Delta Dental Ins.
Provider Relations is responsible for provider relationship, management, and performance of high quality, cost-effective, competitive networks in multiple lines of business to retain and grow Delta Dental's business. The Provider Network Ambassador represents Delta Dental in the provider community working to create a best‑class provider experience with responsibility in managing provider networks and cultivating relationships with providers and their office staff so they reflect our service to our enrollees. This position requires relationship management skills, is self‑motivated, and brings enthusiasm, passion and energy to the job. The position encompasses a full range of provider relations activities and service interactions with provider partners nationwide. This role will engage with providers, dental office staff, local dental societies/dental associations and work collaboratively with internal business partners across the enterprise.
Candidates must reside within the designated travel territory, based in the Tampa or Orlando, FL area.
Qualifications
2+ w/Bachelor’s degree. Additional experience may be accepted in lieu of education or degree. 2+ years of dental managed care or related health care experience. A minimum of 3 years of front office dental administration and/or back office dental assisting experience preferred. Demonstrated experience in provider network management, customer service and/or account management. Demonstrates curiosity and interest in gaining understanding of business practices and related topics. Ability to clearly present written information and findings. Strong organizational, time management, assignment prioritization and project management and delivery skills. Ability to successfully apply Professional Selling Skills (PSS) principles. Ability to interpret various forms of information, including key information about marketplace and provider perceptions. Ability to effectively interface with employees at all levels. Knowledge of Current Dental Terminology ("CDT") codes and dental nomenclature is preferred. Proficient in Microsoft Office applications (Word, Excel, PowerPoint, Outlook, Teams). Strong communication, presentation, negotiation and listening skills. Ability to operate in an environment of rapidly changing priorities is preferred. Knowledge of dental and general insurance procedures is preferred. Ability to travel by car and air and sustain company expenses for a period of one month if needed. Cultivates and maintains relationships with external and internal business partners. Ability to obtain and maintain sufficient credit to manage related job expenses including, but not limited to, applying to and being approved by a third party charge card agency to receive the company's corporate charge card. Able to operate and maintain a personal car for company business in a proper, safe and responsible manner. Licenses
DL NUMBER - Driver License, Valid and in State. Must have a valid driver's license and ability to maintain an acceptable Department of Motor Vehicle record and purchase and maintain $250,000/$500,000 collision damage liability insurance policy for the car which they will receive the auto allowance (Required for work travel) Upon Hire Required Base Pay Information
The national base pay range at the end is a good‑faith estimate of what Delta Dental may pay for new hires. Actual pay may vary based on Delta Dental’s assessment of the candidate’s knowledge, skills, abilities (KSAs), related experience, education, certifications and ability to meet required minimum job qualifications. Other factors impacting pay include prevailing wages in the work location and internal equity. Pay Grade 18. $56,900 - $119,200 Responsibilities
Provides consultative support to network providers to facilitate business efficiency and success by promoting digital online tools and value‑add services. Builds and sustains strong relationships with providers and dental office staff; enhances the overall provider experience to advance Delta Dental's interest in the provider market to be the preferred and trusted partner. Ensures provider network size and stability meet client growth needs by reducing provider turnover while maintaining high quality, cost-effective, competitive networks. Works closely with Network Development and Sales teams. Conducts provider outreach, education and training, and on‑site dental office reviews to ensure provider networks in assigned geographic areas are compliant with all applicable regulatory and contractual requirements. Partners with internal stakeholders to monitor provider performance to contractual obligations and conducts follow‑up to gain provider compliance. Conducts virtual service interactions or face to face interactions with key regional and local provider partners across designated territory, monitors utilization patterns of providers, facilitates issue resolution, interprets statistics and recommends practice management tools to facilitate effective plan administration. Assesses the network's appointment availability through service calls; verifies and confirms reported appointment access and availability deficiencies and facilitates network compliance. Collaborates with cross‑functional teams within the enterprise, dental provider community and organized dentistry to gain perspective on provider market trends, issues and areas of opportunity in service to the dental profession. Reviews and analyzes competitor information and internal data to determine network retention strategies; evaluates and determines cost effectiveness of retaining providers in key markets.
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2+ w/Bachelor’s degree. Additional experience may be accepted in lieu of education or degree. 2+ years of dental managed care or related health care experience. A minimum of 3 years of front office dental administration and/or back office dental assisting experience preferred. Demonstrated experience in provider network management, customer service and/or account management. Demonstrates curiosity and interest in gaining understanding of business practices and related topics. Ability to clearly present written information and findings. Strong organizational, time management, assignment prioritization and project management and delivery skills. Ability to successfully apply Professional Selling Skills (PSS) principles. Ability to interpret various forms of information, including key information about marketplace and provider perceptions. Ability to effectively interface with employees at all levels. Knowledge of Current Dental Terminology ("CDT") codes and dental nomenclature is preferred. Proficient in Microsoft Office applications (Word, Excel, PowerPoint, Outlook, Teams). Strong communication, presentation, negotiation and listening skills. Ability to operate in an environment of rapidly changing priorities is preferred. Knowledge of dental and general insurance procedures is preferred. Ability to travel by car and air and sustain company expenses for a period of one month if needed. Cultivates and maintains relationships with external and internal business partners. Ability to obtain and maintain sufficient credit to manage related job expenses including, but not limited to, applying to and being approved by a third party charge card agency to receive the company's corporate charge card. Able to operate and maintain a personal car for company business in a proper, safe and responsible manner. Licenses
DL NUMBER - Driver License, Valid and in State. Must have a valid driver's license and ability to maintain an acceptable Department of Motor Vehicle record and purchase and maintain $250,000/$500,000 collision damage liability insurance policy for the car which they will receive the auto allowance (Required for work travel) Upon Hire Required Base Pay Information
The national base pay range at the end is a good‑faith estimate of what Delta Dental may pay for new hires. Actual pay may vary based on Delta Dental’s assessment of the candidate’s knowledge, skills, abilities (KSAs), related experience, education, certifications and ability to meet required minimum job qualifications. Other factors impacting pay include prevailing wages in the work location and internal equity. Pay Grade 18. $56,900 - $119,200 Responsibilities
Provides consultative support to network providers to facilitate business efficiency and success by promoting digital online tools and value‑add services. Builds and sustains strong relationships with providers and dental office staff; enhances the overall provider experience to advance Delta Dental's interest in the provider market to be the preferred and trusted partner. Ensures provider network size and stability meet client growth needs by reducing provider turnover while maintaining high quality, cost-effective, competitive networks. Works closely with Network Development and Sales teams. Conducts provider outreach, education and training, and on‑site dental office reviews to ensure provider networks in assigned geographic areas are compliant with all applicable regulatory and contractual requirements. Partners with internal stakeholders to monitor provider performance to contractual obligations and conducts follow‑up to gain provider compliance. Conducts virtual service interactions or face to face interactions with key regional and local provider partners across designated territory, monitors utilization patterns of providers, facilitates issue resolution, interprets statistics and recommends practice management tools to facilitate effective plan administration. Assesses the network's appointment availability through service calls; verifies and confirms reported appointment access and availability deficiencies and facilitates network compliance. Collaborates with cross‑functional teams within the enterprise, dental provider community and organized dentistry to gain perspective on provider market trends, issues and areas of opportunity in service to the dental profession. Reviews and analyzes competitor information and internal data to determine network retention strategies; evaluates and determines cost effectiveness of retaining providers in key markets.
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