PCDH Coordinator and Tribal Liaison

Location: Okemos, MI

Number of Positions

1

Location

Okemos, MI

Location Specifics

Hybrid Position

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.

Position Description

AdministersthePatient Centered Dental Home(PCDH)assignmentprocessandrelatedprogramactivities, including system and workflow updates, provider and member requests, reporting, andstakeholdercommunication.Supports member education and engagement indental care through collaboration withinternal and external partners andserves as the primary organizational liaison toTribalNations andTribal health programs.

Primary Job Responsibilities

Supports key areas ofDDMIand the Contractor’s Dental Home Strategyprioritiesby monitoring utilization, prioritizing increased use of high-value preventive dental services, andsupporting thedesignofresponsibilities and high-value activities.

Implements Dental Home Strategy outreach, coaching, education, and engagementactivities for members and providers.

Collaborates with the project management teamto update, revise, and enhancethe Dental Home workflowsin Roosevelt.

Reviews andanalyzes Patient Centered Dental Home reports, utilization trends, provider manual content, and member handbook references to identifyopportunities and barriers related to dental care utilization.

Promotes access to preventive services through a trusted primary care dentist to support oral disease prevention, continuity of care,and reducedavoidable restorative care needs.

Facilitates communication among members, dental providers, Managed Care Organizations(MCO), case managers, community partners, and healthcare professionals to supportmember engagement andcontinuity of care.

Develops, recommends, implements, and supportsDental Home Strategypolicies, procedures, guidelines, operating standards, and compliance activities in alignment with applicable healthcare regulations, contractual requirements, and organizationalstandards.

Tracksprovider terminations and coordinates member reassignment to another Dental Home asneeded, includingreassignments requested byDDMI, providers,MCOs, or members.

Serves as the primary point of contact for Tribal partners regarding Dental Home assignment processes, member outreach, oral health initiatives, access-to-care concerns, and community partnership opportunities.

Participates in Tribal meetings, community outreach events, health fairs, and stakeholder forums to promote oral health education, Dental Home engagement, and community partnerships.

Assists in developing and implementing culturally and linguistically appropriate communication materials, outreach campaigns, and member education resourcesfor Tribal and Indigenous communities.

Monitors applicable Tribal, state, and federal requirements related to Tribal engagement and healthcare programs and supports compliance with contractual and regulatory requirements.

Supports quality improvement initiatives, population health programs, and Dental Home performance measures affecting Tribal and Indigenous populations, using engagement activity and access-trend data to inform continuous improvement.

Prepares reports, presentations, and recommendations for leadership regarding Tribal engagement, Dental Home utilization trends,outreach outcomes, member access trends,and opportunities to improve member access, experience, and health outcomes.

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, dental hygiene, community health, social work, or a related field, three years of experience in patient care coordination, healthcare program administration, community outreach, population health, or public health, andaTribalbackground or experience working with Tribal Nations, Tribal health programs, Urban Indian Organizations, or Indigenous communitiesthat provides sufficient familiarity with the Indian health care delivery system and managed care protections.Experience working with Medicaid populations and community-based health initiatives is preferred.Will accept any suitable combination of education, training, or experience.

Position requires knowledge of Patient Centered Dental Home principles, care coordination, oral health promotion, and population health management; ability to establish and maintain productive relationships with Tribal leaders, community organizations, healthcare providers, and government stakeholders; strong cultural competency skills with the ability to develop and support culturally responsive programs and communications; excellent communication, presentation, project management, and stakeholder engagement skills; and the ability toanalyze data, identify utilization trends, and develop actionable recommendations to improve member engagement and access to care.

Required travel up to 25%toprovider offices, Tribal communities, healthcare facilities, community events, and stakeholder meetings throughout the service area.

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.

Additional Locations: Farmington Hills, MI