Job Title:

Provider Specialist

Number of Positions:

3

Location:

DDMI_Tennessee

Location Specifics:

Hybrid Position

Job Summary:

At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities for all. We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation.

At Delta Dental, we celebrate our All In culture. It’s a mindset, feeling and attitude we wrap around all that we do – from taking charge of our careers, to helping colleagues and lending a hand in the community.

Position Description:

Recruits participating dentists for various TennCare programs.

Primary Responsibilities: 

• Recruits and retains dentists in TennCare networks and logs all points of contact in SalesForce.

• Visits participating and non-participating dentists to ensure understanding of the company’s programs and procedures to resolve claims processing problems.

• Works with network analytics teams to analyze data and system reports to support recruitment efforts and determine recruitment needs.

• Represents the company by attending regional and national dental meetings, trade shows, student clinics at universities, and community functions to foster relationships with the dental community.

• Assists in the development of and conducts presentations such as dental office seminars to the regional dental communities and creates and conducts presentations for dental schools’ community colleges, local dental society meetings, and board meetings.

• Keeps abreast of all company products to communicate changes and new product development to the dental communities and helps promote new programs to increase the level of participation and to benefit existing participating dentists.

• Reviews Provider Performance Reports (PPRs) with providers.

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

#LI-Hybrid

Minimum Requirements:

Position requires a bachelor’s degree in business administration, public relations, communications, or dental hygiene and two years of experience in customer service, sales, or recruiting, and one year of experience in a dental office setting. Will accept any suitable combination of education, training, or experience.

Position requires advanced knowledge of claims adjudication, dental terminology, dental procedures and dental insurance products; advanced presentation skills; effective verbal and written communication skills; experience working with word processing and spreadsheet software, ability to resolve complex problems and use independent judgment.

Position requires 50-65% travel throughout the state of Tennessee, and nationally as necessary.

The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.