PCDH Coordinator and Tribal Liaison

Location: Northern

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* Job Title:

** PCDH Coordinator and Tribal Liaison
** Number of Positions:
** 1
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* Location:

** Okemos, MI
** Location Specifics:
** Hybrid Position
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* 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. Supports member education and engagement in dental care through collaboration with internal and external partners and serves as the primary organizational liaison to Tribal Nations and Tribal 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 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…