What are the responsibilities and job description for the Manager, Professional Relations position at Delta Dental of Wisconsin?
This position is responsible for planning, organizing, and managing the activities of the Professional Relations team in managing the dental network including Provider recruitment and retention, contract negotiation and administration, and development of strategic relationships with selected dental practices.
Delta Dental of Wisconsin offers a comprehensive benefit package which includes health and dental insurance, employer match within our 401(k) retirement plan, and a generous Paid Time Off program.
This is a full-time hybrid position located at our new headquarters in Stevens Point, Wisconsin. You do not want to miss this opportunity, apply today.
The Manager, Professional Relations:
- Facilitates implementation of company and department goals and objectives in support of Delta Dental of Wisconsin’s mission
- Manages working relationships with other company and department functions in alignment with Delta Dental of Wisconsin’s values
- Implements and ensures compliance with policies and procedures
- Implements and ensures operations of systems required to meet department objectives
- Reviews and approves human resource recommendations and conducts performance management
- Recommends department budget, analyzes and contributes to successful results
- Manages key performance metrics
- Develops and communicates key messages to staff
- Schedules and facilitates department meetings
- Wisconsin dentist networks development including:
- Recruit new dentists to Delta Dental networks
- Maintain ongoing relationships with network dentists, corporate clinic directors and their staff
- Interview/discuss options with dentists/corporate clinic directors to address business decisions related to network participation
- Manage dentist credentialing and re-credentialing
- Coordinate provider termination process
- Develop and implement corporate strategy for network development
- Manage Professional Relations Representative and Professional Relations Coordinator staff focusing on the daily function of the department; manage workflow
- Develop and coordinate team policies and procedures
- Plan and approve Human Resources recommendations to include hiring and training of motivated staff
- Conduct performance management of staff
- Actively participate in All Hands Operations Team Leader weekly meetings
- Develop and communicate key messages to staff; schedule and facilitate department meetings
- Recommend, analyze and contribute to successful results in Professional Relations budgeting
- Resolve issues with groups, agents, provider offices and internal customers, including direct problem solving and referrals
- Investigate fraud and abuse as requested through dental site visits and office audits
- Investigate and resolve dentist contract noncompliance
- Communicate current DDPA policies and procedures
- Assist in budget development process for the department
- Assist in development of annual Professional Relations plan including dentist communication and special projects to support external relationships
- Keep abreast of industry best practices with other Delta Dental member companies and other sources
