Vendor Partner Specialist, Oversight Dental Benefits Services

Duties & Responsibilities:

• Daily Operational Functions: Partners with business units and vendor to triage operational issues day-to-day; supports cross-functional workstreams across teams and stakeholders

• Corrective Action Plans: Supports corrective action plans when performance falls short of standards

• Vendor Implementations: Supports vendor implementations and updates as well as support annual go-to-market readiness

• Dental Vendor Performance Guarantees: Monitors and tracks vendor performance guarantees and reports as needed (monthly and quarterly). Participates in Vendor Performance Committee, Joint Operating Committee, and other meetings or activities as directed

• Dental Directory: Monitors accuracy of members search experience; audit and report on progress quarterly, developing insights on priority areas to improve

• Targeted Outreach: Conducts regular outreach to select member cohorts and monitor impact

• Audits: Support audits (internal, regulatory, and member-facing) related to the dental program

• Dental Materials: Supports targeted member materials and ensure accuracy; ensure all Healthfirst dental materials (for members, providers, and internal staff) are updated timely and accurately on no less than an annual basis.

• Member Communications: Inventories and reviews member-facing dental messaging, letters, forms, and materials and identify opportunities to improve members understanding of dental benefits

• Fraud, Waste, and Abuse: Identifies potential FWA by dentists; outreach dental prescribers with out-of-scope prescriptions on no less than quarterly basis

• 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:

• Bachelors Degree or higher from an accredited institution

• Analytical and operational experience

• Proven track record of effectively supporting a team to improve processes and identify areas of improvement

• Drive to continually identify areas of opportunities and develop concise approaches to implement improvements

• Demonstrated ability to effectively pay attention to details in a fast-paced environment

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.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.