Dental Director
4 weeks ago
About the Role:
The Dental Director is a key leadership position at UnitedHealthcare, responsible for overseeing clinical management and review activities in accordance with individual member plans and clinical review guidelines.
This role requires a strong clinical background, with a Doctor of Dental Surgery (DDS) or Doctor of Dental Medicine (DMD) degree, and a current and unrestricted Kansas Dental License.
The ideal candidate will have 5+ years of clinical experience, 3+ years of managed care experience, and post-graduate experience in direct patient care.
Key Responsibilities:
- Develops and maintains a collegial relationship with contracted and affiliate dentists to support the business efforts of the organization
- Maintains an active liaison with Dental Consultants, reviews dental and medical/dental cases, and oversees the representation of the plan at State-level Fair Hearings as requested
- Works with Quality Director to implement state-specific clinical initiatives and ensures that processes and procedures are aligned with the business model
- Drives improvement of quality indicators by identifying, directing, and executing continuous quality improvement activities or processes
- Participates in Committees, as needed
- Collaborates with Business Operations and Provider Relations staff
- Partners with the Clinical Affordability team to support new innovative approaches to making healthcare more efficient and meaningful to dentists and patients alike
- Develops and cascades clinical outcome/improvement messaging to cross-functional teams to foster tighter working culture
- Assists driving aligned performance in the dental provider network through the development of meaningful relationships, financial and quality incentives, best practices, forward-thinking solutions to improve our value proposition to dental providers
- Assists in the identification and development of current/new best practices in support of continuous financial and quality improvement
Requirements:
- Doctor of Dental Surgery (DDS) or Doctor of Dental Medicine (DMD)
- Current and unrestricted Kansas Dental License
- 5+ years of clinical experience
- 3+ years of managed care experience
- Post-graduate experience in direct patient care
- Proficient in Microsoft Word, Excel, and PowerPoint
- Current resident of Kansas
About UnitedHealthcare:
UnitedHealthcare is a leading health insurance company that is committed to helping people live healthier lives and making the health system work better for everyone.
We believe that everyone deserves the opportunity to live their healthiest life, regardless of their background or circumstances.
As a company, we are dedicated to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.
Equal Employment Opportunity:
UnitedHealthcare is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
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