Provider Relations Representative - St. Louis

Are you passionate about building strong professional relationships and making a meaningful impact in the dental healthcare industry? As a Provider Relations Representative - St.

Louis, you'll play a key role in growing and supporting our provider network through strategic account management, contract negotiation, and educational outreach.

This hybrid position offers the opportunity to travel, connect with dental providers, and serve as a trusted advisor in a fast-paced, collaborative environment.

If you have experience in dental or healthcare settings and thrive on communication, problem-solving, and networking—this could be a perfect fit for you!

Position Summary:

The primary responsibility of the Provider Relations Representative is expanding and enhancing the provider relations network in their assigned territory.

This position develops relationships with new providers, negotiates provider contracts and ensures ongoing connections with existing providers.

This includes educating providers on contractual obligations, new products and services, and policies and procedures.

Responsibilities:

1.

Executes account management and services strategies to expand and retain the provider network.

This work may include but is not limited to:

• Developing ongoing relationships with providers to ensure satisfaction, foster trust, and address any concerns or issues to enhance network retention.

• Executing tailored strategies to effectively manage provider accounts, ensuring that they meet both the needs of the providers and the organization's objectives.

• Assessing provider performance, ensuring adherence to contract terms, quality standards, and service levels, and provide support to optimize their participation and effectiveness.

• Expanding the provider network through ongoing relationship building and value sharing through in-person meetings, cold calling, networking and other lead generation strategies.

• Conducting onsite dental reviews at provider locations.

• Maintaining network participation by providing support to providers and office managers to improve their understanding of all available benefit programs, processing polices and guidelines.

2.

Leads the negotiation and implementation of provider contracts.

This work may include but is not limited to:

• Leading discussions and fee negotiations to get providers contracted into PPPO/Premier or Premier Exclusive networks.

• Collaborating with internal departments to ensure that contracts meet regulatory standards and organizational policies, while aligning with provider expectations.

• Validating new provider contracts ensuring correct ES and NPF data and addressing any discrepancies in a timely manner.

• Gathering reporting to support the practice and provider fee increase discussions.

• Implementing new provider contracts, ensuring all operational, billing, and technical requirements are addressed and systems are updated accordingly.

3.

Serves as truste...