The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U.S. and has supported over 20,000 healthcare professionals and team members with close to 1,500 health and wellness offices across 48 states in four distinct categories: dental care, urgent care, medical aesthetics, and animal health. Working in partnership with independent practice owners and clinicians, the team is united by a single purpose: to prove that healthcare can be better and smarter for everyone. TAG provides a comprehensive suite of centralized business support services that power the impact of five consumer-facing businesses: Aspen Dental, ClearChoice Dental Implant Centers, WellNowUrgent Care, Chapter Aesthetic Studio, and Lovet Pet Health Care. Each brand has access to a deep community of experts, tools and resources to grow their practices, and an unwavering commitment to delivering high-quality consumer healthcare experiences at scale.
As a reflection of our current needs and planned growth we are very pleased to offer a new opportunity to join our dedicated team as The Director of National Operations.
The Director of National Operations plays a vital role within our Payor Strategy Team. The successful candidate will report to the Vice President, Payor Strategy, and oversees a team of 2-4 employees. This role manages national plan relationships and contract strategy across both the Aspen Dental and WellNow brands.
● Develops and maintains effective working relationships with insurance company contacts for assigned national plans.
● Oversee the entire operational relationship with assigned national plans across Aspen Dental and WellNow, including grievances, rate validation, educational outreach, and any other operational issue that affects the plan.
● Proactively looks for ways to improve support to Aspen offices, streamline processes with plans, and increase transparency and issue resolution for offices and owners.
● Oversee and participate in Joint Operating Committees (JOCs) for assigned national plans, driving continued results with plan partners.
● Ensures audits occur monthly for national plans to confirm accurate network information and drive quick resolution of contract data issues.
● Identifies trends across markets and partners with department heads to build educational resources for the plans.
● Oversee the distribution of field education and company initiatives to the field as needed.
● Acts as an expert resource on escalated contractual and compliance issues for national plans.
● Monitors contract performance and other provisions to assure compliance, identify problem areas, and resolve disputes.
● Resolves escalated contract issues generated by operational department heads.
● Works collaboratively with payors and Aspen Department Leadership (Legal/Compliance, Finance, Centralized Billing, and IT) on strategic business development efforts to ensure geographic reach, plan and service types, and optimal reimbursement rates.
● Other duties as assigned.
Team Management
● Train, support, and develop the team to meet department metrics and expectations.
● Ensure the team delivers first class customer service to owners.
● Efficiently resolves plan related issues raised by owners and the field.
● Creates education and resources for the field so they have what they need.
● Coaches the team on grievance handling and root cause identification to prevent repeat issues.
Experience
● Bachelor's degree
● Highly proactive, with strong critical thinking skills and the ability to architect solutions rather than just flag problems
● Direct experience with insurance and provider contracting required. Must have been personally involved in managed care contracting or contract strategy work, not just adjacent to it
● Strong exposure to healthcare operations required. Dental experience is not required; medical or other clinical operations experience is a fit
● 7 or more years of progressively responsible management or supervisory level managed care contracting experience in a payor or health care setting, with experience across multiple brands or business lines preferred
● Broad knowledge of healthcare insurance, healthcare billing and reimbursement, administration, systems, practices and principles (i.e. Medicare, Medicare Advantage, and Commercial)
● Knowledge and ability to effectively use negotiation techniques and practices to advocate for providers
● Excellent verbal and written communication
● Excellent time management, prioritization, and organizational skills
● Detail oriented with a strong level of analytical and problem-solving skills
● Proficient use of Microsoft Office Suit
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Salary: Annual pay range: $160,000 - $175,000, plus bonus/incentives
A generous benefits package that includes paid time off, health, dental, vision, and 401(k) savings plan with match
As one the largest healthcare business support organizations in the U.S., ADMI continues to build and strengthen the infrastructure, expertise and core competencies that successful healthcare practices need to accelerate their growth and fuel their success, while also giving providers the freedom to do what they do best: Care for their patients. Through organic growth and a series of strategic acquisitions, ADMI now supports more than 1,000 health and wellness offices across 45 states and in three distinct categories: Dental care, urgent care and medical aesthetics.
In dentistry, ADMI supports Aspen Dental, the largest and fastest-growing branded network of dental practices in the U.S. with nearly 900 locations in 42 states, as well as ClearChoice Dental Implant Centers, leaders in fixed, full arch dental restorations for patients with missing or failing dentition, with more than 65 locations in 27 states. Collectively, the two are the largest provider of fixed and removable prosthetics in the U.S.
WellNow Urgent Care now stands at more than 85 locations in four states, putting it among the top 10 urgent care providers nationwide, while more recently, the ADMI family has expanded to include the medical aesthetic category with the acquisition of the largest single med spa clinic in the U.S.
