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Provider Network Ambassador
Provider Network AmbassadorDelta Dental of California • San Francisco, CA, United States
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Provider Network Ambassador

Provider Network Ambassador

Delta Dental of California • San Francisco, CA, United States
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  • [job_card.full_time]
[job_card.job_description]

JOB DESCRIPTION

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.

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 Req'
  • 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

    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.

    #LI-Remote

    ABOUT THE TEAM

    At Delta Dental, we're behind millions of smiles and counting. For over 68 years, we've served our communities by increasing access to affordable, quality care - but that commitment to care extends beyond the people we serve, to the dedicated employees who make those smiles genuine. We've come this far by building fair programs that offer opportunities for advancement, create meaningful connections and improve the lives of our employees and their families. Because we know that when we take exceptional care of each other, we can make a positive impact for all.

    We champion an inspirational workplace through our commitment to trust, service, excellence and innovation. Joining us means working for a company that offers stability and balance, opportunities for leadership at all levels, and a work environment focused on teamwork and camaraderie.

    Discover the smiling faces behind Delta Dental and experience our values and culture in action by connecting with us on social media. Follow Delta Dental Ins. on Facebook and Instagram , #LifeatDDins on Facebook and Instagram , Delta Dental Ins. on Twitter and Delta Dental Ins. on LinkedIn . If you've got an appetite for innovation and want to be a part of a team that's transforming the future of health care, join us!

    Since 1955, we have offered comprehensive, high-quality oral health care benefits to millions of enrollees and built the strongest network of dental providers in the country. The Delta Dental of California network includes affiliates Delta Dental Insurance Company; Delta Dental of Pennsylvania; Delta Dental of New York, Inc.; Delta Dental of the District of Columbia; Delta Dental of Delaware, Inc.; and Delta Dental of West Virginia, providing dental benefits to more than 31 million people across 15 states, the District of Columbia, Puerto Rico and the Virgin Islands.

    The company and its affiliates are part of Delta Dental Plans Association (DDPA), a not-for-profit national association based in Oak Brook, Illinois. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. We offer vision coverage through DeltaVision in 15 states and the District of Columbia. Collectively, we deliver benefits to more Americans than any other dental insurance company.

    Delta Dental Ins. is an equal opportunity employer and is committed to providing a professional work environment free from discrimination and harassment. Individuals seeking employment at Delta Dental are considered without regard to race, ethnicity, color, age, sex, religion, national origin, ancestry, pregnancy, sexual orientation, gender identity, gender expression, genetic information, actual or perceived physical or mental disability, registered domestic partner status, caregiver status, marital status, veteran or military status, citizenship status, or any other legally protected category. Delta Dental is committed to providing equal employment opportunities to all employees and applicants for employment. Accordingly, we have adopted and maintain an Equal Employment Opportunity Policy, Harassment-Free Work Environment Policy, and Respectful Workplace policies and will not tolerate violations of these policies.

    Unfortunately, our Delta Dental Enterprise is unable to hire individuals residing in Alaska, North Dakota, Nebraska, Hawaii, Oklahoma, Vermont, Maine, West Virginia, New Hampshire, Wyoming, Puerto Rico, District of Columbia (Washington D.C.) or other US Territories at this time.

    Proof of eligibility to work in the United States must be provided if selected for hire.

  • Delta Dental includes : Delta Dental of California, Delta Dental Insurance Company, Delta Dental of Pennsylvania, and Delta Dental of New York
  • If You Are A Current Employee Click Here To Apply

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