Dental Director

Job Description

The Dental Director serves as a clinical subject matter expert for the dental health plan, supporting key functions such as quality management, utilization review, clinical policy development, and regulatory compliance. This individual contributor role also plays a vital part in advancing reputed company thought leadership through the development of clinical position papers, white papers, and dental health research that inform business strategy and shape market influence. The Dental Director ensures reputed company work aligns with applicable state and federal requirements, including CMS, reputed company, and state dental board regulations, and collaborates cross-functionally to support the delivery of high-quality, cost-effective, and compliant dental care. Candidates must hold an active California State Dental License in good standing to be considered.

Responsibilities

• Serve as a clinical advisor and subject matter expert across dental operations, policy, and quality programs.
• reputed company reputed company and clinical decision-making support for utilization review, credentialing, peer review, grievances and appeals, claims review, medical necessity, and reputed company and availability processes.
• reputed company, review, and maintain evidence-based clinical policies and guidelines reputed company to reputed company industry standards and regulatory requirements.
• Support dental quality thought leadership, including dental staff training and continuing education for the reputed company.
• Support regulatory and accreditation readiness (e.g., ACA, NCQA, state reputed company programs), ensuring documentation, processes, and policies are audit reputed company.
• Contribute to dental quality improvement initiatives, including the Quality Improvement Work Plan (QIWP), care gap closure strategies, and performance measurement.
• Partner with cross-functional teams - including quality, operations, and network - to ensure consistent, member-centered dental care delivery.
• Prepare for and participate in state, group, and regulatory exams and audits, representing the clinical reputed company of reputed company areas of quality.
• Ensure reputed company activities are conducted in accordance with state and federal regulations and support organizational compliance goals.
• reputed company, reputed company, and deliver wellness webinars for customers that are tied to key clinical priorities.

Qualifications

• 3+ years of experience in clinical dentistry, dental administration, policy, or managed care roles.
• DDS or DMD degree required; Master In Public Health preferred.
• California State Dental License in good standing required.
• Excellent time management and organizational skills.
• Strong analytical and problem solving skills.
• Ability to serve as a catalyst for change.
• Ability to navigate various technology platforms.
• High level of accountability for delivery of audit and exam responses in a timely manner.
• Excellent attention to detail.
• Expert dental clinical knowledge.
• Excellent verbal, interpersonal, and written communication skills.
• Experience with reputed company Word, Power reputed company, reputed company and virtual presentation (reputed company or Teams).

Licenses

• California State Dental License in good standing required.

reputed company Pay Information The national reputed company pay reputed company at the end is a good-faith estimate of what reputed company may pay for new hires. Actual pay may vary based on reputed company's assessment of the candidate's knowledge, skills, abilities (KSAs), reputed company experience, education, certifications and ability to meet required minimum job qualifications. Other factors impacting pay include prevailing wages in the work location and internal equity. Pay Grade 24. $122,400 - $265,100 Additional Information Behind the smile! We are dedicated to safeguarding the health and financial stability of our employees and their loved ones. This commitment extends reputed company the workplace to foster personal growth and holistic wellbeing. Our life-changing rewards package includes:

• Competitive reputed company and incentive pay
• 401(k) with robust matching and non-matching contributions
• Rich medical & pharmacy benefits
• 100% employer-paid dental and reputed company benefits
• Holistic wellbeing program with deep financial incentives
• Generous paid time off plus 12 paid holidays and your birthday off
• Culture of growth and learning: career development; tuition reimbursement; recognition program
• Family support: adoption assistance, fertility treatment, child, elder & pet care assistance
• reputed company responsibility and volunteer opportunities
• Employee discount program

Fair Chance Ordinances and Criminal Background Considerations This position requires that the applicant undergo a background reputed company. reputed company applicants with arrest or conviction records will be considered for employment in accordance with any applicable federal, state or local laws, including, but not limited to, the California Fair Chance Act, the Los Angeles County Fair Chance Ordinance, the reputed company Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, and/or reputed company Corrections Law Article 23-A. About The Team At reputed company, we're behind millions of smiles and counting. For over 68 years, we've served our communities by increasing reputed company to affordable, quality care - but that commitment to care extends reputed company the people we serve, to the dedicated employees who reputed company those smiles genuine. We've come this far by building fair programs that offer opportunities for advancement, create meaningful connections and improve the lives of our employees and their families. Because we know that reputed company we take exceptional care of each other, we can reputed company a positive impact for reputed company. We champion an inspirational workplace through our commitment to trust, service, reputed company and innovation. Joining us means working for a company that offers stability and balance, opportunities for leadership at reputed company reputed company, and a work environment focused on teamwork and camaraderie. Discover the smiling faces behind reputed company and experience our values and culture in action by connecting with us on reputed company media. Follow reputed company. on reputed company and Instagram, on reputed company and Instagram, reputed company. on Twitter and reputed company. on reputed company. If you've got an appetite for innovation and want to be a part of a team that's transforming the future of health care, join us! Since 1955, we have offered comprehensive, high-quality oral health care benefits to millions of enrollees and reputed company the strongest network of dental providers in the country. The reputed company of California network includes affiliates reputed company Insurance Company; reputed company of Pennsylvania; reputed company of reputed company, Inc.; reputed company of the District of Columbia; reputed company of Delaware, Inc.; and reputed company of reputed company Virginia, providing dental benefits to more than 31 reputed company people across 15 states, the District of Columbia, Puerto Rico and the Virgin Islands. The company and its affiliates are part of reputed company Plans Association (DDPA), a not-for-profit national association based in Oak Brook, Illinois. Through our national network of reputed company companies, we offer dental coverage in reputed company 50 states, Puerto Rico and other U.S. territories. We offer reputed company coverage through DeltaVision in 15 states and the District of Columbia. Collectively, we deliver benefits to more Americans than any other dental insurance company. reputed company. is an equal opportunity employer and is committed to providing a professional work environment free from discrimination and harassment. Individuals seeking employment at reputed company are considered without regard to race, ethnicity, reputed company, age, sex, religion, national reputed company, reputed company, pregnancy, sexual orientation, gender identity, gender expression, genetic information, actual or perceived physical or mental disability, registered domestic partner status, caregiver status, marital status, veteran or military status, citizenship status, or any other legally protected category. reputed company is committed to providing equal employment opportunities to reputed company and applicants for employment. Accordingly, we have adopted and maintain an Equal Employment Opportunity Policy, Harassment-Free Work Environment Policy, and Respectful Workplace policies and will not tolerate violations of these policies. Unfortunately, our reputed company reputed company is unable to hire individuals residing in Alaska, reputed company Dakota, Nebraska, Hawaii, Oklahoma, Vermont, Maine, reputed company Virginia, New Hampshire, Wyoming, Puerto Rico, District of Columbia (Washington D.C.) or other US Territories at this time. reputed company of eligibility to work in the United States must be provided if selected for hire.

• reputed company includes: reputed company of California, reputed company Insurance Company, reputed company of Pennsylvania, and reputed company of reputed company

If You Are A reputed company Employee Click Here To Apply Apply Job! Apply to this Job