Job Details

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:

Supports care coordination, outreach, education, and quality-related activities for Healthy Kids Dental (HKD), Healthy Michigan Plan (HMP)/adult Medicaid health plan partners and other tristate Medicaid or Medicare Advantage plans. Assists members, families, providers, and internal teams with access to services, documentation, communications, and program support.

Primary Job Responsibilities:

• Responds to routine inquiries from members, families, providers, and other stakeholders, connecting them to available services, resources, and program information for Medicaid and/or Medicare programs.
• Assists with coordinating service plans and follow-up activities by gathering information, tracking member needs, and supporting care goals under guidance from more experienced staff.
• Enters and maintains accurate documentation of member interactions, assessments, service plan updates, outreach activities, and outcomes in designated systems and databases.
• Provides standard education and support to members and stakeholders through outreach calls, care coordination activities, community events, virtual engagement, and other approved communication channels.
• Updates and organizes policies, procedures, work instructions, and other operational documentation as directed to support departmental activities.
• Supports relationships with community organizations, professional associations, and other stakeholders by coordinating information, scheduling activities, and assisting with outreach and engagement efforts.
• Assists with preparing content, materials, and communications that promote awareness, education, service utilization, and program goals.
• Supports communication campaigns and outreach initiatives by assisting with content preparation, stakeholder communications, scheduling, reporting, and basic follow-up on results.
• Serves as a support resource for internal and external partners by assisting with quality improvement activities, member engagement efforts, care coordination tasks, program support, and performance improvement projects.
• Identifies routine issues or trends and shares observations with leadership or experienced team members to support improvements in member engagement, access to services, utilization, and outcomes.
• Provides administrative and operational support to departmental teams by preparing routine reports, communications, documentation, and responses to requests from internal stakeholders and business partners.

Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.