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Healthfirst

Non-profit insurer offering MLTC, Medicare Advantage.

Vendor Partner Specialist - Dental Benefit Services

Business OperationsPosted on Nov 11
Full-timeNew York, NY, USAHybrid

About the Job

Requirements

  • A high school diploma or GED from an accredited institution is required.
  • Work experience in dental, healthcare, managed care, operations, or a related field is required.
  • Effective written and verbal communication skills are required.
  • The candidate must demonstrate the ability to plan, organize, and execute.
  • The candidate must be able to balance strategic vision with successful implementation.
  • Proficiency in Excel, PowerPoint, and Word is required.

Responsibilities

  • Track member quality and monitor overall member access and access by category.
  • Monitor utilization, spend by fee schedule, and providers, and identify areas for improvement and trends.
  • Monitor dental benefits, services, vendors, and market trends, and develop insights into advancing the dental experience for members.
  • Support effective dental member incentives and monitor and report their impact.
  • Support dental provider relations, community events, dental societies, and associations to enhance members’ oral health awareness and engagement in the dental sector.
  • Support effective provider incentive programs and monitor and report their impact.
  • Increase dental network access points, ensure network adequacy, and identify opportunities and fill deficiencies.
  • Identify potential fraud, waste, and abuse in the dental sector.
  • Perform additional duties as necessary and directed.
  • Ensure dental business outcomes align with Healthfirst’s values, policies, and procedures and comply with relevant federal and state laws and regulations.
  • Expand Healthfirst’s hyperlocal approach into the dental sector and work with community partners and providers to improve members’ preventive care utilization and experience of dental care.

Desired Qualifications

  • A bachelor’s degree from an accredited institution is preferred.

About the Company

Healthfirst

Non-profit insurer offering MLTC, Medicare Advantage.

Healthfirst is a nonprofit health insurer in the New York metropolitan area offering a range of health plans, including Managed Long-Term Care (MLTC) for people who need ongoing care, Medicare Advantage with extra benefits, and the Essential Plan for income-qualified individuals. MLTC coordinates in-home and community-based care; Medicare Advantage combines Medicare with additional benefits in a single plan; the Essential Plan provides affordable coverage through a low-cost option, all delivered through a network of healthcare providers funded by premiums and government support. It differentiates itself through its nonprofit status, strong local focus, and partnerships that connect New Yorkers to a coordinated set of public-program-aligned products alongside Medicare Advantage. Its goal is to expand access to affordable, comprehensive health coverage for New Yorkers, especially vulnerable groups, by leveraging its local presence and provider network.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
New York City, New York
Founded
1993

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