Delta Dental of California is hiring: Producer Contracting Specialist in Alphare

JOB DESCRIPTION

The Producer Contracting Specialist will be responsible for providing administrative support associated with the producer credentialing, re-credentialing and contracting functions as mandated by state and federal regulations and internal policies and procedures. The Specialist will collaborate with the producer credentialing, contracting and compensation teams as well as our external broker community, all state department insurance agencies and the California department of managed health care.

RESPONSIBILITIES

Reviews new broker portal appointment application for accuracy and completeness and processes application according to specific policies and procedures and state and federal mandates.

Prepares, distributes and reviews administrative processing document and related reports for the producers.

Submits, updates and maintains producer appointments, appointment terminations and background checks. Re-credentials and reconciles renewal appointments by validating the accuracy of the agents' demographic and license information.

Updates and maintains producer demographic information on the broker portal and appointment software.

Credentials licensed agents associated with enterprise insurance partners (eg. affiliations, medical, etc.) and internal sales departments.

Reviews, prepares and maintains annual appointment renewal notices and terminations.

Completes tasks related to the appointments and agreements.

Creates and maintains agent fee agreements, consultant agreements and other producer related contracts.

Communicates with the producer to resolve any discrepancies and inquiries related to the producer's application, appointment or agreement. Collaborates with internal business partners to successfully complete their tasks and responsibilities.

Participates in system maintenance and upgrade testing.

QUALIFICATIONS

Minimum Qualifications

1+ years of experience w/High School

Additional Experience

Insurance and/or healthcare experience is preferred

Knowledge, Skills, Abilities

Proven commitment to excellence in customer service.

Strong attention to detail and accuracy when completing data entry.

Strong analytical, problem solving and reasoning skills.

Experience with producer licensing and credentialing.

Knowledge of state regulatory broker appointment requirements, health care industry or terminology.

Proficient in Microsoft applications such as: Excel, Word, Outlook, SharePoint and Teams.

Ability to prioritize work, follow-up on commitments on a timely basis, work under pressure and adhere to deadlines.

Ability to work independently while having strong teaming skills.

Ability to communicate professionally, clearly and effectively with producers, management, staff and other business partners.

Knowledge and understanding of producer licensing, credentialing and appointments.

Ability to type 50 wpm.

Base Pay Information

The national base pay range at the end is a good-faith estimate of what Delta Dental may pay for new hires. Actual pay may vary based on Delta Dental's assessment of the candidate's knowledge, skills, abilities (KSAs), related experience, education, certifications and ability to meet required minimum job qualifications. Other factors impacting pay include prevailing wages in the work location and internal equity.
Pay Grade 13. $33,600 - $67,900

ADDITIONAL INFORMATION

Behind the smile! We are dedicated to safeguarding the health and financial stability of our employees and their loved ones. This commitment extends beyond the workplace to foster personal growth and holistic wellbeing. Our life-changing rewards package includes:

• Competitive base and incentive pay
• 401(k) with robust matching and non-matching contributions
• Rich medical & pharmacy benefits
• 100% employer-paid dental and vision benefits
• Holistic wellbeing program with deep financial incentives
• Generous paid time off plus 12 paid holidays and your birthday off
• Culture of growth and learning: career development; tuition reimbursement; recognition program
• Family support: adoption assistance, fertility treatment, child, elder & pet care assistance
• Social responsibility and volunteer opportunities
• Employee discount program

Fair Chance Ordinances and Criminal Background Considerations

This position requires that the applicant undergo a background check. Qualified applicants with arrest or conviction records will be considered for employment in accordance with any applicable federal, state or local laws, including, but not limited to, the California Fair Chance Act, the Los Angeles County Fair Chance Ordinance, the City of Los Angeles Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, and/or New York Corrections Law Article 23-A.

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ABOUT THE TEAM

Delta Dental Ins. is an equal opportunity employer and is committed to providing a professional work environment free from discrimination and harassment. Individuals seeking employment at Delta Dental are considered without regard to race, ethnicity, color, age, sex, religion, national origin, ancestry, pregnancy, sexual orientation, gender identity, gender expression, genetic information, actual or perceived physical or mental disability, registered domestic partner status, caregiver status, marital status, veteran or military status, citizenship status, or any other legally protected category. Delta Dental is committed to providing equal employment opportunities to all employees and applicants for employment. Accordingly, we have adopted and maintain an Equal Employment Opportunity Policy, Harassment-Free Work Environment Policy, and Respectful Workplace policies and will not tolerate violations of these policies.

Unfortunately, our Delta Dental Enterprise is unable to hire individuals residing in Alaska, Hawaii, Maine, Nebraska, New Hampshire, North Dakota, Oklahoma, Vermont, West Virginia, Wyoming, Washington DC, Puerto Rico or other US Territories or outside of the United States at this time.