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 trends, recurring issues, performance concerns, and opportunities for corrective action or workflow improvement.
Support provider adoption of portals, digital tools, electronic transactions, and standardized processes that improve administrative efficiency, directory accuracy, provider engagement, and operational effectiveness.
Partner cross-functionally to develop and implement operational and network solutions that enhance provider experience, access to care, regulatory and contractual compliance, and overall network effectiveness.
Identify recurring provider issues and process breakdowns, escalate risks appropriately, and lead or support corrective actions and continuous-improvement initiatives.
Attend work-related events and conferences while representing the organization and brand in a professional manner.
Perform other duties and support special projects related to Provider Relations and network management as assigned.
Core
Intermediate PowerPoint skills required; ability to highlight details, provide visual structure using themes, importing Excel data, adding links, playing video files, using animation, and preparing for a live slideshow.
Intermediate proficiency in Microsoft Excel, Word, PowerPoint, OneNote, databases, and systems used for provider documentation and data analysis.
Microsoft applications and other windows-based applications to include a moderate level in Microsoft Excel, Microsoft Word, Microsoft OneNote, and databases.
Working knowledge of dental health plan operations, provider contracts and agreements, claims, credentialing, contracting, provider directories, and network adequacy principles.
Ability to evaluate provider performance, network adequacy, geographic access, capacity, and operational metrics and translate findings into clear priorities and action plans.
Ability to analyze network composition and market conditions to identify recruitment, expansion, retention, and provider coverage opportunities.
Ability to communicate data-informed network and provider insights to leadership and cross-functional partners through clear written summaries, reports, spreadsheets, and presentations.
Behavioral
Collegiality: building strong relationships on company-wide, approachable, and helpful, ability to mentor and support team growth.
Initiative: readiness to lead or take action to achieve goals.
Communicative: ability to relay issues, concepts, and ideas to others easily orally and in writing.
Member-focused: going above and beyond to make our members feel seen, valued, and appreciated.
Detail-oriented and thorough: managing and completing details of assignments without too much oversight.
Flexible and responsive: managing new demands, changes, and situations.
Critical Thinking: effectively troubleshoot complex issues, problem solve and multi-task.
Integrity & responsibility: acting with a clear sense of ownership for actions, decisions and keeping information confidential when required.
Collaborative: ability to represent your own interests while being fair to those representing other or competing ideas in search of a workable solution for all parties.
Minimum Qualifications
High School Diploma or equivalent. (Prefer associate degree or higher); experience may substitute for education.
3+ years of dental provider relations, dental health plan operations, network management, or related experience in government and/or commercial lines of business.
1+ years of leadership experience, including direct supervision, team leadership, project leadership, process ownership, or comparable responsibility.
A valid driver's license with proof of auto insurance and the ability to use your own vehicle.
At Avēsis, we strive to design equitable, and competitive compensation programs. Base pay within the range is ultimately determined by a candidate's skills, expertise, or experience. In the United States, we have three geographic pay zones. For this role, our current pay ranges for new hires in each zone are:
Zone A: $55,790.00-$92,990.00
Zone B: $60,810.00-$101,350.00
Zone C: $65,420.00-$109,040.00

FLSA Status: Salary/Exempt
This role may also be eligible for benefits, bonuses, and commission.
Please visit Avesis Pay Zones for more information on which locations are included in each of our geographic pay zones. However, please confirm the zone for your specific location with your recruiter.
We Offer
Meaningful and challenging work opportunities to accelerate innovation in a secure and compliant way.
Competitive compensation package.
Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period.
Life and disability insurance.
A great 401(k) with company match.
Tuition assistance, paid parental leave and backup family care.
Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent.
Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best.
Employee Resource Groups that advocate for inclusion and diversity in all that we do.
Social responsibility in all aspects of our work. We volunteer within our local communities, create educational alliances with colleges, drive a variety of initiatives in sustainability.
How To Stay Safe
Avēsis is aware of fraudulent activity by individuals falsely representing themselves as Avēsis recruiters. In some instances, these individuals may even contact applicants with a job offer letter, ask applicants to make purchases (i.e., a laptop or gift cards) from a designated vendor, have applicants fill out W-2 forms, or ask that applicants ship or send packages of goods to the company.
Avēsis would never make such requests to applicants at any time throughout our job application process. We also would never ask applicants for personal information, such as passport numbers, bank account numbers, or social security numbers, during our process. Our recruitment process takes place by phone and via trusted business communication platform (i.e., Zoom, Webex, Microsoft Teams, etc.). Any emails from Avēsis recruiters will come from a verified email address ending in @ Avēsiscom.
We urge all applicants to exercise caution. If something feels off about your interactions, we encourage you to suspend or cease communications. If you are unsure of the legitimacy of a communication you have received, please reach out to ITsupport@Avesis.com.
To learn more about protecting yourself from fraudulent activity, please refer to this article link (https://consumer.ftc.gov/articles/how-avoid-scam). If you believe you were a victim of fraudulent activity, please contact your local authorities or file a complaint (Link: https://reportfraud.ftc.gov/#/) with the Federal Trade Commission. Avēsis is not responsible for any claims, losses, damages, or expenses resulting from unaffiliated individuals of the company or their fraudulent activity.
Equal Employment Opportunity
At Avēsis, We See You. We celebrate differences and are building a culture of inclusivity and diversity. We are proud to be an Equal Employment Opportunity employer that considers all qualified applicants and does not discriminate against any person based on ancestry, age, citizenship, color, creed, disability, familial status, gender, gender expression, gender identity, marital status, military or veteran status, national origin, race, religion, sexual orientation, or any other characteristic. At Avēsis, we believe that, to operate at the peak of excellence, our workforce needs to represent a rich mixture of diverse people, all focused on providing a world-class experience for our clients. We focus on recruiting, training and retaining those individuals that share similar goals. Come Dare to be Different at Avēsis, where We See You!
