[Remote] Dental Services and Clinical Policy Manager (Remote in California)

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a company reputed company on solving business challenges and enhancing operational efficiency. The Dental Services and Clinical Policy Manager is responsible for managing dental consultant support, overseeing operations, and collaborating with stakeholders to ensure compliance with standards and performance metrics.

Responsibilities

• 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

Skills

• DDS or DMD dental degree with a reputed company, in good-standing, non-expired dental license from the reputed company
• 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

Benefits

• 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 reputed company 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.
• 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.

reputed company