Provider Network Coordinator - Sherwood - job 746489

Delta Dental of Arkansas

Date: 05/04/2021

City: Sherwood, Arkansas

Employment type: Full-time

At Delta Dental, we have a passion for making people smile. And every day, our employees work to make that passion come to life. We have been in existence since 1982 and have been voted Arkansas' Best Places to Work for eight years in a row. We are looking for a member of our team who is passionate about our mission to improve the oral health of Arkansans and ready to make a difference.

We have four core values that we stand by at Delta Dental of Arkansas:

  • Act with Integrity

  • Respect People

  • World-Class Services

  • Focus on Community

We believe in supporting our employees through a multitude of fantastic benefits:

  • Competitive pay with bonus opportunities

  • Excellent insurance package including fully paid dental, short term disability, long term disability, and life insurance

  • Education assistance

  • 401(k) matching and profit sharing plan

Job Summary:
Maintains ongoing network development and relationship building within Arkansas and coordinates applicable recruitment projects with other Delta plans; assists in the management of various network issues regarding credentialing, complaints and utilization review and conducts training of dentists and their staffs.

Primary Job Responsibilities:

1. Develops relationships with providers and office staff within the community to retain those that are within network and to recruit providers who are not currently within network.

2. Works to ensure that provider contracts remain compliant and ensure understanding of the contract with providers.

3. Travels throughout assigned area to visit dental offices. These visits consist of courtesy visits, training, and various network issues.

4. Provides training to dentist and dental office staff on utilizing value added services and online tools such as Dental Office Toolkit, Voiance, White Cloud, etc.

5. Develops relationships with internal departments in order to effectively solve problems for providers.

6. Prepares and analyzes network data, reports, and compliance.

7. Attends a variety of different meetings and conference, including the district dental meetings, the Arkansas State Dental Association meeting, and the Delta Dental Plans Association meeting.

8. Works within the team to perform tasks necessary to ensure Centers for Medicaid and Medicare Service requirements.

9. Works directly with internal Credentialing team to ensure provider’s needs are met in timely manner, typically a requested 24 hour turnaround time.

10. Reaching out to other Delta member plans as needed to resolve provider issues.

11. Work with members of the team to implement new processes and strategies to reach departmental goals.

Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.

Minimum Qualifications: Will accept any suitable combination of education, training or experience. Position requires a bachelor’s degree and two years related insurance, sales or dental experience.

Position requires intermediate experience working with word processing, spreadsheet, software database and PowerPoint presentation. Position requires individual to travel on average 3-4 days out of the work week and frequent overnight travel is expected as well.

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