UNKNOWN

ADAPTED_NOW

Analyze and develop network retention strategies for follow up services to providers by establishing and maintaining contact and rapport with dental staff members, office managers, insurance coordinators, hygienists and dentists throughout an assigned territory by scheduling face-to-face meetings with dental offices. + Communicate and maintain effective working relationships both internally and externally (providers, dental industry, organized dentistry and dental consultants) keeping management informed on related healthcare industry issues/topics.

Company : UCDP OF CALIFORNIA, INC. Job Description : JOB SUMMARY This job services United Concordia Dental's (UCD’s) clients by recruiting, training and servicing quality dental networks in assigned territory in a remote and mobile work environment. Manage network contracts including negotiations, contract development/renewal and financial reimbursement. Meet with dentists and office personnel to act as the intermediary between the organization and UCD. Respond to contractual and payment issues both internally and externally. Ensure compliance with contractual terms through regular on-site audits. Apply an active role in network management, training, monitoring and enforcement of company policies and procedures while increasing provider efficiencies. ESSENTIAL RESPONSIBILITIES + Identify and initiate contact with prospective providers. Develop and follow up on leads in an established time frame, while incorporating a sound business plan strategy to support and execute recruitment efforts that include existing and prospective client needs and provider resignations/terminations. Customize participating dental agreement forms for execution, analyze provider changes, facilitate provider file updates and draft confidentiality agreements. Monitor financial performance of contracts by tracking utilization and competitive environment, including group specific performance guarantees. + Analyze and develop network retention strategies for follow up services to providers by establishing and maintaining contact and rapport with dental staff members, office managers, insurance coordinators, hygienists and dentists throughout an assigned territory by scheduling face-to-face meetings with dental offices. Formally present and effectively communicate UCD's administrative and claim guidelines and policies, benefits of participation, fee schedules, plan designs, competitive position, product development, network options, strategic partnerships, utilization review, local/national client demographics and dentist distribution. Interpret and articulate contractual language and address questions regarding participation with providers, network share/leasing arrangements, opt in/out options, reimbursement methods, compensation models, including pay for performance and value added benefits. Meet with all identified practices in assigned territory to review practice financial and quality performance. + Perform effective on-site visits through educating providers on the financial advantages and marketing incentives of participation. Train dental office staff on the use of automated services to ensure they utilize various means of automated communication, as well as, claims and electronic data interchange and electronic funds transfer. Collaborate with sales and customer service to respond to client/broker/member inquiries regarding provider contract, claim/member issues or provider file/record/directory discrepancies. Consult with dental director/dental advisers regarding clinical-related questions and policies, as well as, current dental terminology (CDT) changes, to resolve provider inquiries within a mutually agreed timeframe. + Act as subject matter expert with recommendations and data supporting development of network and sales strategy and support of leasing contract negotiation. Develop and maintain leasing revenue targets. Update network lease risk strategy in response to all market changes. + Communicate and maintain effective working relationships both internally and externally (providers, dental industry, organized dentistry and dental consultants) keeping management informed on related healthcare industry issues/topics. Support competitive position in the marketplace by staying abreast of changes to the business climate. Monitor provider reimbursement methods and PPO/DHMO/EPO network models and communicate changes to provider community and leadership team. + Develop and manage process improvement initiatives designed to maintain URAC accreditation of all network practices associated with government programs using continuous quality improvement principles. Conduct, collect and analyze data from office site visits and reviews to continually improve the care and service to members and provide recommendations to internal customer supporting quality improvement programs. Train dental office staff and providers on all updates to quality assurance guidelines, with state and local regulations and URAC accreditation requirements. Conduct audits as needed. + Other duties as assigned or requested. EDUCATION Required + High School Diploma/GED Preferred + Bachelor's Degree - Business EXPERIENCE Required + Due to Government Contracts, this person must be a US CITIZEN + 3 - 5 years of experience in the healthcare/insurance industry or professional experience in presenting concepts and influencing others in varying audiences Preferred + 3-5 years of experience as Dental Office Manager or Dental Hygienist LICENSES OR CERTIFICATIONS Required + None Preferred + None SKILLS + Written and oral communication skills + Time management and organizational skills + Knowledge of ADA/CDT codes and general dental terminology + Negotiation skills + Ability to analyze situations, determine points of relevance and proper course of actions Language Requirement (other than English) None Travel Required 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-Based Teaches / trains others regularly Does Not Apply Travel regularly from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds _Disclaimer:_ _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ _Compliance Requirement_ _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ Pay Range Minimum: $50,200.00 Pay Range Maximum: $91,200.00 _Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J267790

Highmark Health

Dental Network Service Representative

FEED

OTHER

Under the leadership of the General Manager, you will manage the daily operations and staff of a Wendy’s restaurant with a specific focus on staffing, training and scheduling, all of which will help build and retain a 5-star team. You are also the face of the restaurant to new hires, and crew members’ in-particular will rely on you to teach them how to live Dave’s Legacies and how to “Delight Every Customer.”.

Lead a multi-talented teamUnder the leadership of the General Manager, you will manage the daily operations and staff of a Wendy’s restaurant with a specific focus on staffing, training and scheduling, all of which will help build and retain a 5-star team. <ul><li>You will know how to identify 5-Star talent and how to help get the right people in the right places at the right time through effective scheduling. You are also the face of the restaurant to new hires, and crew members’ in-particular will rely on you to teach them how to live Dave’s Legacies and how to “Delight Every Customer.”</li><li>You will support the General Manager in providing coaching and development to the team.  Your General Manager will look to you to help create and support a fun, inviting work environment where the team feels respected and valued. </li><li>You’ll support the GM in all people and operations areas for a Wendy’s restaurant. Fresh food is all we do, so we count on you and your team members to do it right for our customers every day and night. No phoning it in - well, unless DoorDash is calling.</li><li>You and your team treat customers like family. Great food, great service, great everything is what keeps them coming back.</li><li>You show Shift Managers and Crew Members how to do it right, and make sure every shift is better than the last.</li><li>You give and take direction like a pro.</li><li>This one’s a no-brainer: you’re key to increasing store sales and profit goals.</li><li>Whether you started out as a Crew Member or you’re coming from another foodservice organization, you believe in Wendy’s and are glad to be a part of our family.</li></ul>What you bring to the table:<ul><li>Minimum of years of experience leading people, even better if you did it in a foodservice environment.</li><li>High school diploma or GED. (Some college experience or military background? Tell us that, too.)</li><li>Demonstrated ability to lead and manage operations in a fast-paced environment.</li><li>Knowledge of food safety procedures and standards </li><li>Flexible work availability.</li></ul>You’re willing and able to:<ul><li>Travel to other locations (restaurants, area office, etc.) as needed.</li><li>Stand for long periods, bend and kneel and be able to lift 25 to 50 pounds.</li><li>Handle weather-related moments like rain at the drive-thru, taking trash out in the summer, etc.</li><li>Wear a headset and understand restaurant equipment from a grill to registers and computers.</li></ul>We get it. We get you.Our food isn’t one size fits all and our job opportunities aren’t either.We are a proud equal opportunity employer - that means all races, religions, nationalities, genders and the LGBTQ+ community are welcome. We provide reasonable accommodations in order to enable people with disabilities to perform the essential functions of their jobs.The Wendy’s Story First of all, yes, Wendy is a real person. And a pretty special one, being the daughter of our founder Dave Thomas. Today, she is one of the most involved and successful franchise owners in the Wendy’s enterprise. We think Dave would be proud. Back in 1969, he looked around at all other hamburger joints and was like, “Nah. People deserve better.” At the time, other quick-service restaurants were using frozen beef and mass-producing food. Not Dave. His approach of serving fresh, made-to-order hamburgers changed the game. And his can’t-stop-won’t-stop commitment to making customers happy drives everything we do today.<h3>Salary</h3>$16.00 - $18.00 per hour<h3>Benefits</h3>Paid time off, Health insurance, Dental insurance, Vision insurance<h3>Job Type</h3>Full time

Wendy's

Assistant Manager

Coaching

Diversity

Fast Food

Food Safety

Food Services

High School Diploma

Leadership

Lift/Move 25 Pounds

Lift/Move 50 Pounds

Military

Operations

Operations Management

Restaurant

Retail Sales

Revenue Growth

Safety Process

Training/Teaching

Willing to Travel

workstreamftpin

Lead a multi-talented teamUnder the leadership of the General Manager, you will manage the daily operations and staff of a Wendy’s restaurant with a specific focus on staffing, training and scheduling, all of which will help build and retain a 5-star team. <ul><li>You will know how to identify 5-Star talent and how to help get the right people in the right places at the right time through effective scheduling. You are also the face of the restaurant to new hires, and crew members’ in-particular will rely on you to teach them how to live Dave’s Legacies and how to “Delight Every Customer.”</li><li>You will support the General Manager in providing coaching and development to the team.  Your General Manager will look to you to help create and support a fun, inviting work environment where the team feels respected and valued. </li><li>You’ll support the GM in all people and operations areas for a Wendy’s restaurant. Fresh food is all we do, so we count on you and your team members to do it right for our customers every day and night. No phoning it in - well, unless DoorDash is calling.</li><li>You and your team treat customers like family. Great food, great service, great everything is what keeps them coming back.</li><li>You show Shift Managers and Crew Members how to do it right, and make sure every shift is better than the last.</li><li>You give and take direction like a pro.</li><li>This one’s a no-brainer: you’re key to increasing store sales and profit goals.</li><li>Whether you started out as a Crew Member or you’re coming from another foodservice organization, you believe in Wendy’s and are glad to be a part of our family.</li></ul>What you bring to the table:<ul><li>Minimum of years of experience leading people, even better if you did it in a foodservice environment.</li><li>High school diploma or GED. (Some college experience or military background? Tell us that, too.)</li><li>Demonstrated ability to lead and manage operations in a fast-paced environment.</li><li>Knowledge of food safety procedures and standards </li><li>Flexible work availability.</li></ul>You’re willing and able to:<ul><li>Travel to other locations (restaurants, area office, etc.) as needed.</li><li>Stand for long periods, bend and kneel and be able to lift 25 to 50 pounds.</li><li>Handle weather-related moments like rain at the drive-thru, taking trash out in the summer, etc.</li><li>Wear a headset and understand restaurant equipment from a grill to registers and computers.</li></ul>We get it. We get you.Our food isn’t one size fits all and our job opportunities aren’t either.We are a proud equal opportunity employer - that means all races, religions, nationalities, genders and the LGBTQ+ community are welcome. We provide reasonable accommodations in order to enable people with disabilities to perform the essential functions of their jobs.The Wendy’s Story First of all, yes, Wendy is a real person. And a pretty special one, being the daughter of our founder Dave Thomas. Today, she is one of the most involved and successful franchise owners in the Wendy’s enterprise. We think Dave would be proud. Back in 1969, he looked around at all other hamburger joints and was like, “Nah. People deserve better.” At the time, other quick-service restaurants were using frozen beef and mass-producing food. Not Dave. His approach of serving fresh, made-to-order hamburgers changed the game. And his can’t-stop-won’t-stop commitment to making customers happy drives everything we do today.<h3>Salary</h3>Starting at $17.00 per hour<h3>Benefits</h3>Bonus pay, Paid time off, Health insurance, Dental insurance, Vision insurance<h3>Job Type</h3>Full time

Assistant General Manager

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Dental Network Service RepresentativeHighmark Health

Assistant ManagerWendy's

Assistant General ManagerWendy's

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