The Vendor Partner Specialist, Access & Experiences of Dental Benefit Services is responsible for supporting members’ dental access and experience. The role collaborates cross-functionally internally and externally. This role is responsible for expanding Healthfirst’s hyperlocal approach into the dental sector, and for working with community partners and providers to improve members’ preventive care utilization and experience of dental care. This role is critical to help more members seek and receive timely access to dental care – an important component to overall health. This role ensures dental business outcomes are consistent with Healthfirst’s values, policies, and procedures as well as compliance with relevant federal and state laws/regulations. Duties & Responsibilities:
Member Access and Quality: Tracks member quality and monitor member access overall and by category
Utilization and spend-by-fee schedules: Monitors utilization and spend-by-fee schedule and provider and identifies areas of improvement and trends
Competitive Landscape: Monitors dental benefits, services, vendors, and market trends and develop insights into advancing the dental experience for members
Member Wellness Incentives: Supports effective dental member incentive(s) and monitors and reports impact
Provider & Community Engagement: Supports dental provider relations and community events and dental societies and associations to enhance members’ oral health awareness and dental sector engagement
Provider Quality Incentive: Supports effective provider incentive program and monitors and reports impact
Network Expansion: Increases dental network access points; ensures network adequacy and identifies opportunities and fill deficiencies
Fraud, Waste, and Abuse: Identifies potential FWA in the dental sector
Performs additional duties as necessary and as directed
Minimum Qualifications:
HS Diploma or GED from an accredited institution
Work experience in dental, healthcare, managed care, operations, or related field
Effective written and verbal communication skills
Demonstrated ability at planning, organizing, and executing
Ability to maintain a balance of strategic vision and successful implementation
Proficiency in Excel, PowerPoint, Word
Preferred Qualifications:
Bachelor’s degree from an accredited institution
Compliance & Regulatory Responsibilities: Noted above.
License/Certification: N/A
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified.
If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services, LLC.
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