Dental Home & Tribal Partnerships Coordinator

Delta Dental of Michigan; Okemos (MI); Hybrid; USD 55,000 - 70,000; Full time

Job summary

Delta Dental of Michigan, Ohio, and Indiana is seeking a PCDH Coordinator and Tribal Liaison in Okemos, MI. The role administers the Patient Centered Dental Home assignment process and related program activities, partnering with internal and external organizations to support member education and engagement.

As primary liaison to Tribal Nations and Tribal health programs, you will collaborate with providers, MCOs, case managers, and communities to promote preventive services, improve access to

Qualifications

• 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; Tribal background or experience with Tribal Nations is preferred.

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 workflows in Roosevelt.
• Reviews 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 reduced 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 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 resources for 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.

Job description

Delta Dental of Michigan, Ohio, and Indiana is seeking a PCDH Coordinator and Tribal Liaison in Okemos, MI. The role administers the Patient Centered Dental Home assignment process and related program activities, partnering with internal and external organizations to support member education and engagement.

As primary liaison to Tribal Nations and Tribal health programs, you will collaborate with providers, MCOs, case managers, and communities to promote preventive services, improve access to