PCDH Coordinator and Tribal Liaison

What you'd do

• 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.