Talent.com
Provider Relations Network Manager
Provider Relations Network ManagerDelta Dental of Missouri • St Louis, MO, United States
No longer accepting applications
Provider Relations Network Manager

Provider Relations Network Manager

Delta Dental of Missouri • St Louis, MO, United States
30+ days ago
Job type
  • Full-time
Job description

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 :

  • Conducting weekly coaching conversations to ensure development of team members;
  • Fostering a positive and motivating work environment by recognizing and rewarding achievements and providing constructive feedback;
  • Creating a culture of continuous learning and professional development;
  • Conducting performance reviews and performance management discussions with direct reports;
  • Creating development plans and documentation for tracking performance, setting expectations and ensuring compliance with all applicable employment laws;
  • Completing quarterly check-ins with team members to ensure progression of individual development plans;
  • Conducting all disciplinary actions including terminations within the department.
  • 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 :

  • Creating a strategic plan for facilitating in-person visits of key providers in the network based on utilization and member size;
  • Generating and analyzing regular reports on provider network metrics, identifying trends and areas for improvement;
  • Establishing benchmarks and performance standards for Provider Relations Representatives;
  • Recommending and executing strategic solutions to ensure goals and metrics are achieved;
  • Utilizing advanced analytics tools and methodologies to forecast future performance trends and proactively address potential challenges;
  • Monitoring industry best practices and technological advancements to continually optimize the provider experience and KPI performance;
  • Presenting KPI insights and recommendations to senior management and key stakeholders to inform strategic decision-making processes;
  • Developing and maintaining a culture of accountability and continuous improvement within the department;
  • Meeting or exceeding key metrics as outlined in team and individual goals.
  • 4. Identifies opportunities for process improvement and implements changes to enhance efficiency and effectiveness. This work may include but is not limited to :

  • Implementing automation solutions to reduce manual workload and increase operational efficiency;
  • Leading cross-functional teams to design and implement process improvement initiatives;
  • Benchmarking processes against industry standards and best practices to identify areas for improvement and maintain competitiveness;
  • Collaborating with other departments to streamline workflows or implement company initiatives.
  • 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 :

  • Reviewing and approving exception items on provider agreements;
  • Providing coaching on escalations and exceptions to empower team members;
  • Addressing provider concerns and new developments in the business;
  • Scripting talking points to address provider concerns or new developments with the business;
  • Engaging with key providers to further enhance the provider experience.
  • 6. Participates as a strategic member on project teams and task forces for company initiatives. This work may include but is not limited to :

  • Providing valuable input and insights from the Provider Relations perspective during the planning and execution phases of company-wide projects and initiatives;
  • Sharing routine updates to other departments to highlight strengths and challenges of the provider experience in a professional manner;
  • Collaborating with cross-functional teams to ensure that provider requirements and considerations are integrated into project plans and timelines;
  • Leveraging data and analytics to inform project decision-making and identify opportunities for synergy or integration with existing operations;
  • Championing the implementation of project deliverables within the Provider Relations department, ensuring that staff are trained and equipped to support new processes or systems effectively;
  • Monitoring project progress and milestones, identifying potential risks or obstacles impacting the provider network, and proactively proposing solutions or mitigation strategies.
  • 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 :

  • Meeting formally and informally with peers from other departments to build rapport, share best practices and understand business trends;
  • Providing routine updates to other departments highlighting feedback from providers on strengths and challenges of service in a professional manner;
  • Fostering positive relationships with managers and team leads from other departments to understand their needs, challenges and opportunities to innovate;
  • Providing support and assistance to managers from other departments when they encounter challenges related to provider relations;
  • Establishing trust and credibility with managers from other departments through open communication, reliability, and a commitment to mutual success.
  • Regular and reliable attendance is required.

    Other duties and responsibilities may be assigned.

    Qualifications :

  • 5+ years' experience in the dental industry, insurance or financial services field preferred;
  • 5+ years' leadership experience;
  • Experience providing coaching, feedback or mentorship to team members;
  • Advanced problem-solving and decision-making abilities;
  • Exceptional verbal and written communication skills;
  • Detail-oriented with a commitment to accurate documentation.
  • 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.

    Create a job alert for this search

    Manager Provider Network • St Louis, MO, United States

    Related jobs
    Provider Relations Network Manager

    Provider Relations Network Manager

    Delta Dental of Missouri • St. Louis, MO, USA
    Full-time
    Quick Apply
    Delta Dental of Missouri is seeking a.Provider Relations Network Manager.If you excel at problem-solving, have a proven track record of coaching teams to achieve results, and are ready to make an i...Show more
    Last updated: 30+ days ago
    Relationship Manager

    Relationship Manager

    VirtualVocations • Saint Louis, Missouri, United States
    Full-time
    A company is looking for a Relationship Manager to develop and maintain effective client relationships.Key Responsibilities Develop and maintain relationships within an existing customer portfoli...Show more
    Last updated: 30+ days ago • Promoted
    Portfolio Relationship Manager - Data Centers

    Portfolio Relationship Manager - Data Centers

    Associated Bank - Corp • St. Louis, MO, United States
    Full-time
    At Associated Bank we strive to create an inclusive culture where different perspectives are valued and recognized as strengths critical to our success. If you thrive in an environment where your gr...Show more
    Last updated: 30+ days ago • Promoted
    Director Network Performance

    Director Network Performance

    VirtualVocations • Saint Charles, Missouri, United States
    Full-time
    A company is looking for a Director of Network Performance & Engagement.Key Responsibilities Lead initiatives to monitor and improve provider performance focusing on quality, efficiency, cost...Show more
    Last updated: 4 days ago • Promoted
    Senior Alliances Manager

    Senior Alliances Manager

    VirtualVocations • Florissant, Missouri, United States
    Full-time
    A company is looking for a Senior Alliances Manager (Remote).Key Responsibilities Assist partner and sales leadership in shaping the partner experience and Go-To-Market Strategy Achieve revenue,...Show more
    Last updated: 30+ days ago • Promoted
    Network Operations Center Manager

    Network Operations Center Manager

    VirtualVocations • Saint Charles, Missouri, United States
    Full-time
    A company is looking for a Network Operations Center Manager to lead a team of technical support specialists in a 24 / 7 environment. Key Responsibilities Manage and oversee a distributed team of NO...Show more
    Last updated: 30+ days ago • Promoted
    Telemedicine Physician

    Telemedicine Physician

    QuickMD • Millstadt, IL, US
    Full-time
    QuickMD is a leading telemedicine provider, delivering high-quality virtual care across 44 states.Since our founding in 2019, we have helped more than 100,000 patients access essential medical trea...Show more
    Last updated: 30+ days ago • Promoted
    Travel Nurse RN - ER

    Travel Nurse RN - ER

    Titan Medical Group • Old Monroe, MO, US
    Full-time
    WHEN YOU WORK FOR US, WE WORK FOR YOU\n.With Titan Medical, you gain access to thousands of travel nursing and allied health jobs across the country. You also get unmatched service.From the moment y...Show more
    Last updated: 17 hours ago • Promoted • New!
    Network & Telecom Manager

    Network & Telecom Manager

    VirtualVocations • Saint Charles, Missouri, United States
    Full-time
    A company is looking for a Manager, Architect Network & Telecom.Key Responsibilities Lead the design, installation, and maintenance of telecommunications equipment and data communication systems ...Show more
    Last updated: 3 days ago • Promoted
    Client Relationship Manager

    Client Relationship Manager

    VirtualVocations • Florissant, Missouri, United States
    Full-time
    A company is looking for a Client Relationship Manager responsible for fostering relationships with key clients in the biotech and pharmaceutical sectors. Key Responsibilities Build and maintain s...Show more
    Last updated: 30+ days ago • Promoted
    Medicare Network Manager

    Medicare Network Manager

    VirtualVocations • Florissant, Missouri, United States
    Full-time
    A company is looking for a Manager, Provider Network - Medicare.Key Responsibilities Oversee recruitment, contracting, and onboarding of providers to ensure network adequacy for Medicare Advantag...Show more
    Last updated: 1 day ago • Promoted
    Network Provisioning Engineer

    Network Provisioning Engineer

    VirtualVocations • Saint Charles, Missouri, United States
    Full-time
    A company is looking for a Network Provisioning Engineer.Key Responsibilities Design, develop, and modify network solutions to ensure exceptional client experience and service delivery integrity ...Show more
    Last updated: 1 day ago • Promoted
    Network Operations Manager

    Network Operations Manager

    VirtualVocations • Florissant, Missouri, United States
    Full-time
    A company is looking for a Network Operations Manager to shape the future of its clinical provider network.Key Responsibilities Support the development and execution of network growth strategies ...Show more
    Last updated: 30+ days ago • Promoted
    Contractor Network Coordinator

    Contractor Network Coordinator

    VirtualVocations • Saint Louis, Missouri, United States
    Full-time
    A company is looking for a Contractor Network Coordinator.Key Responsibilities Reviews and processes compliance documents for onboarding and existing Contractor Accounts Obtains necessary creden...Show more
    Last updated: 1 day ago • Promoted
    Fifth Third Wealth Advisors, Relationship Manager

    Fifth Third Wealth Advisors, Relationship Manager

    Fifth Third Bank • St. Louis, MO, United States
    Full-time
    Make banking a Fifth Third better.We connect great people to great opportunities.Are you ready to take the next step? Discover a career in banking at Fifth Third Bank. GENERAL FUNCTION : The Fifth Th...Show more
    Last updated: 30+ days ago • Promoted
    Relationship Manager III

    Relationship Manager III

    Cass Information Systems • St. Louis, MO, United States
    Full-time
    The RM is responsible for building comprehensive financial relationships with existing and prospective clients by combining a thorough knowledge of the client's operations, condition, leadership, g...Show more
    Last updated: 30+ days ago • Promoted
    Provider Network Administration Specialist

    Provider Network Administration Specialist

    VirtualVocations • Florissant, Missouri, United States
    Full-time
    A company is looking for a Senior Specialist, Provider Network Administration.Key Responsibilities Validate and maintain provider information in enrollment and provider databases Collaborate wit...Show more
    Last updated: 4 days ago • Promoted
    Regional Network Development Associate

    Regional Network Development Associate

    VirtualVocations • Florissant, Missouri, United States
    Full-time
    A company is looking for a Regional Network Development Associate to engage aging-in-place service providers and support them through the application and credentialing process.Key Responsibilities ...Show more
    Last updated: 1 day ago • Promoted