Enlightened is seeking a Hybrid Dental Provider Network Account Executive based in Washington, DC to develop and maintain relationships with participating dental providers and support the day-to-day operations of the provider network. The role serves as the primary liaison between the health plan and contracted dental providers, ensuring credentialing, enrollment, contracting, and provider data management are accurate across multiple systems to support network integrity and timely claims processing. Responsibilities include: managing the end-to-end provider credentialing and recredentialing process; coordinating enrollment from application through approval; ensuring regulatory requirements are met; partnering with delegated credentialing teams to ensure provider files are complete and compliant; following up with providers to obtain missing documentation and resolve credentialing deficiencies; preparing provider contracts and coordinating execution with internal leadership; maintaining provider records within systems such as LIFT and Skygen; coordinating provider site visits for credentialing and recredentialing; supporting provider contracting activities, onboarding, maintenance, and demographic or practice location changes; monitoring MAIDs for participating providers and provider groups; ensuring data accuracy for claims processing; coordinating provider site visits with American Dental Systems as needed; investigating and resolving provider claims and reimbursement issues; serving as the primary operational contact for participating dental providers; building and mainta

Enlightened is seeking a Hybrid Dental Provider Network Account Executive based in Washington, DC to develop and maintain relationships with participating dental providers and support the day-to-day operations of the provider network. The role serves as the primary liaison between the health plan and contracted dental providers, ensuring credentialing, enrollment, contracting, and provider data management are accurate across multiple systems to support network integrity and timely claims processing. Responsibilities include: managing the end-to-end provider credentialing and recredentialing process; coordinating enrollment from application through approval; ensuring regulatory requirements are met; partnering with delegated credentialing teams to ensure provider files are complete and compliant; following up with providers to obtain missing documentation and resolve credentialing deficiencies; preparing provider contracts and coordinating execution with internal leadership; maintaining provider records within systems such as LIFT and Skygen; coordinating provider site visits for credentialing and recredentialing; supporting provider contracting activities, onboarding, maintenance, and demographic or practice location changes; monitoring MAIDs for participating providers and provider groups; ensuring data accuracy for claims processing; coordinating provider site visits with American Dental Systems as needed; investigating and resolving provider claims and reimbursement issues; serving as the primary operational contact for participating dental providers; building and mainta