Provider Relations Network Manager

Delta Dental of Missouri is seeking a Provider Relations Network Manager, a dynamic leader with 5+ years of experience in the dental, insurance, or financial services industries.

If you excel at problem-solving, have a proven track record of coaching teams to achieve results, and are ready to make an impact, apply today!

Essential Functions and Job Responsibilities:

1.

Provides strategic leadership to the department to expand and retain members of the provider network through exceptional provider experiences.

This work may include but is not limited to:

• Setting network goals, objectives and strategies to align with the organization's strategic plan and performance measures;
• Developing and implementing plans to create the ideal provider experience and achieve key performance indicators (KPIs);
• Identifying challenges and opportunities within the network on a proactive basis and implementing solutions to drive positive outcomes and mitigate risks;
• Managing the department budget and approving department expenses to meet the financial objectives of the organization;
• Creating a strategic plan for facilitating in-person visits of key providers in the network based on utilization and members present in the practice;
• Championing continuous improvement efforts, fostering innovation and creativity within the team to enhance service delivery and provider satisfaction.

2.

Provides coaching and development to Provider Relations Representatives.

This work may include but is not limited to:

• Conducting weekly coaching conversations to ensure development of team members;
• Fostering a positive and motivating work environment by recognizing and rewarding achievements and providing constructive feedback;
• Creating a culture of continuous learning and professional development;
• Conducting performance reviews and performance management discussions with direct reports;
• Creating development plans and documentation for tracking performance, setting expectations and ensuring compliance with all applicable employment laws;
• Completing quarterly check-ins with team members to ensure progression of individual development plans;
• Conducting all disciplinary actions including terminations within the department.

3.

Tracks and analyzes short-term and long-term key performance indicators (KPIs) to ensure team success in meeting annual goals.

This work may include but is not limited to:

• Creating a strategic plan for facilitating in-person visits of key providers in the network based on utilization and member size;
• Generating and analyzing regular reports on provider network metrics, identifying trends and areas for improvement;
• Establishing benchmarks and performance standards for Provider Relations Representatives;
• Recommending and executing strategic solutions to ensure goals and metrics are achieved;
• Utilizing advanced analytics tools and methodologies to forecast future performance trends and proactive...