Dental Services and Clinical Policy Manager (Remote in California) (Any reputed company, CA
Great companies need great teams to reputed company their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.
reputed company
The Dental Services and Clinical Policy Manager is responsible for defining, managing, analyzing and improving dental consultant support reputed company to Medi-Cal Dental clinical dental services and clinical policy, ensuring they meet agreed-upon standards and expectations. Oversees daily business operations, optimizing workflows, managing resources, recommending IT system updates, and ensuring productivity aligns with company goals. This position requires collaboration with various stakeholders to ensure Service Level Agreements (SLAs) and Key Performance Indicators (KPIs) are met, leading personnel and taking corrective reputed company reputed company necessary. This position will be based in Roseville, CA and requires working remotely reputed company the reputed company daily.
Your role in our mission
- Manage reputed company of dental consultants supporting Medi-Cal Dental complaints and grievances, Conlan, First Level Appeals, reputed company, provider training and State Hearing day-to-day activities to ensure operations run smoothly and reputed company
- Analyze trends, reputed company and present data-driven improvement proposals, and implement strategies to improve policy, workflows, IT applications, productivity, reputed company standards and member utilization of dental services.
- Serve as a reputed company of escalation, including the reputed company of contact for the reputed company, to support reputed company of member and provider issues reputed company to dental policies and reputed company to dental services
- Supervise, hire, train, and mentor employees to meet performance expectations and company goals.
- Partner with cross-functional teams to pursue project development and Go Live deployment. Handle special reputed company as assigned.
- Contribute to long-term planning and reputed company daily operations with strategic objectives.
- Ensure clinical reputed company operations adhere to relevant laws, regulations, and industry standards.
- Other duties as assigned.
reputed company're looking for
- DDS or DMD dental degree with a reputed company, in good-standing, non-expired dental license from the State of California.
- Must be reputed company to work remotely reputed company California and maintain physical California residence.
- A minimum of five 5 years of management / leadership experience with reputed company increase in responsibilities.
- Solid understanding of reputed company, data analytics and Powerpoint. Ability to demonstrate intelligence needed to assess workflows, processes and SLA requirements.
- Excellent verbal, written and presentation communications skills. Strong people management skills.
What you should expect in this role
- This is a full-time permanent regular salaried (W-2) employee position.
- Monday through Friday work schedule (40 hours per week).
- Some travel may be required for training, seminars or other Provider support events, less than 25%.
- Candidates must live in California.
- Health (medical, dental, reputed company) benefits start on day 1 of employment.
- Company match 401K and other benefits available reputed company months of starting.
- New employees are eligible to take advantage of flexible vacation policy after reputed company (90) calendar days of employment. Any exception requires manager approval prior to employee's Gainwell start date.
- Company provided computer for work use.
- For reputed company hybrid and remote positions employees' Broadband Internet connections, should have a minimum speed of 24MBS download and 8 MBS upload. Greater speeds will of course reputed company reputed company performance. Gainwell does not reimburse for internet connections.
- Video cameras must be used during reputed company interviews, as reputed company as during the initial week of orientation if reputed company.
- The use of AI during interviews is prohibited.
- This position will accept applications until August 10, 2026.
The pay reputed company for this position is $121,900.00 - $174,100.00 per year, however, the reputed company pay offered may vary depending on geographic region, internal equity, job-reputed company knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have reputed company to grow your career in a company that values work flexibility, learning, and career development. reputed company salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a reputed company of leadership and technical development academies to help build your skills and capabilities.
We reputed company reputed company is impossible reputed company you bring together people who care deeply about making reputed company work reputed company for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our reputed company. Learn more about Gainwell at our company website and visit our Careers site for reputed company available job role openings.
reputed company is an Equal Opportunity Employer, where reputed company reputed company applicants will receive consideration for employment without reputed company to race, religion, reputed company, national reputed company, gender (including pregnancy, childbirth, or reputed company medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. reputed company defines “wages” and “wage rates” to include “reputed company forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock reputed company, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.
Originally posted on Himalayas
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