Provider Relations Network and Operations Director

6 days ago

Centennial, Colorado, United States Delta Dental of Colorado Full time
Job Summary

We are seeking a highly skilled and experienced Provider Relations Network and Operations Manager to join our team at Delta Dental of Colorado. This is an exempt position with a range of $106,122-$136,157 annually plus is eligible for a bonus.

Key Responsibilities
  • Provide strategic guidance to departments, oversee daily department operations, exercise professional judgment, solve problems, and delegate tasks as needed.
  • Conduct interviews, make hiring decisions, and handle performance evaluations, disciplinary discussions, and terminations effectively and timely.
  • Evaluate and counsel departmental team members on their performance in a professional and timely manner promoting growth and excellence.
  • Plan and develop educational training for the department including but not limited to planning and delivery of product-specific training to team members, new business processes, and partnering with the Learning and Development team in creating and sustaining learning pathways for departmental positions.
  • Implement strategies to increase operational efficiency.
  • Review and analyze reports, records, and directives and confer with coworkers to obtain data required for planning department activities.
  • Assist with the preparation of the annual budget and participate in monitoring and analyzing costs throughout the budget year accordingly.
  • Partner with department leadership, participate in the development and execution of organizational OKRs, and promote success in the department.
  • Provide strategic leadership and change management in the development of department-specific and organizational OKRs that support of DDCO's mission and strategic plan.
  • Align with DDCO's strategy to develop recruitment and retention strategies for networks including Delta Dental PPO, Delta Dental Premier, Delta Dental Patient Direct, and Government Networks (e.g., Medicare Advantage).
  • Serve as liaison to other member companies and Delta Dental Plans Association (DDPA) for network-related inquiries and compliance and act as a communication liaison between providers, dental associations, stakeholder groups, and DDCO.
Requirements
  • Graduate from an accredited college or university with an Associate's degree in healthcare, business or other related field or a combination of relevant experience and education is required is required, Bachelor's degree preferred.
  • Minimum of 5-7 years of experience in sales, business development, and/or relationship management, preferably within healthcare/dental benefits or dental practice/DSO space.
  • Minimum of 3-5 years of workforce management experience and knowledge of effective supervisory/management practices required. 5+ years preferred.
  • Experience managing teams in a fast-paced, dynamic environment, with a commitment to fostering a positive and inclusive work culture required.
  • Prior experience/certifications in Salesforce strongly preferred.
  • Prior experience with analytics platforms such as PowerBI or Tableau strongly preferred.
  • Prior experience with government programs (e.g., Medicaid/Medicare) and related compliance requirements strongly preferred.
Preferred Qualifications
  • Strong working knowledge of trends in the dental care field strongly preferred.
  • Experience with account management, marketing, and business intelligence platforms (Salesforce, PowerBI) to drive recruitment/sales strategies and analyze performance.
  • Excellent interpersonal and communication skills with the ability to effectively collaborate with stakeholders and providers at all levels of the organization.
  • Ability to foster a culture of innovation, collaboration, and continuous improvement within teams.
  • Strong analytical and problem-solving abilities, with a keen attention to detail.
  • Demonstrated ability to think strategically and align platform initiatives with business objectives.
  • Advanced supervisory, team building, and conflict resolution skills with strong problem-solving, and troubleshooting abilities.
  • Ability to gather, analyze, and synthesize information and data from multiple sources.
  • Excellent organizational and time management skills with the ability to handle multiple priorities and prioritize and schedule accordingly.
  • High level of integrity and discretion in handling confidential information.
  • Excellent problem-solving abilities and adaptability to shifting priorities. Takes initiative and uses sound judgment, showcasing a proactive and curious mindset.
Working Conditions

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, and photocopiers. Ability to perform the essential functions of the job with or without a reasonable accommodation. No physical effort beyond that is typically required in a normal office environment. Requires flexible time schedule. The potential for tight deadlines or time periods of high workload might require additional hours. Regular exposure to a computer screen. This position is a hybrid role that requires two to three days in the office based upon the needs of the organization.

Benefits

Delta Dental of Colorado offers a comprehensive compensation and benefits package. Some of the highlights from our benefits package include: Generous PTO, 11 paid holidays, 6 paid illness days, three affordable medical health plans, Fantastic dental insurance plan, Vision and hearing plan, 401(k) match with immediate vesting, Supplemental retirement savings plan, Company-paid life insurance, short-term disability, and long-term disability policies, Wellness program, Tuition reimbursement, ECO Passes for team members (we are near a light rail station), Paid volunteer time off. This position can be a hybrid role that requires two to three days in the office based upon the needs of the organization.

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