Provider Network Ambassador Tampa, FL /
Growth /
Full-Time
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At Delta Dental, our strategy is only as strong as the people who execute it! We are hiring individuals that are not just right for today but also for our future. We have built a foundation of high-trust by treating all people with dignity, making and keeping commitments, and consistently striving to do the right thing. Our leaders optimistically share future possibilities to inspire and motivate others toward their full potential. We expect our employees to find ways to embrace positive change, be curious and challenge the status quo, and provide solutions to unmet problems. Joining Delta Dental means joining a culture focused on fostering development, building genuine connections, recognizing each other’s strengths and sharing in successes.
The Provider Network Ambassador is the face of the company in the provider community and will be a critical member of Delta Dental’s Provider Relations team. Responsibilities include maintaining the nationwide provider network to the overall persistence set by the enterprise for all lines of business, continuous provider education and outreach, as well as ensure provider network compliance is conducted within his or her assigned geographic area. This role will help develop and implement business intelligence and market analysis reports on the market place, collaborate with teams within the enterprise dental provider community to gain perspective on trends, issues and areas of opportunity to support the dental profession.
The incumbent must cultivate new and existing relationships with providers and their staff, internal business partners across the enterprise, local dental societies/dental associations as well as participate in all provider outreach and community focused events.
This position will work remotely. The individual should live in the territory as they will have responsibility for North Florida.
How you will make an impact: • Interacts professionally with the provider community
• Represents as the face of the company and point of contact for various organized dental associations
• Provide consultative support to providers and their staff so they reflect our service to our enrollees
• Educate and train providers so they provide high quality dentistry in compliance with contractual and community norms
• Ensures that the provider network size and stability meets client growth needs by reducing provider turnover while maintaining a profitable network
• Ensures that the provider network in assigned geographic areas is compliant with all applicable regulatory requirements by providing necessary training, ongoing education and on-site dental office reviews
• Conducts Quality Management follow-up; coordinate grievance information, including contact with office and record retrieval and resolution follow-up, as needed
• Reviews and analyzes internal data to determine network improvement needs
• Coordinate aspects of all dental conventions and provider workshops scheduled, as determined by Network Development leadership
• Tracks and reports on ongoing provider relations interactions using various application tracking mechanisms on a regular basis, including on-site visits to the practices
• Collects competitive information for ongoing competitor analysis and process improvement
• Works with Clinical Affairs leadership to monitor provider utilization patterns and recommend practice management tools to facilitate effective plan administration
• Participates on assigned committees and sales meetings to provide ongoing feedback using market conditions, industry trends, and provider insights
• Performs miscellaneous duties as assigned including, but not limited to, assisting other departments
What we look for: • A Bachelor’s degree or equivalent successful work experience, preferred
• A minimum of 2 years of managed care experience, dental preferred
• 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
• A strong commitment to excellent customer service as demonstrated by consistently meeting deadlines and effective relationship building
• Strong planning and organizational skills including time management skills, collaboration, and business analysis skills.
• Strong consultative, facilitation, and presentation skills
• Demonstrated ability in interpersonal and provider relations skills, including verbal, written, communication and presentation skills as well as experience in negotiating, problem solving and conflict management
• Ability to successfully apply Professional Selling Skills (PSS) principles in provider retention
• Ability to interpret various forms of information, including key information about marketplace and provider perceptions.
• Serves as a communication link between providers and the company
• Ability to effectively interface with employees at all levels.
• Knowledge of Current Dental Terminology (“CDT”) codes and dental nomenclature.
• Knowledge of enterprise’s processing policies and procedures
• Ability to provide and receive constructive feedback and/or industry related feedback.
• Ability to maintain confidentiality and appropriately share information on a need to know basis.
• Ability to operate in an environment of rapidly changing priorities.
• Ability to prioritize and complete multiple projects, a demanding workload, and tight timelines.
• Knowledge of dental and general insurance procedures.
• PC literacy; MS Office skills (Office, Word, Excel, PowerPoint, Outlook).
• Ability to travel by car and air.
• Valid driver’s license, ability to travel and sustain company expenses for a period of one month.
• Able to operate and maintain a personal car for company business in a proper, safe, and responsible manner.
Benefits and perks: • 12 days starting vacation plus 12 holidays and your birthday off!
• Multiple medical insurance options: 100% paid or low cost premiums
• 100% paid dental insurance
• 100% paid vision insurance
• Onsite gym and/or gym discount and fitness incentive
• Culture of learning: substantial tuition reimbursement to improve your skills
• Career growth: we love promoting from within
• Strong commitment to work/life balance
• Technology allowance
• Social responsibility and volunteer opportunities
Due to COVID-19, there is an even greater demand for flexibility and change. Due to the pandemic, the expectation around work location for certain roles may be remote until a future date, determined by Delta Dental Management. Should the position you seek be determined by Delta Dental Management as “remote,” the position may require you to have access to remote internet in order to meet the expectations outlined in the job duties.
#LI-LS1
At Delta Dental we:
Promote accountability, integrity and collaboration: Our employees are collaborative, self-aware, and ethical. It is our expectation to do the right thing and follow through on commitments.
Foster professional development: Our employees take ownership of developing themselves and others through coaching, mentoring and providing/being open to constructive feedback and identifying learning opportunities.
Value customers and cultivate positive experiences: Our employees take time to build rapport with customers, while anticipating and exceeding their needs to ensure positive outcomes.
If you think this sounds like you, let’s chat. We would love to tell you more!
To see some of the smiling faces behind Delta Dental and to learn more abut what our values and culture look like in action, connect with us on social media: @lifeatddins on Facebook and Instagram , @deltadentalins on Twitter , and Delta Dental Ins. on LinkedIn .
ABOUT Delta Dental
Delta Dental covers more Americans than any other dental benefits provider. Our vision is to motivate and empower every employee so we’re all inspired to take exceptional care of our customers, providers and each other. Our Enterprise Strategy focuses on pillars of Growth and Diversification, supported by the platforms of Culture and People, Process and Technology. Our employees take pride working for a purpose-driven organization and live our values of Trust, Service, Excellence and Innovation.
We are part of the Delta Dental Plans Association, a network of companies that provides dental coverage to 74 million people in the U.S. Delta Dental of California, Delta Dental of New York, Inc., Delta Dental of Pennsylvania and Delta Dental Insurance Company, together with our affiliate companies, form one of the nation’s largest dental benefits delivery systems, covering 33 million enrollees. All of our companies are members, or affiliates of members, of the Delta Dental Plans Association, a network of 39 Delta Dental companies throughout the country.
Delta Dental provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, genetics, or any other classification protected by federal or state law. In addition to federal law requirements, Delta Dental complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Proof of eligibility to work in the United States must be provided if selected for hire.
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