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.
Requirements
- Active California State Dental License
- Serve as a clinical advisor and subject matter expert across dental operations, policy, and quality programs.
- Provide oversight and clinical decision-making support for utilization review, credentialing, peer review, grievances and appeals, claims review, medical necessity, and access and availability processes.
- Develop, review, and maintain evidence-based clinical policies and guidelines aligned to current industry standards and regulatory requirements.
- Support regulatory and accreditation readiness, ensuring documentation, processes, and policies are audit ready.
- 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 to ensure consistent, member-centered dental care delivery.
- Prepare for and participate in state, group, and regulatory exams and audits, representing the clinical oversight of all areas of quality.
Benefits
- Competitive base and incentive pay
- 401(k) with robust matching and non-matching contributions
- Rich medical & pharmacy benefits
- 100% employer-paid dental and vision 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
- Social responsibility and volunteer opportunities
- Employee discount program
Originally posted on Himalayas
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