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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. 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.

This position is funded by a five-year grant and is expected to continue for the duration of the grant funding, up to five years. We are seeking a candidate who is interested in remaining in the position for that anticipated period. However, employment in this position is at will, and nothing in this posting creates a contract, guarantee of employment for any specific duration, or limitation on the employer’s right to end the employment relationship at any time, with or without cause or notice, subject to applicable law.

Position Description:

Leads strategic provider engagement and practice transformation efforts supporting Tennessee's Rural Health Transformation initiatives. Partners with participating providers and internal stakeholders to improve provider performance, access to care, quality outcomes, and program success.

Primary Job Responsibilities:

• Develops provider engagement and practice transformation strategies aligned with Rural Health Transformation goals, provider performance, access measures, and community needs.
• Provides strategic support to Provider Specialists by preparing meeting materials, presentations, scorecards, talking points, educational resources, and follow-up action plans.
• Analyzes provider data, operational trends, and performance measures to identify performance gaps and translate findings into provider-specific recommendations, improvement plans, dashboards, and reports that establish accountability and track results.
• Advises Provider Specialists and providers on difficult conversations, escalations, operational barriers, and improvement opportunities affecting patient care, program participation, and provider performance.
• Develops best-practice frameworks, workflow recommendations, tools, templates, and consistent messaging that support effective provider engagement and sustainable practice transformation.
• Partners with providers and Provider Specialists to establish measurable goals, monitor progress, and support adoption of value-based care, population health, and quality improvement strategies.
• Develops and delivers provider education through workgroups, webinars, training sessions, and collaborative learning opportunities focused on program requirements, quality measures, performance reports, and operational processes.
• Promotes providers’ use of improvement resources, community support, and healthcare transformation opportunities to advance patient outcomes and population health goals.
• Collaborates with Network Management, Quality Improvement, Population Health, Operations, Compliance, Clinical, and other internal teams to resolve provider issues and remove barriers to participation.
• Communicates provider feedback, market intelligence, opportunities, and risks to leadership to inform engagement priorities, strategic decisions, and Rural Health Transformation initiatives.

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 healthcare administration, business administration, public health, communications, or a related field, and five years of experience in provider relations, network management, healthcare operations, or account management. Experience with managed care or Medicaid programs and value-based care, population health, or healthcare transformation initiatives is preferred. Will accept any suitable combination of education, training or experience.

Position requires knowledge of practice operations, workflow optimization, quality improvement, practice transformation, dental insurance, and payer operations; understanding of value-based care, dental access, and provider onboarding, recruitment, and retention; strong provider-facing communication, presentation, facilitation, relationship-building, influencing, and stakeholder management skills; ability to develop consultative provider engagement and performance improvement strategies, prepare presentations, scorecards, educational materials, and action plans, and translate data into actionable recommendations; strong analytical, problem-solving, project management, and technology skills, including proficiency with Microsoft Office Suite, reporting tools, and provider management systems.

Position also requires the ability to travel throughout Tennessee to conduct provider visits, meetings, education sessions, and Rural Health Transformation activities.

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.