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
Hiring Range*:
- Greater New York City Area (NY, NJ, CT residents): $68,900 - $99,620
- All Other Locations (within approved locations): $61,300 - $91,120
As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.
In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.
*The hiring range is defined as the lowest and highest salaries that Healthfirst in "good faith" would pay to a new hire, or for a job promotion, or transfer into this role.
