Dental Director Position

4 weeks ago

Honolulu, Hawaii, United States Hawaii Dental Service Full time
Job Summary

We are seeking a highly skilled and experienced Dental Director to join our team at Hawaii Dental Service. As a key member of our leadership team, you will be responsible for providing vision, leadership, and management of our interactions with the dental provider community, including Medicare and Medicaid dental providers, and the State of Hawaii MedQUEST Division.

Key Responsibilities
  • Leadership and Management
    • Develop, implement, and evaluate best practices to ensure effective work processes and systems, maximize operating efficiencies, and increase the value of services provided in alignment with department and company goals and objectives.
    • Direct staff in utilization management and developing and interpreting claims processing policies and adjudicate claim and benefit review requests.
    • Provide input and support for dental product development and improvements/modifications to reflect best findings from clinical practice, dental research, and outcome data.
  • Internal Controls and Compliance
    • Develop, implement, evaluate, and recommend controls to satisfy operational/compliance risk requirements, ensure data integrity and best practices.
    • Communicate and assure that employees have a clear understanding of performance expectations and responsibilities.
    • Provide training for utilization management and HDS claims adjudication and customer service staff on clinical, policy, and processing topics.
  • Management and Supervision
    • Supervise/Manage the following staff: 3 Dental Consultants and 1 Utilization Management staff.
    • Develop and manage the department's annual budget in alignment with company goals and objectives.
    • Determine policy for benefit review procedures and updates the HDS Procedure Code Guidelines.
Requirements
  • D.D.S. degree from an accredited university.
  • Licensed to practice in the State of Hawaii.
  • Minimum of 5-10 years professional/management level experience in the accepted standards of dental treatment, including developments in dental materials and treatment modalities.
  • Strong skills, abilities, and commitment to teamwork.
Preferred Qualifications
  • Established relationships with organized dentistry and dental schools, a recognized leadership role in the Hawaii dental community.
  • Familiarity with dental quality assurance programs.
  • Ability to analyze complex topics or issues and effectively resolve problems.

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