Jobs at LIBERTY Dental Plan

Manage and coordinate healthcare compliance activities including audit readiness, regulatory reviews, corrective actions, and remediation across quality, care management, and customer experience. Triage and prioritize compliance requests, prepare audit materials, track CAPs, monitor regulatory changes, analyze trends to drive process improvements, and coordinate cross-functional responses.

Lead regional provider network recruitment, retention, contract review, fee schedule development, and provider relations. Manage and coach Provider Relations staff, coordinate cross-functional issue resolution, produce reporting, and implement performance and process improvements. Ensure contractual compliance and support utilization review and other committees; travel up to 50% and be based in Sacramento or Los Angeles.

Manage daily AR activities including processing and applying payments, preparing monthly invoices, collections and aging monitoring, reconciliations, client billing inquiries, reserve calculations, audit support, and related accounting tasks.

Lead and execute encounter data submissions and regulatory reporting for Medicaid/Medicare. Perform hands-on SQL analysis, data validation, and audit support. Translate regulatory requirements into analytic solutions, mentor analysts, collaborate with IT/compliance/operations, and ensure accuracy, compliance, and readiness for regulatory examinations.

Support development and maintenance of a dental provider network through recruitment, provider relations, contract processing, compliance, issue resolution, training, and coordination with internal teams. Conduct site visits, handle provider inquiries, and assist outreach to meet network adequacy and retention goals.