract, credentialing, directory, and operational issues, ensuring timely research, appropriate routing, resolution, and communication.
Hold staff accountable for departmental, quality, productivity, service, documentation, and individual performance measures, and use results to identify coaching and process-improvement opportunities.
Oversee provider outreach, education, orientation, and engagement activities across applicable dental product lines, including in-person, virtual, telephone, and email interactions.
Ensure providers receive training and guidance that promotes self-service and effective use of available tools for eligibility, claims submission, payment, prior authorization, directories, portals, and other administrative processes.
Oversee the quality and timeliness of provider interaction records, outreach documentation, office visit notes, concerns, action items, and issue-resolution activities in accordance with departmental standards.
Monitor provider capacity, performance, network adequacy, geographic access, network composition, and market conditions to identify systemic gaps and opportunities to improve member access to care.
Partner with Network Recruitment to support provider contracting activities, recruitment priorities, network expansion, and adequacy-related initiatives based on identified network needs.
Partner with Credentialing to support timely provider credentialing and recredentialing activities, document intake, inquiry resolution, and escalation of barriers affecting network participation.
Analyze provider, claims, directory, access, and operational data to identify…