PCDH Coordinator and Tribal Liaison

Job Title: PCDH Coordinator and Tribal Liaison 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: Administers   the   Patient Centered Dental Home   (PCDH)   assignment   process   and   related   program   activities , including system and workflow updates, provider and member requests, reporting, and   stakeholder   communication.   S upports member education  and engagement in   dental care through collaboration with   internal and external partners and   serves as the primary organizational liaison to   T ribal   N ations and   T ribal health programs.  Primary Job Responsibilities: Supports key areas of   DDMI   and the Contractor’s Dental Home Strategy   priorities   by monitoring utilization, prioritizing increased use of high-value preventive dental services, and   supporting the   design   of   responsibilities and high-value activities.  Implements Dental Home Strategy outreach, coaching, education, and engagement   activities for members and providers .  Collaborates with the project management team   to update, revise, and enhance   the Dental Home workflow s   in Roosevelt.  Review s and   analyzes Patient Centered Dental Home reports , utilization trends, provider manual content, and member handbook references to identify   opportunities 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 reduce d   avoidable restorative care needs.  Facilitates communication among members, dental providers, Managed Care Organizations (MCO) , case managers, community partners, and healthcare professionals to support   member engagement and   continuity of care.  Develops, recommends, implements, and supports   Dental Home Strategy   policies, procedures, guidelines, operating standards , and compliance activities in alignment with applicable healthcare regulations, contractual requirements, and organizational   standards.   Tracks   provider terminations and coordinates member reassignment to another Dental Home as   needed, including   reassignments requested by   DDMI , providers,   MCOs , or members.  Serves as the primary point of contact for Tribal partners regarding Dental…