Job Description

:This position is responsible for directing all aspects of Delta Dental Federal Government Programs Claims and Customer Service operations, including overseeing IT support and compliance with DoD security regulations.Responsibilities:

• Sets strategic objectives for Federal Services Operational departments, including Claims Processing and Customer Service, and all IT development and maintenance of the various systems affecting Federal Services, including the DDMI Claims Processing System, DDC supported distributed systems (e.g., Macess, Formworks, Outlook), proprietary applications and IVR; improves cost effectiveness, monitors progress and identifies required corrective actions.
• Ensures ongoing compliance with DoD's Information Assurance program, and all contractual operations performance requirements.
• Ensures customer (government and enrollee) satisfaction with Federal Government Programs operations.
• Oversees the Claims Processing, Customer Services, IT support, and Government Security functions to ensure work is completed in a timely and accurate manner as defined in division goals.
• Interviews, selects, evaluates, and rewards the performance of all direct reports. Promotes a constructive work environment, organizing staff into teams to accomplish work and meet customer demands.
• Ensures staff receives on-going training and works with training resources to develop written training materials and procedures.
• Develops annual department and project budgets; identifies variances and takes corrective actions as appropriate.
• Negotiates contracts and agreements with clients (including DOD and vendors).
• Represents Federal Government Programs in Customer Operations initiatives.

Qualifications:

• 12+ years w/Bachelor's degree (or equivalent experience); 3+ years management
• Experience working with large government contracts and/or experience in healthcare management preferred.
• Extensive knowledge of health care industry.
• Excellent organizational/time management skills with the ability to multi-task while maintaining excellent attention to detail.
• Advanced analytical, critical thinking and problem-solving skills.
• Knowledge of Delta Dental products, policies, claims, eligibility and underwriting guidelines.
• Working knowledge of HIPPA and information assurance requirements.
• Excellent leadership skills.
• Knowledge of project management and continuous improvement processes.
• Strong interpersonal, verbal, and written communication skills.

Base Pay InformationThe national base pay range at the end is a good-faith estimate of what Delta Dental may pay for new hires. Actual pay may vary based on Delta Dental's assessment of the candidate's knowledge, skills, abilities (KSAs), related experience, education, certifications and ability to meet required minimum job qualifications. Other factors impacting pay include prevailing wages in the work location and internal equity.
Pay Grade 23. $106,400 - $230,600About Us: Behind the smile! We are dedicated to safeguarding the health and financial stability of our employees and their loved ones. This commitment extends beyond the workplace to foster personal growth and holistic wellbeing. Our life-changing rewards package includes:

• 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 plus 12 paid holidays and your birthday off
• Culture of growth and learning: career development; tuition reimbursement; recognition program
• Family support: adoption assistance, fertility treatment, child, elder & pet care assistance
• Social responsibility and volunteer opportunities
• Employee discount program

Fair Chance Ordinances and Criminal Background ConsiderationsQualified applicants with arrest or conviction records will be considered for employment in accordance with all applicable federal, state, and local laws, including, but not limited to, fair chance and anti-discrimination ordinances. At Delta Dental, we maintain a strict stance on theft, fraud, and violent crimes. For positions involving driving, we enforce heightened standards regarding driving records. Each individual criminal background check is evaluated on its merits, taking into account the time elapsed since the conviction, evidence of personal development and rehabilitation, and any potential risk posed to our business operations, employees, customers, or vendors.#LI-HybridAbout the Team:At Delta Dental, we're behind millions of smiles and counting. For over 68 years, we've served our communities by increasing access to affordable, quality care - but that commitment to care extends beyond the people we serve, to the dedicated employees who make those smiles genuine. We've come this far by building equitable programs that offer opportunities for advancement, create meaningful connections and improve the lives of our employees and their families. Because we know that when we take exceptional care of each other, we can make a positive impact for all.We champion an inspirational workplace through our commitment to trust, service, excellence and innovation. Joining us means working for a company that offers stability and balance, opportunities for leadership at all levels, and a work environment focused on teamwork and camaraderie.Discover the smiling faces behind Delta Dental and experience our values and culture in action by connecting with us on social media. Follow Delta Dental Ins. on and , #LifeatDDins on and , Delta Dental Ins. on and Delta Dental Ins. on . If you've got an appetite for innovation and want to be a part of a team that's transforming the future of health care, join us!Since 1955, we have offered comprehensive, high-quality oral health care benefits to millions of enrollees and 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, providing dental benefits to more than 31 million people across 15 states, the District of Columbia, Puerto Rico and the Virgin Islands.The company and its affiliates are part of Delta Dental Plans Association (DDPA), a not-for-profit national association based in Oak Brook, Illinois. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. We offer vision coverage through DeltaVision in 15 states and the District of Columbia. Collectively, we deliver benefits to more Americans than any other dental insurance company.Delta Dental is an equal opportunity employer. We are committed to building and maintaining a diverse and inclusive workplace for all employees. Applicants will not be discriminated against because of race, color, religion, creed, national origin, ancestry, citizenship status, sex (including pregnancy), sexual orientation, gender or identity expression, age, disability, marital status, medical status, veteran status or any other status protected under federal, state, or local law. In addition to federal law requirements, Delta Dental complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.Unfortunately, our Delta Dental Enterprise is unable to hire individuals residing in Alaska, North Dakota, Nebraska, Hawaii, Oklahoma, Vermont, Maine, West Virginia, New Hampshire, Wyoming, Puerto Rico, District of Columbia (Washington D.C.) or other US Territories at this time.Proof of eligibility to work in the United States must be provided if selected for hire.*Delta Dental includes: Delta Dental of California, Delta Dental Insurance Company, Delta Dental of Pennsylvania, and Delta Dental of New YorkIf You Are A Current Employee To Apply

Delta Dental of California