Provider relations representative Jobs in St Louis, MO

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 :

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 :

4. Identifies opportunities for process improvement and implements changes to enhance efficiency and effectiveness. This work may include but is not limited to :

5. Supports PR Representatives in building relationships and resolving issues with escalated, complex or high priority providers. This work may include but is not limited to :

6. Participates as a strategic member on project teams and task forces for company initiatives. This work may include but is not limited to :

7. Develops relationships with managers of other departments to ensure strong collaboration and resolve process challenges. This work may include but is not limited to :

Regular and reliable attendance is required.

Other duties and responsibilities may be assigned.

Qualifications :

Environment :

This position currently functions as a hybrid role working from both home and in-office environments. Any home office setting must be conducive to all guidelines outlined by the organization. This role is required to regularly attend in-person meetings, the frequency of which is determined by management based on departmental or organizational needs.

Physical and Other Demands :

Specific vision abilities required by this job include the ability to adjust focus. While performing the duties of this job, the employee is regularly required to sit, talk and hear. The employee is frequently required to use hands and arms to handle, feel, reach and operate a computer. This job requires substantial typing.

DDMO provides reasonable accommodation to qualified individuals with a known disability unless doing so imposes an undue hardship.

Employees must be able to successfully perform the essential functions of this role with or without a reasonable accommodation.

Disclaimer :

This job description is designed to provide a general overview of the requirements of the job and does not entail a comprehensive listing of all activities, duties or responsibilities that will be required. The organization reserves the right to modify this job description at any time; including assigning or reassigning job duties or deleting this position at any time.