Vendor Partner Specialist, Dental Benefit Services
HealthFirst
Summary
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.
Job description
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
Requirements
- 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
- Bachelor's degree from an accredited institution (preferred)
Benefits
- Medical, Dental & Vision
- Incentive Programs
- Recognition Programs
- Life Insurance
- 401(k) Contributions
Company overview
HealthFirst is a medical equipment manufacturing company specializing in the development and production of healthcare devices and diagnostic equipment. As a medical device manufacturer, the company focuses on creating innovative solutions that enhance patient care and improve clinical outcomes. HealthFirst operates in the competitive medical technology sector, where it likely develops products ranging from diagnostic instruments to therapeutic devices used in various healthcare settings. The company's commitment to quality and regulatory compliance positions it as a reliable provider of medical equipment to hospitals, clinics, and healthcare facilities. With expertise in medical device engineering and manufacturing, HealthFirst contributes to advancing healthcare technology while maintaining rigorous standards for safety and efficacy. The company's products are designed to meet the evolving needs of healthcare professionals and patients, supporting improved diagnosis, treatment, and monitoring of medical conditions across different therapeutic areas.