About this role
Provider Relations is responsible for provider relationship management and the performance of high-quality, cost-effective, and competitive provider networks across multiple lines of business to support the retention and growth of Delta Dental's business.
The Provider Network Ambassador serves as a trusted representative of Delta Dental within the provider community, helping create a best-in-class provider experience. This role is responsible for cultivating strong provider relationships, supporting network stability and performance, and partnering with providers and dental office staff to ensure exceptional service to our enrollees.
This position requires strong relationship management skills, a consultative mindset, self-motivation, and the ability to bring enthusiasm, passion, and energy to every interaction. The role encompasses a broad range of provider relations activities and service interactions with provider partners nationwide while collaborating closely with internal business partners across the enterprise.
Responsibilities:
Provide consultative support to network providers to promote business efficiency and success through digital tools, online resources, and value-added servicesBuild and sustain strong relationships with providers and dental office staff to enhance the overall provider experience and position Delta Dental as the preferred and trusted partner in the marketSupport provider network growth, size, and stability by reducing provider turnover while maintaining high-quality, cost-effective, and competitive networksPartner closely with Network Development and Sales teams to support client growth and provider engagement initiativesConduct provider outreach, education, training, and on-site dental office reviews to ensure provider compliance with regulatory, contractual, and operational requirementsCollaborate with internal stakeholders to monitor provider performance against contractual obligations and conduct follow-up activities to achieve complianceConduct virtual and in-person meetings with key regional and local provider partners across the assigned territoryMonitor provider utilization patterns, interpret operational statistics, and recommend practice management tools and solutions to support effective plan administrationFacilitate provider issue resolution and serve as a liaison between providers and internal departmentsAssess network appointment availability through service calls and verify reported appointment access standardsRepresent Delta Dental at local dental societies, dental associations, and community or industry events as needed Qualifications:
Bachelor's degree with 2+ years of relevant experience; additional experience may be considered in lieu of a degree2+ years of dental managed care or related healthcare experience requiredMinimum of 3 years of front office dental administration and/or back office dental assisting experience preferredLocation Requirement:Candidates must reside within the designated South Florida travel territory. Preferred locations include:Broward CountyMiami-Dade CountyPalm Beach CountyDemonstrated experience in provider network management, customer service, and/or account managementDemonstrates curiosity and a desire to gain understanding of business practices and related topicsStrong written communication skills with the ability to clearly present information and findingsExcellent organizational, time management, prioritization, and project management skillsAbility to successfully apply Professional Selling Skills (PSS) principlesAbility to interpret and analyze various forms of information, including provider and marketplace perceptionsStrong interpersonal skills with the ability to effectively interface with employees at all organizational levelsKnowledge of Current Dental Terminology (CDT) codes and dental nomenclature preferredProficiency with Microsoft Office applications including Word, Excel, PowerPoint, Outlook, and TeamsStrong communication, presentation, negotiation, and active listening skillsAbility to operate effectively in a fast-paced environment with rapidly changing prioritiesKnowledge of dental and general insurance procedures preferredAbility to travel by car and air throughout the assigned territory and sustain company expenses for up to one month, if needed. Travel can be up to 70%Ability to cultivate and maintain strong relationships with both internal and external business partnersAbility to obtain and maintain sufficient credit eligibility to manage business-related expenses, including qualification for a corporate charge cardMust be able to operate and maintain a personal vehicle in a safe, reliable, and responsible manner for company businessMust possess a valid driver's license with the ability to maintain an acceptable Department of Motor Vehicles (DMV) driving record and purchase and maintain collision damage liability insurance coverage for the vehicle used in connection with the company auto allowance program 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. $57,450 - $120,200.
Additional Information:
Behind the smile! We are dedicated to safeguarding the health and financial stability of our employees and their loved ones. This commitment extends beyond the workplace to foster personal growth and holistic wellbeing. Our life-changing rewards package includes: 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 Fair Chance Ordinances and Criminal Background Considerations This position requires that the applicant undergo a background check. Qualified applicants with arrest or conviction records will be considered for employment in accordance with any applicable federal, state or local laws, including, but not limited to, the California Fair Chance Act, the Los Angeles County Fair Chance Ordinance, the City of Los Angeles Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, and/or New York Corrections Law Article 23-A.
Important Work Authorization Information Please note, Delta Dental will not sponsor applicants for work visas for this position.
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