Rural Health Transformation Program Lead

Delta Dental Plan of Indiana, Inc.; Nashville, Northern (TN, KY); Hybrid; USD 90,000 - 140,000; Full time

Job summary

Delta Dental Plan of Indiana, Inc. in Nashville, TN seeks a Rural Health Transformation Program Lead to drive the implementation and ongoing management of dental and value-based care programs for rural and underserved communities.

This hybrid, grant-funded role spans up to five years, with cross-functional coordination, stakeholder engagement, and performance improvement to ensure compliance and successful operational and clinical outcomes.

Qualifications

• Bachelor’s degree in business administration, healthcare administration, public health, marketing, communications, or a related field.
• Five years of experience in dental insurance or payer operations, group benefit implementations, project management, or account management.
• Experience with value-based care models, population health, or healthcare transformation initiatives preferred.
• Knowledge of dental insurance and payer operations, contracts, eligibility processes, claims systems and workflows; experience with Medicaid.
• Ability to manage multiple implementations simultaneously; strong verbal and written communication; analytical and detail-oriented.

Responsibilities

• Leads implementation of assigned dental and value-based care programs from initial planning through go-live, ensuring timely execution and readiness.
• Develops, maintains, and manages project plans, timelines, deliverables, and milestones; identifies risks and resolves barriers.
• Coordinates system configuration, benefit setup, testing, and operational readiness activities for implementation and ongoing administration.
• Oversees payer operations related to eligibility, enrollment, claims processing, and program administration; partners with internal teams to resolve issues.
• Monitors performance post-implementation; manages updates, change requests, and alignment with client expectations.
• Drives continuous improvement by evaluating outcomes and program data to improve access, utilization, quality, and value-based care results.
• Partners with internal teams and external stakeholders to support implementation success and cross-functional alignment.
• Contributes implementation expertise to proposals, stakeholder presentations, and business development activities.

Skills

Verbal and written communication

Analytical thinking

Organizational skills

Project management

Education

Bachelor's degree in business administration or related field

Job description

Rural Health Transformation Program LeadSkip to main content# CareersRural Health Transformation Program Lead page is loaded## Rural Health Transformation Program LeadApplyremote type: This is a hybrid position, both in-office and remote.locations: Nashville, TNtime type: Full timeposted on: Posted 12 Days Agojob requisition id: JR101365**Job Title:**Rural Health Transformation Program Lead**Number of Positions:**1**Location:**Nashville, TN**Location Specifics:**Hybrid Position**Job Summary:**At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities. We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation.At Delta Dental, we celebrate our All In culture. It’s a mindset, feeling and attitude we wrap around all that we do – from taking charge of our careers, to helping colleagues and lending a hand in the community.**This position is funded by a five-year grant and is expected to continue for the duration of the grant funding, up to five years. We are seeking a candidate who is interested in remaining in the position for that anticipated period. However, employment in this position is at will, and nothing in this posting creates a contract, guarantee of employment for any specific duration, or limitation on the employer’s right to end the employment relationship at any time, with or without cause or notice, subject to applicable law.****Position Description:**Leads the implementation and ongoing management of dental and value-based care programs that support rural and underserved communities. Oversees program execution, cross-functional coordination, stakeholder engagement, and performance improvement to ensure operational success and compliance with business, contractual, and regulatory requirements.**Primary Job Responsibilities:*** Leads implementation of assigned dental and value-based care programs from initial planning through go-live, ensuring timely execution, alignment with business objectives, and readiness to support successful operational and clinical outcomes.* Develops, maintains, and manages detailed project plans, timelines, deliverables, and key milestones, while proactively identifying risks, resolving barriers, and coordinating activities needed to keep implementations on track.* Coordinates system configuration, benefit setup, testing, and operational readiness activities to ensure business processes, workflows, and supporting systems are fully prepared for implementation and ongoing administration.* Oversees payer operations related to eligibility, enrollment, claims processing, and program administration, partnering with internal teams to support accurate execution, issue resolution, and effective service delivery.* Monitors account and program performance following implementation, managing updates, issue resolution, and change requests while ensuring sustained operational effectiveness and alignment with client and program expectations.* Drives continuous improvement efforts by evaluating implementation outcomes, operational performance, and program data to identify opportunities to improve access, utilization, quality, and value-based care results.* Partners with internal teams and external stakeholders, including operational, clinical, account, and community partners, to support implementation success, strengthen cross-functional alignment, and respond to evolving business and program needs.* Contributes implementation expertise and subject matter knowledge to proposals, benefit comparisons, stakeholder presentations, and other business development activities that support growth, market readiness, and informed decision-making.Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.#LI-Hybrid**Minimum Requirements:**Position requires a bachelor’s degree in business administration, healthcare administration, public health, marketing, communications, or a related field and five years of experience in dental insurance or payer operations, group benefit implementations, project management, or account management. Experience with value-based care models, population health, or healthcare transformation initiatives is preferred. Will accept any suitable combination of education, training, or experience. Position requires knowledge of dental insurance and payer operations, group contracts, summary plan documents, eligibility processes, claims systems and operational workflows, and dental terminology and procedure codes; experience working with Medicaid programs; project management skills with the ability to manage multiple implementations simultaneously; strong verbal and written communication skills; ability to analyze complex issues, exercise independent judgment, and drive solutions; and strong organizational skills and attention to detail in a highly regulated environment.The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.