Clover Health - Head of Dental Network
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Requirements
• As the Head of Dental Network, you will: • Build Clover’s dental network strategy from the ground up, transitioning from a vendor-supported model to a high-performing, in-house capability across markets. • Design and execute a competitive, cost-effective network strategy that drives adequacy, geographic access, and long-term market differentiation. • Lead end-to-end provider recruitment and contracting — from market targeting and economic modeling to complex negotiations and deal execution. • Develop and operationalize dental fee schedules aligned to financial targets, competitive benchmarks, and provider market dynamics, with clear governance for updates and performance-based models. • Use market data, competitive intelligence, and provider economics to inform expansion, optimization, and margin strategy. • Establish clear provider performance frameworks, including scorecards and KPIs across quality, access, member experience, and financial outcomes. • Partner cross-functionally with Finance, Actuarial, Clinical, and Operations to resolve escalations, improve provider experience, and drive enterprise alignment. • Build, scale, and lead a high-impact dental network team spanning contracting, analytics, and provider relationship management.
Responsibilities
• Develop new fee schedules aimed at balancing between ensuring broad 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 against recruitment efforts. • 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. • Strong provider relationships and improved provider experience. • Scalable, high-performing dental network supporting Clover’s MA growth strategy. • You should get in touch if you: • Bring 10+ years of experience in dental network development, provider contracting, or payer network management, with deep expertise in fee schedule design and reimbursement strategy. • Have successfully built provider network strategy from the ground up • Possess strong knowledge of Medicare Advantage regulations and network adequacy standards, and can operationalize them effectively. • Have a proven track record negotiating complex provider contracts and structuring high-performing, cost-effective networks. • Have built and led high-impact contracting or network teams, setting clear strategy, processes, and performance metrics. • Demonstrate strong financial and analytical acumen, partnering closely with Finance and Actuarial to drive margin and growth. • Thrive in fast-moving environments, bringing structure to ambiguity and influencing executive stakeholders to align around a new strategy.
Benefits
• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities • Reimbursement for office setup expenses • Monthly cell phone & internet stipend • Remote-first culture, enabling collaboration with global teams • Paid parental leave for all new parents • We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.
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