Manager, Provider Relations

Join Delta Dental of Oklahoma, the oldest and largest dental benefits provider in the State of Oklahoma.

Looking for someone that wants to make a difference.

Equal Opportunity Employer - Minority/Female/Disability/Protected Veteran

DUTIES

Responsible for all aspects of Delta Dental of Oklahoma's (DDOK) Provider Relations Department, including the growth and persistency of DDOK's participating provider networks; provider credentialing process; hiring and development of Provider Relations (PR) staff; and communication link within the dental community. Design, support, and promote current and/or future Provider Relations training programs and generate associated revenue. Ensure participating provider compliance with applicable Delta Dental Participating Dentist Agreements. Oversee the creation, maintenance, and accuracy of provider records within the DDOK claims processing system (aQDen), the National Provider File (NPF), and InforCRM (CRM). Act as a liaison between Provider Relations and all other DDOK departments. Manage all Provider Relations related standards, requirements, communications, audits, and activities with Delta Dental Plans Association (DDPA). Represent Provider Relations in DDOK's strategic planning initiatives. Responsible for Provider Relations' annual budget, regular reports, professional documentation, as well as related programs, projects and initiatives. Serve as back up to the Director of Operations Programs and Project Management (Director OPPM).

MINIMAL QUALIFICATIONS FOR CONSIDERATION

• High school diploma or equivalent
• Dental office experience – three or more years
• Insurance related experience – two or more years
• Personnel management experience.
• Working knowledge of computers and operating system, MS Office products (e.g., Excel, Word, PowerPoint)

ADDITIONAL QUALIFICATIONS FOR CONSIDERATION

• Bachelor's degree in Marketing Management Business Administration, Public Relations, health care management, or related field.
• Working knowledge of dental insurance.
• Customer, provider, and/or patient relations experience.
• Sales and/or public speaking and presentation experience.
• Experience with managing and developing healthcare related training courses, such as CPR, ethics, OSHA, and HIPAA training.
• Understanding of provider contracts, business agreements and associated language.
• Working knowledge of a Customer Relationship Management system.

KNOWLEDGE, SKILLS AND ABILITIES REQUIRED

• Must be highly organized.
• Must be a self-starter and work with little supervision.
• Must have excellent people skills.
• Must be able to communicate in a professional manner whether in person, or through written correspondence.
• Must have extensive problem-solving skills.
• Public speaking abilities are required.
• Ability to protect confidential information in compliance with DDOK policies, HIPAA Privacy Rule, HITECH Act, and Federal and State privacy and security regulations.

Current Openings for Manager, Provider Relations Jobs at Delta Dental of Oklahoma