Provider Relations Representative

Title: Provider Relations Representative

Location: Centennial, Colorado, 80111, United States

Department: Provider Relations

Job category: Provider Relations

Requisition number: PROVI001293

Full-time

Hybrid

Locations

Showing 1 location

Corporate Headquarters

Centennial, CO 80111, USA

Job Description:

Job details

Description

 

This is a hybrid role requiring one day in the office weekly, based on organizational needs. This position also requires regular travel to dental office locations.

Compensation: This position is exempt, and the salary range is $54,683-$72,197 annually plus is eligible for an internet and phone allowance.

The Provider Relations Representative serves as the primary liaison between Delta Dental of Colorado and dental providers, fostering strong partnerships and ensuring provider satisfaction. This role is responsible for managing provider accounts, resolving inquiries, and delivering education on networks, benefit programs, and policies. Key responsibilities include developing service plans, supporting credentialing processes, promoting technology adoption, network relationship building and collaborating across departments to enhance provider experience and network performance.

Qualifications:

• Minimum of 5 years of healthcare/dental experience, including insurance knowledge and professional interactions with providers.
• Demonstrated ability to deliver exceptional customer experiences internally and externally.
• Strong organizational skills with the ability to manage multiple priorities and follow through effectively.
• Excellent communication and presentation skills.
• Ability to navigate crucial conversations and build strong relationships.
• Collaborative mindset with the ability to work constructively with diverse teams and adapt to varying work styles.

Education and Experience:

• Bachelor’s degree in a related field (preferred though not required).
• At least 5 years of relevant healthcare/dental experience, ideally in provider relations or a similar role.
• Background in healthcare administration, account management, and/or sales.
• Experience interacting professionally with dental and medical professionals.
• Familiarity with Salesforce or other CRM platforms.
• Knowledge of key industry drivers and emerging trends in medical and dental care.

Skills and Abilities:

• Strong presentation and public speaking skills are preferred.
• Excellent verbal and written communication abilities.
• Ability to work independently and collaboratively within a team environment.
• Proficiency in Microsoft Office Suite, including Excel and PowerPoint.
• Proven problem-solving and analytical skills.
• Ability to interpret data and make informed decisions with minimal supervision.
• Skilled in managing challenging conversations while maintaining positive relationships.
• Comfortable learning new software and technology platforms in a fast-paced environment.
• Ability to multi-task and maintain multiple initiatives at the same time.

Essential Functions:

• Develop and execute account service plans for assigned territories using a proactive approach with measurable goals, KPIs, and metrics.
• Maintain network stability by building positive relationships with dental offices through routine visits, service follow-ups, and educational training.
• Serve as the primary point of contact for provider inquiries related to contracts, escalated claims, fees, participation, and other issues.
• Regularly review Salesforce and other departmental data to identify and address provider concerns proactively.
• Maintain up-to-date knowledge of provider contracts, fee schedules, and network programs (PPO, Premier, Government programs).
• Share provider reports, dashboards, and other analytics with providers and office staff.

Other Responsibilities:

• Perform additional duties as assigned to support provider relations and organizational objectives.

Working Conditions:

• Professional office setting with routine use of computers, phones, and standard office equipment.
• Essential functions can be performed with or without reasonable accommodation.
• Minimal physical effort consistent with office work; regular exposure to computer screens.
• Hybrid role requiring one day in the office weekly, based on organizational needs.
• Regular travel to dental office locations; minimal overnight travel for annual conferences.
• Reliable vehicle, valid driver’s license, and current auto insurance are required for travel.

Benefits:

Delta Dental of Colorado offers a comprehensive compensation and benefits package. Some of the highlights from our benefits package include:

• 23 Days of PTO
• 11 paid holidays
• 6 paid illness days
• Three affordable medical health plans
• Fantastic dental insurance plan
• Delta Vision and Delta Hearing plans
• 401(k) match with immediate vesting
• Supplemental retirement savings plan
• Company-paid life insurance, short-term disability, and long-term disability policies
• Wellness program
• Team member recognition program
• Tuition reimbursement
• ECO Passes for team members (we are near a light rail station!)
• Paid volunteer time off

 

This is a hybrid role requiring one day in the office weekly, based on organizational needs. This position also requires regular travel to dental office locations.

Compensation: This position is exempt, and the salary range is $54,683-$72,197 annually plus is eligible for an internet allowance, and phone allowance.

Posting Close Date: 12/29/25

 

Delta Dental of Colorado is proud to be an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity, genetic information, military or veteran status, national origin, race, religion, sex, sexual orientation, or any other applicable status protected by state or local law.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.