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Provider Network Ambassador - Southern California
San Francisco, CA
Job Description
JOB DESCRIPTION
The Provider Network Ambassador is pivotal in maintaining and enhancing the relationships with dental providers to ensure the delivery of high-quality, cost-effective services across various lines of business. As a Provider Network Ambassador, you'll serve as the face of Delta Dental within the provider community, striving to establish a superior provider experience through effective management of provider networks, and fostering positive relationships with providers and their teams. This role plays a crucial part in maintaining a robust and compliant provider network, contributing to Delta Dental's mission of providing high-quality dental care to its members while ensuring business growth, and competitiveness in the market.
RESPONSIBILITIES
- Geographic Coverage: Manages provider relationships from San Diego to San Bernardino.
- Consultative Support: Provides guidance and support to network providers, promoting the utilization of digital online tools and value-added services to enhance business efficiency and success.
- Relationship Building: Cultivates and maintains strong relationships with providers and dental office staff to improve the overall provider experience and position Delta Dental as the preferred and trusted partner.
- Network Stability and Growth: Ensures the size and stability of provider networks align with client growth needs, minimizing turnover while maintaining high quality, cost-effective, and competitive networks. Collaborates closely with the Network Development and Sales teams.
- Compliance and Training: Conducts provider outreach, education, training, and on-site dental office reviews to ensure compliance with regulatory and contractual requirements.
- Performance Monitoring: Partners with internal stakeholders to monitor provider performance against contractual obligations, ensuring compliance and conducting follow-up as necessary.
- Interaction and Issue Resolution: Engages in virtual or face-to-face interactions with key regional and local provider partners, monitoring utilization patterns, resolving issues, and recommending practice management tools for effective plan administration.
- Appointment Availability: Assesses appointment availability through service calls, addresses reported deficiencies, and facilitates network compliance.
- Collaboration and Market Analysis: Collaborates with cross-functional teams, the dental provider community, and organized dentistry to gain insights into provider market trends, issues, and opportunities. Reviews competitor information and internal data to determine network retention strategies and assesses cost-effectiveness in key markets.
QUALIFICATIONS
- Travel, Vehicle, and Expense Requirements: Must be willing to travel 2-3 days per week, utilizing personal vehicles and commercial flights. Overnight stays may be necessary. Delta Dental provides a monthly car allowance. A valid driver's license, acceptable Department of Motor Vehicle Record (MVR), and $250,000/$500,000 collision damage liability insurance policy for the car are required. Ability to sustain company expenses for a period of one month. Employees may submit eligible expenses for reimbursement
- Experience and Education: Candidates should have 2 or more years of experience, preferably with a bachelor's degree or equivalent work experience. Additionally, 2 or more years of dental managed care or related healthcare experience is required. Preferred qualifications include a minimum of 3 years of front office dental administration and/or back office dental assisting experience.
- Relationship Management: Ability to cultivate and maintain relationships with both external and internal business partners is essential.
- Communication Skills: Strong written and verbal communication skills are necessary to clearly present information and findings.
- Organizational Skills: Demonstrated organizational, time management, prioritization, project management, and delivery skills are important for effective performance in the role.
- Professional Selling Skills: Familiarity with Professional Selling Skills (PSS) principles is beneficial.
- Market Knowledge: Ability to interpret various forms of information, including marketplace and provider perceptions, is required.
- Computer Skills: Proficiency in Microsoft Office applications (Word, Excel, PowerPoint, Outlook, Teams) is necessary.
- Adaptability: Ability to operate in an environment of rapidly changing priorities is preferred.
- Insurance Knowledge: Knowledge of dental and general insurance procedures is beneficial.
- Dental Terminology: Familiarity with Current Dental Terminology (CDT) codes and dental nomenclature is preferred.
- Communication and Negotiation Skills: Strong communication, presentation, negotiation, and listening skills are essential for successful interactions with stakeholders.
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. $59,000 - $130,900
ADDITIONAL INFORMATION
Rewards to make you smile! We don't just want to make our customers happy - we want to give our employees a reason to smile, too. Delta Dental's comprehensive benefits package includes:
- Generous paid time off plus 12 holidays and your birthday off!
- Low-cost premium medical insurance options
- 100% paid dental and vision insurance
- Generous 401(k) matching and flat contribution
- Social responsibility and volunteer opportunities, including 16 paid volunteer hours annually
- Employee LiveWell program, focusing on overall employee well-being
- Fertility and diabetes benefits
- Employee discount program: AT&T/Verizon, entertainment, travel, and more!
- Culture of learning: career development and tuition reimbursement
- Career growth: we love promoting from within
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Please note, Delta Dental will not sponsor applicants for work visas for this position.
#LI-Remote
ABOUT THE TEAM
At Delta Dental, our success is only as strong as the people who execute it! We take enormous pride in being the nation's most recognized and widely-used provider of dental insurance - and we've come this far by living our core values of innovation, excellence, service and trust. Our vision is to motivate and empower every employee so that we're all inspired to take exceptional care of our customers, providers and ourselves. We believe in integrity, accountability, collaboration, and giving every employee equitable opportunity for their voice to be heard and development to be fostered.
If you're excited about the prospect of transforming the future of health care and growing in your career, join our smile revolution!
To see some of the smiling faces behind Delta Dental and to learn more about what our values and culture look like in action, connect with us on social media: Delta Dental Ins. on and #LifeatDDins on and , Delta Dental Ins. on and Delta Dental Ins. on .
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 is an equal opportunity employer. We are committed to building and maintaining a diverse and inclusive workplace for all employees. Applicants will not be discriminated against because of race, color, religion, creed, national origin, ancestry, citizenship status, sex (including pregnancy), sexual orientation, gender or identity expression, age, disability, marital status, medical status, veteran status or any other status protected under federal, state, or local 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.
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 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 To Apply
We are an Equal Opportunity Employer and it is our policy to provide equal opportunity in employment without regard to race, color, religion, ancestry, sex, citizenship, national origin, age (over 40 years), sexual orientation, marital status, veteran status, pregnancy, physical disability, mental disability or medical condition or any other characteristic protected by state or federal law. This policy also applies to the qualified disabled veterans and veterans of the Vietnam era.
Job Summary
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Education
Bachelor's Degree
Required Experience
2+ years
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