Dental Network Relations, Senior Analyst

Primary resource for all dental products (PPO, Medicare) to providers, sales and marketing, and Dental Service Centers; act as liaison with Primary Care Dentists and Specialists nationally to retain providers within the PPO network; manage termination and sale of practice requests and ensure compliance with termination obligations and cost of care improvements; maintain and strengthen provider relationships to ensure network stability; negotiate contract language and provider compensation; respond to provider inquiries (termination requests, tax id changes, hold requests, claim reimbursement, system issues, directory accuracy, and contractual issues); present PPO plan design, compensation process, claim submission, and referral policies during new office orientations and reorientations via telephone; knowledge of competitive market and Aetna’s position; present Aetna’s electronic capabilities for dental providers to achieve company goals and targets and promote all EDI initiatives.