Role Description
We are seeking an experienced and strategic Head of Dental Network to lead the development, optimization, and performance of Clover’s dental provider network in support of our Medicare Advantage business. This leader will be responsible for:
• Building and scaling a high-quality, cost-effective, and compliant dental network.
• Developing competitive and sustainable fee schedules.
• Overseeing provider account management and network performance.
This role will own dental network strategy end-to-end:
• From network design and provider contracting to fee schedule development, relationship management, performance oversight, and team leadership.
The ideal candidate brings:
• Deep expertise in dental network development, contracting, and reimbursement strategy.
• Strong leadership experience and a proven ability to scale high-performing teams.
As the Head of Dental Network, you will:
• Build Clover’s dental network strategy from the ground up.
• Design and execute a competitive, cost-effective network strategy.
• Lead end-to-end provider recruitment and contracting.
• Develop and operationalize dental fee schedules aligned to financial targets.
• Use market data, competitive intelligence, and provider economics to inform strategy.
• Establish clear provider performance frameworks.
• Partner cross-functionally with Finance, Actuarial, Clinical, and Operations.
• Build, scale, and lead a high-impact dental network team.
Success in this role looks like:
• In your first 90 days, you will:
• Develop new fee schedules aimed at balancing network participation and financial goals.
• Establish a prioritized roadmap for network expansion.
• Develop go-to-market materials for provider outreach.
• Develop KPIs and dashboards to track recruitment efforts.
• After 6 months you will:
• Build out a broad dental network in Clover’s markets ready for a 1/1/2027 go-live.
• Deliver measurable improvements in network adequacy, provider engagement, and contracting efficiency.
• Stand up a structured provider account management model.
• Future success in this role includes:
• Strong provider relationships and improved provider experience.
• Scalable, high-performing dental network supporting Clover’s MA growth strategy.
Qualifications
• 10+ years of experience in dental network development, provider contracting, or payer network management.
• Deep expertise in fee schedule design and reimbursement strategy.
• Strong knowledge of Medicare Advantage regulations and network adequacy standards.
• Proven track record negotiating complex provider contracts.
• Experience building and leading high-impact contracting or network teams.
• Strong financial and analytical acumen.
• Ability to thrive in fast-moving environments.
Benefits
• Competitive base salary and equity opportunities.
• Performance-based bonus program.
• 401k matching and regular compensation reviews.
• Comprehensive medical, dental, and vision coverage.
• No-Meeting Fridays and monthly company holidays.
• Access to mental health resources and generous flexible time-off policy.
• Remote-first culture supporting collaboration and flexibility.
• Learning programs, mentorship, and professional development funding.
• Employee Stock Purchase Plan (ESPP).
• Reimbursement for office setup expenses.
• Monthly cell phone & internet stipend.
• Paid parental leave for all new parents.
• And much more!
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