Hybrid Dental Director: Government Programs & Utilization

Delta Dental Plan of Indiana, Inc.; Okemos (MI); Hybrid; USD 150,000 - 190,000; Full time

Job summary

Delta Dental of Michigan, Ohio, and Indiana seeks an Associate Dental Director to lead government programs dental consulting and utilization management in a hybrid role based in Okemos, MI. The position requires a dental degree, an active license, and extensive clinical and program-management experience.

Responsibilities include directing clinical staff, ensuring compliance with federal/state rules, and delivering complex determinations for authorizations, grievances, and appeals within a

Qualifications

• Must hold a DDS or DMD and an unrestricted dental license in required states.
• Experience with Medicaid/Medicare or government programs is preferred.
• Ability to interpret clinical and administrative documentation.

Responsibilities

• Oversee claims adjudication and utilization management for government programs.
• Coordinate workload, training, auditing, and policy compliance across staff.
• Provide complex clinical determinations for prior authorizations and appeals.
• Lead cross-functional meetings with state partners and customers.
• Maintain documentation, training materials, and system testing for clinical processes.

Skills

Written communication

Verbal communication

Interpersonal skills

Analytical thinking

Independent judgment

Education

DDS or DMD from an accredited dental school

Job description

Delta Dental of Michigan, Ohio, and Indiana seeks an Associate Dental Director to lead government programs dental consulting and utilization management in a hybrid role based in Okemos, MI. The position requires a dental degree, an active license, and extensive clinical and program-management experience.

Responsibilities include directing clinical staff, ensuring compliance with federal/state rules, and delivering complex determinations for authorizations, grievances, and appeals within a