Tiffany Lipes
Moseley,VA
Summary
Dynamic Network Development Manager with a proven track record at Delta Dental of Virginia, excelling in strategic partnerships and contract negotiations. Expertise in quality assurance and project management, driving organizational growth and enhancing provider performance. Recognized for leadership in fostering collaboration and achieving significant improvements in service offerings.
Overview
11
11
years of professional experience
Work History
Network Development Manager
Delta Dental of Virginia
Richmond , Va
01.2025 - Current
- Established strategic partnerships with healthcare providers, expanding network reach across Eastern, Central, and Southwest Virginia.
- Executed contract negotiations with dental providers, securing favorable terms for organizational growth.
- Directed recruitment initiatives for new business opportunities, enhancing service offerings.
- Conducted regular assessments of provider performance to maintain high-quality standards.
- Facilitated communication between internal teams and external partners, ensuring project alignment and efficiency.
- Organized and led provider workshops to promote continued education opportunities.
Account Operations Manager
Elevance Health
Moseley, USA
04.2023 - Current
- Tracked and analyzed reports to determine needed improvements.
- Client/Broker account management.
- Retains business for Elevance Life and Disability.
- Motivated and trained employees to maximize team productivity.
- Leads customer resolution team handles escalated client concerns.
- Manages 26K broker and customer accounts and handles escalated issues and resolutions.
- Weekly inventory reporting.
- Interprets data to set goals for completion of caseloads for team.
- Developed and implemented strategic project plans to meet business objectives.
- Collaborates with multiple teams including sales, marketing and implementation.
- Updates and provides clients with current feedback and business objectives.
- Formerly Anthem
Business Analyst Consultant (Dentistry)
Elevance Health
Moseley, USA
10.2021 - 04.2023
- Conducted complex research, review and analysis of medical records, treatment plans and claim information.
- Determined medical necessity and cost-effectiveness of services through utilization review processes.
- Collaborated with DSO's to obtain required clinical information, supporting prior authorization determinations and individual inquiries.
- Created and maintained documents and records, maintaining accuracy while managing sensitive data.
- Performed quality assurance to assess data and validate results.
- Compiled data on quality issues and vulnerabilities and reported findings with suggestions for improvement.
- Formerly Anthem
Director of Operations
Bright Smiles Dental
08.2019 - 10.2021
- Responded to patient queries and concerns to resolve issues in accordance with company policies and procedures, healthcare regulations and dental board guidelines.
- Developed initiatives for process improvement and assessed ongoing operations.
- Managed contracts with vendors and suppliers.
- Oversaw financial management, budget and payroll processes.
- Quarterly reviews with business owners to optimize business operations.
Registered Dental Hygienist
Bright Smiles Dental
05.2015 - 10.2021
- Educated patients on oral health procedures and built patient trust, rapport, and treatment acceptance.
- Gathered and interpreted patient data to determine appropriate treatment planning using newest technology in digital radiography, intraoral cameras and iterro technology.
- Invisalign sales acceptance from 0-35 cases in a 6-month period.
- Achieved Gold status with Align in one year.
- Maintained 20% case acceptance growth for a 3-year period reaching diamond status in 2019.
- Directed staff hygienist training programs in periodontal techniques and procedures.
Senior Sales and Project Coordinator
Juice plus company
10.2014 - 08.2019
- Established relationships with key customers and medical offices providing personalized service and support.
- Presented continuing education courses to peers and dental professionals based on companies periodontal peer reviewed study.
- Coached junior members of the team on best practices for delivering successful pitches.
- Managed a team of sales representatives in order to meet individual and collective targets.
- Hit sales goals consecutively promoting to a senior level.
- B2B and B2C sales.
- Customer retention of 75% in 4 years residual volume.
Education
Bachelor of Science - Dental Hygiene
Virginia Commonwealth University
Richmond, VA05.2011
Skills
- Quality assurance
- Project management
- Microsoft SharePoint
- Salesforce
- Google docs
- Account management and client relations
- Presentation skills
- Customer relationship management
- Research and analysis
- B2B sales
- Leadership and management
- Microsoft Office proficiency
- Contract negotiation skills
- Provider assessment techniques
- Strategic partnerships
- Performance tracking
- Problem solving
Timeline
Network Development Manager
Delta Dental of Virginia
01.2025 - Current
Account Operations Manager
Elevance Health
04.2023 - Current
Business Analyst Consultant (Dentistry)
Elevance Health
10.2021 - 04.2023
Director of Operations
Bright Smiles Dental
08.2019 - 10.2021
Registered Dental Hygienist
Bright Smiles Dental
05.2015 - 10.2021
Senior Sales and Project Coordinator
Juice plus company
10.2014 - 08.2019
Bachelor of Science - Dental Hygiene
Virginia Commonwealth University