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About the Role

Provides enterprise clinical leadership for a transforming dental health plan, ensuring clinical policy, quality strategy, and utilization management are evidence-based, data-driven, and focused on whole-person health outcomes. Accountable for Utilization Management, Clinical Review, and Clinical Quality, shaping market positioning, and developing integrated care models. This role requires strong clinical credibility, policy expertise, business acumen, and strategic leadership to influence enterprise priorities, provider engagement, quality outcomes, and market differentiation, operating as a peer executive leader and consensus builder.

Responsibilities

Provide enterprise clinical leadership for a transforming dental health plan
Ensure clinical policy, quality strategy, and utilization management are grounded in evidence-based care, data-driven decision-making, and whole-person health outcomes
Be accountable for key clinical functions including Utilization Management, Clinical Review, and Clinical Quality
Help shape the organization's broader clinical positioning in the marketplace
Support the development of integrated care models that connect oral health to whole person health
Influence enterprise priorities, provider engagement, quality outcomes, and market differentiation
Engage with providers and clinical leaders
Influence enterprise decisions
Position the organization as a trusted health plan focused on quality, whole person care, and improved outcomes
Operate as a peer executive leader and consensus builder across clinical, operational, and enterprise stakeholders

Requirements

Strong clinical credibility
Policy expertise
Business acumen
Strategic leadership
Ability to move confidently between strategy and execution
Credibility to engage with providers and clinical leaders
Vision to help position the organization more broadly in the marketplace
Undergo a background check
Proof of eligibility to work in the United States

Skills

Clinical credibility
Policy expertise
Business acumen
Strategic leadership
Consensus building

Location

Hybrid

Work Type

Hybrid

Experience Level

Senior Director

Salary/Compensations

Competitive base and incentive pay

Benefits

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
12 paid holidays
Birthday off
Career development
Tuition reimbursement
Recognition program
Adoption assistance
Fertility treatment
Child care assistance
Elder care assistance
Pet care assistance
Social responsibility and volunteer opportunities
Employee discount program

About the Company

Dedicated to safeguarding the health and financial stability of employees and their loved ones
Committed to fostering personal growth and holistic wellbeing
Behind millions of smiles and counting for over 68 years
Serves communities by increasing access to affordable, quality care
Builds fair programs that offer opportunities for advancement, create meaningful connections, and improve employee lives
Champions an inspirational workplace through commitment to trust, service, excellence and innovation
Offers stability and balance, opportunities for leadership at all levels, and a work environment focused on teamwork and camaraderie
Since 1955, has offered comprehensive, high-quality oral health care benefits to millions of enrollees
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
Provides dental benefits to more than 31 million people across 15 states, the District of Columbia, Puerto Rico and the Virgin Islands
Part of Delta Dental Plans Association (DDPA), a not-for-profit national association based in Oak Brook, Illinois
Offers dental coverage in all 50 states, Puerto Rico and other U.S. territories through a national network of Delta Dental companies
Offers vision coverage through DeltaVision in 15 states and the District of Columbia
Collectively delivers benefits to more Americans than any other dental insurance company

Equal Opportunity

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
Delta Dental Ins. is an equal opportunity employer
Committed to providing a professional work environment free from discrimination and harassment
Individuals seeking employment 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
Committed to providing equal employment opportunities to all employees and applicants for employment
Adopted and maintains an Equal Employment Opportunity Policy, Harassment-Free Work Environment Policy, and Respectful Workplace policies
Will not tolerate violations of these policies