DELTA DENTAL: Provider Network Ambassador

What you will do

• 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.