Director, Dental Network Recruitment

Plano, TX, United States

Position Overview

The Director, Dental Recruitment, Network Solutions is responsible for the overall strategy and development of the Zelis dental network providers (current and prospective) in an effort to increase the savings achieved for Zelis clients for existing and new products. This role cultivates the organization’s overall direct contracted PPO assets to support multiple products and achieve corporate objectives for PPO product viability.

Key Responsibilities

Serve as a resource for all providers in a variety of markets, in particular large and key strategic groups and dental service organizations

Serve as a subject matter expert for the Zelis dental network product

Negotiate complex contracts and coach contracting team for network development efficiency.

Execute corporate contracting strategy for multiple product lines (Commercial, Medicare Advantage, etc)

Assist business operations with contract terms and educating company key personnel about such contract terms

Establish strategic relationships with all types of providers, understand the dental network market and foster key relationships

Develop and provide plan support and contracting leadership

Ensure contracting strategy aligns with both access and cost savings requires for Zelis clients

Align with Product team to ensure contracting goals align with objectives of long-term Network Solutions product roadmap items; collaborate with teams to define the acceptance and launch criteria of new dental network products

Develop and communicates network development goals including target acquisitions, claim dollars captured, and revenue achieved

Create and manage tools necessary to capture provider targets, measure performance and provide feedback and recommendations to executive team

Recruit, coach and mentor Network Development team

Required Qualifications

Bachelor’s degree in any discipline, Business or Healthcare is preferred

10+ years of experience in a dental and/or group health network product management

5+ years of experience with provider contracting/negotiations, network development and configuration, standards for dental networks and dental network contracting

Preferred Qualifications

Leadership ability with cross-functional teams, knows how to get things done both through formal channels and the informal network

Ability to understand and prioritize provider challenges, while proactively finding solutions to solve those challenges

Excellent analytical skills with data and analytics related solutions

Strong organization and project / process management skills

Good negotiation, problem solving, planning and decision-making skills

Proven ability to demonstrate critical thinking skills and the ability to solve complex problems

As a leading payments company in healthcare, we guide, price, explain, and pay for care on behalf of insurers and their members. We’re Zelis in our pursuit to align the interests of payers, providers, and consumers to deliver a better financial experience and more affordable, transparent care for all. We partner with more than 700 payers, including the top-5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, over 4 million providers, and 100 million members, enabling the healthcare industry to pay for care, with care. Zelis brings adaptive technology, a deeply ingrained service culture, and a comprehensive navigation through adjudication and payment platform to manage the complete payment process.

Commitment to Diversity, Equity, Inclusion, and Belonging

At Zelis, we champion diversity, equity, inclusion, and belonging in all aspects of our operations. We embrace the power of diversity and create an environment where people can bring their authentic and best selves to work. We know that a sense of belonging is key not only to your success at Zelis, but also to your ability to bring your best each day.

Equal Employment Opportunity

Zelis is proud to be an equal opportunity employer. All applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

We encourage members of traditionally underrepresented communities to apply, even if you do not believe you 100% fit the qualifications of the position, including women, LGBTQIA people, people of color, and people with disabilities.

Accessibility Support

We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email [email protected]

SCAM ALERT: There is an active nationwide employment scam which is now using Zelis to garner personal information or financial scams. This site is secure, and any applications made here are with our legitimate partner. If you’re contacted by a Zelis Recruiter, please ensure whomever is contacting you truly represents Zelis Healthcare. We will never asked for the exchange of any money or credit card details during the recruitment process. Please be aware of any suspicious email activity from people who could be pretending to be recruiters or senior professionals at Zelis.