Associate Dental Director, Government Programs

Delta Dental Plan of Michigan, Inc.

Okemos (MI)

Hybrid

USD 170,000 - 210,000

Full time

3 days ago
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Benefits offered by this job

Medical benefits
401(k)
Tuition reimbursement
Volunteer time
Health coach
Personal trainer

Job summary

Delta Dental of Michigan, Ohio, and Indiana is seeking an Associate Dental Director to lead government programs dental consulting and utilization management in a hybrid Okemos, MI role. You will guide clinical staff, align workflows, and ensure compliance with applicable regulations.

Ideal candidates bring a DDS/DMD and extensive experience in government program management, with strong communication, problem-solving, and cross-functional collaboration skills.

Qualifications

  • Must have a D.D.S./D.M.D. degree and active license in applicable states.
  • Experience with Medicaid/Medicare Advantage or similar programs preferred.
  • Strong clinical and operational leadership abilities.

Responsibilities

  • Manages clinical staff and supports utilization management for government programs.
  • Provides advanced clinical and operational guidance and coordinates workload.
  • Performs complex clinical determinations for prior authorizations, appeals, and reviews.
  • Ensures compliance with federal/state statutes, NCQA/URAC standards in claims processing.
  • Leads training, documentation, and process improvements within the dental consulting team.
  • Collaborates with state partners and customers on utilization management matters.

Skills

Written and verbal communication
Interpersonal skills
Analytical thinking
Problem solving

Education

D.D.S./D.M.D. degree

Job description

Delta Dental of Michigan, Ohio, and Indiana is seeking an Associate Dental Director to lead government programs dental consulting and utilization management in a hybrid Okemos, MI role. You will guide clinical staff, align workflows, and ensure compliance with applicable regulations.

Ideal candidates bring a DDS/DMD and extensive experience in government program management, with strong communication, problem-solving, and cross-functional collaboration skills.

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