New

Dental Director

Delta Dental of California
$122,400 - $265,100
dental insurance, paid time off, paid holidays, tuition reimbursement, 401(k), employee discount
United States, Pennsylvania, Camp Hill
Jul 03, 2025
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 enterprise 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 all work aligns with applicable state and federal requirements, including CMS, Medicaid, 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. 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 dental quality thought leadership, including dental staff training and continuing education for the enterprise. Support regulatory and accreditation readiness (e.g., ACA, NCQA, state Medicaid programs), 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 - 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 oversight of all areas of quality. Ensure all activities are conducted in accordance with state and federal regulations and support organizational compliance goals. Lead, develop, 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 Microsoft Word, Power Point, Excel and virtual presentation (Zoom or Teams). Licenses * California State Dental License in good standing required. Base Pay Information The national base pay range at the end is a good-faith estimate of what Delta Dental may pay for new hires. Actual pay may vary based on Delta Dental's assessment of the candidate's knowledge, skills, abilities (KSAs), related 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 beyond the workplace to foster personal growth and holistic wellbeing. Our life-changing rewards package includes: 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 Fair Chance Ordinances and Criminal Background Considerations This position requires that the applicant undergo a background check. Qualified 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 City of Los Angeles Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, and/or New York Corrections Law Article 23-A. #LI-Remote ABOUT THE TEAM At Delta Dental, we're behind millions of smiles and counting. For over 68 years, we've served our communities by increasing access to affordable, quality care - but that commitment to care extends beyond the people we serve, to the dedicated employees who make 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 when we take exceptional care of each other, we can make a positive impact for all. We champion an inspirational workplace through our commitment to trust, service, excellence and innovation. Joining us means working for a company that offers stability and balance, opportunities for leadership at all levels, and a work environment focused on teamwork and camaraderie. Discover the smiling faces behind Delta Dental and experience our values and culture in action by connecting with us on social media. Follow Delta Dental Ins. on Facebook and Instagram, #LifeatDDins on Facebook and Instagram, Delta Dental Ins. on Twitter and Delta Dental Ins. on LinkedIn. 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 built the strongest network of dental providers in the country. The Delta Dental of California network includes affiliates Delta Dental Insurance Company; Delta Dental of Pennsylvania; Delta Dental of New York, Inc.; Delta Dental of the District of Columbia; Delta Dental of Delaware, Inc.; and Delta Dental of West Virginia, providing dental benefits to more than 31 million people across 15 states, the District of Columbia, Puerto Rico and the Virgin Islands. The company and its affiliates are part of Delta Dental Plans Association (DDPA), a not-for-profit national association based in Oak Brook, Illinois. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. We offer vision coverage through DeltaVision in 15 states and the District of Columbia. Collectively, we deliver benefits to more Americans than any other dental insurance company. Delta Dental Ins. is an equal opportunity employer and is committed to providing a professional work environment free from discrimination and harassment. Individuals seeking employment at Delta Dental are considered without regard to race, ethnicity, color, age, sex, religion, national origin, ancestry, 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. Delta Dental is committed to providing equal employment opportunities to all employees 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 Delta Dental Enterprise is unable to hire individuals residing in Alaska, North Dakota, Nebraska, Hawaii, Oklahoma, Vermont, Maine, West Virginia, New Hampshire, Wyoming, Puerto Rico, District of Columbia (Washington D.C.) or other US Territories at this time. Proof of eligibility to work in the United States must be provided if selected for hire. Delta Dental includes: Delta Dental of California, Delta Dental Insurance Company, Delta Dental of Pennsylvania, and Delta Dental of New York If You Are A Current Employee Click Here* To Apply