Provider Network Ambassador

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-in-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.

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.

• 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.

• Competitive base and incentive pay
• 401(k) with robust matching and non-matching contributions
• Rich medical & pharmacy benefits
• 100% employer-paid dental and vision benefits
• Holistic wellbeing program with deep financial incentives
• Generous paid time off plus 12 paid holidays and your birthday off
• Culture of growth and learning: career development; tuition reimbursement; recognition program
• Family support: adoption assistance, fertility treatment, child, elder & pet care assistance
• Social responsibility and volunteer opportunities
• Employee discount program