Dental Director – Ohio – Remote @ UnitedHealth Group

Job Information

Job Description:

Primary Responsibilities:

Develops and maintains a collegial relationship with contracted and affiliate dentists to support the business efforts of the organization
Grievance and Appeals – 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
Partnering with the Clinical Affordability team to support new innovative approaches to making healthcare more efficient and meaningful to dentists and patients alike
Developing and cascading clinical outcome/improvement messaging to cross-functional teams to foster tighter working culture
Assist 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
Assist in the identification and development of current/new best practices in support of continuous financial and quality improvement
Performs all other related duties as assigned

Required Qualifications:

Preferred Qualifications:

Benefits:
Experience Level: Senior
Work From: Remote from Region