All jobs

Transformational Leader Wanted: Provider Network Director

100% Remote Full-time Open now

Join our innovative team and experience the best of both worlds in this hybrid role based in Metropolitan Davidson County, Tennessee! As a Provider Network Director at Delta Dental of Michigan, Ohio, and Indiana, you will have the opportunity to drive success and make a significant impact on our organization. With a competitive salary and attractive remuneration package, this role is perfect for a strategic and visionary leader looking to take their career to the next level.

We are seeking a highly skilled and experienced professional to lead our Tennessee Medicaid network activities, ensuring continuous improvement of programs and services for TennCare. As a key member of our team, you will develop and implement network adequacy reports, process improvement strategies, and provider education activities, while also overseeing the annual departmental budget and enforcing policies and procedures.

Key Responsibilities:

  • Direct and evaluate Tennessee Medicaid network activities to ensure continuous improvement of programs and services for TennCare
  • Develop and implement network adequacy reports and process improvement strategies
  • Interview, hire, evaluate, and develop staff to ensure accountability for achievement of department goals and objectives
  • Develop and recommend new network programs and oversee their implementation
  • Coordinate and oversee dental provider education activities and communications
  • Develop and recommend the annual departmental budget and monitor its implementation
  • Communicate with and advise executive management on the planning and activities of government business

Requirements:

  • Bachelor's degree in Business Administration or a related field
  • Seven years of related experience in the business of healthcare (dentistry preferred)
  • Two years of management experience
  • Advanced knowledge of medical terminology and procedures (dental preferred)
  • Strong verbal and written communication skills
  • Strong analytical skills and ability to analyze and resolve complex problems using independent judgment

What We Offer:

  • Competitive salary and remuneration package
  • Comprehensive benefits package, including medical, dental, and vision coverage
  • Short- and long-term disability, life insurance, and 401(k) savings plans
  • Flex spending accounts and tuition reimbursement or educational assistance
  • Annual incentive compensation based on annual business goals
  • Paid volunteer time and access to an on-staff health coach and personal trainer

Join Our Team: At Delta Dental, we celebrate our All In culture, which is a mindset, feeling, and attitude that we wrap around all that we do. We are committed to improving oral health through benefit plans, advocacy, and community support, and we amplify our mission by investing in initiatives that build healthy, smart, vibrant communities for all. If you are a motivated and experienced professional looking for a new challenge, apply now and take the first step towards a rewarding new role.

Submit Your Application

Seize this opportunity to make a significant impact. Apply now and join our team of dedicated professionals who are passionate about improving oral health and making a difference in their communities.

Apply To This Job Apply for this job

You might also like

Medicaid Contracts Manager (Remote Option) - Unlock Your Potential with a Leading Healthcare Organization

100% Remote Full-time

Join Our Team: Provider Engagement Representative - Remote Opportunity in Indiana

100% Remote Full-time

Remote Property Listing Data Entry Specialist

100% Remote Full-time

Remote Property & Casualty Licensed Insurance Representative

100% Remote Full-time

Remote Proofreader & Customer Representative Specialist

100% Remote Full-time

Remote Proof of Claim Processor - Join Our Innovative Team!

100% Remote Full-time

Join Our Team: Promotional and Partner Operations Associate Manager

100% Remote Full-time

Project Specialist - Unlock the Magic of Safety Assurance at Disney

100% Remote Full-time

Remote Project Specialist - Commercial: Unlock Your Potential in the Consumer Packaged Goods Industry

100% Remote Full-time

Remote Project Manager & Customer Success Specialist (Math) - Make a Lasting Impact on Education

100% Remote Full-time

Experienced Customer Service Representative (Remote) – Deliver Exceptional Experiences for arenaflex Customers

100% Remote Full-time

Director of Operations (West Region)

100% Remote Full-time

New Graduate RN - Registered Nurse

100% Remote Full-time

Experienced Entry-Level Online Customer Service Representative – Digital Support Specialist

100% Remote Full-time

IT SOX Compliance Lead

100% Remote Full-time

Supply Chain Senior Analyst-remote within the US Northeast

100% Remote Full-time

[Remote-Position] Potential Contractor (Remote)

100% Remote Full-time

Clinical Fraud Investigator II – RN and CPC – Carelon Payment Integrity SIU, Hybrid Multiple Locations

100% Remote Full-time

Remote Tutor Advisor – Full‑Time Educational Support Specialist for K‑12 Student Intervention (25 Nationwide Positions)

100% Remote Full-time

Reimbursement Specialist I (12:30-9:00pm CST)

100% Remote Full-time