Dental DirectorPacer Group • Oakland, CA, US
Dental Director
Pacer Group • Oakland, CA, US
27 days ago
Job type
- Full-time
Job descriptionProvide clinical oversight for dental programs and vendors. Develop and review utilization metrics and ensure integration between medical and dental care management. Evaluate existing dental benefits and policies; recommend updates based on trends and evidence-based practices. Analyze and recommend new dental benefit enhancements with cost and business impact assessments. Serve as a subject matter expert on dental programs, product strategy, emerging technologies, and public policy. Review and assess emerging dental and medical integration research. Participate in compliance and vendor quality committees and ensure adherence to regulatory requirements. Perform clinical reviews for prior authorizations, appeals, grievances, and other dental services. Provide input based on appeals and grievance trends to improve care and compliance. Support enterprise advocacy efforts to enhance member health and cost outcomes. Participate in client, broker, and consultant meetings to support retention and growth initiatives. Attend required compliance and professional development sessions. Ensure all work complies with state and federal regulations. Doctor of Dental Science (DDS) or Doctor of Dental Medicine (DMD). Completed dental residency training. Active, unrestricted dental license in the state of California (required). Board certification through the American Board of Dental Specialties (ABDS) or American Board of General Dentistry (ABGD) preferred. Minimum 5 years of post-residency clinical experience. 5 years of managed care experience preferred (utilization management, case management, or quality improvement). Strong knowledge of Medicare , California statutes , DMHC regulations , and NCQA accreditation standards preferred. Understanding of social determinants of health and psychosocial factors affecting care. Ability to work independently and make sound decisions in complex or ambiguous situations. Strong leadership and communication skills, with the ability to collaborate across multidisciplinary teams. Excellent written, verbal, analytical, and organizational skills. Proficiency in Microsoft Office applications (Excel, Outlook, Word, PowerPoint). Must comply with all applicable state and federal healthcare regulations. Participation in compliance and corporate training is mandatory. Opportunities for professional growth and engagement in clinical and operational strategy initiatives.
Job Description
Job Title : Dental Director / Clinical Advisor
Work Type : Full-Time
Job Family : Healthcare Services and Operations
Position Overview :
- The Dental Director / Clinical Advisor provides leadership, direction, and clinical expertise for dental programs. This role supports care management, population health, and integration of medical and dental services to improve overall health outcomes. The position includes oversight of dental service vendors, policy evaluation, compliance with regulations, and participation in strategic initiatives to enhance dental care delivery.
Key Responsibilities :
Qualifications :
Additional Information :
Create a job alert for this search
Dental Director • Oakland, CA, US
Related jobs
We are a state-of-the-art Endo Practice looking for an Endo Associate.The practice is experiencing tremendous growth and is supported by a top-notch Partner, clinical and administrative team.Our pa...Show more
Deputy Director (7375U), Greater Good Science Center - 82216.At the University of California, Berkeley, we are dedicated to fostering a community where everyone feels welcome and can thrive.Our cul...Show more
Maritime Boat Club is looking for a dynamic and passionate.This role is perfect for a hospitality professional who thrives on team development, guest interaction, and service excellence.As Service ...Show more
Are you ready to build America's energy future? Form Energy is an American manufacturing and energy technology company.We're revolutionizing energy storage with cost-effective, multi-day technology...Show more
Senior Medical Director, Clinical Development.San Francisco Bay Area (On-site 3–4 days / week).Our client, a clinical-stage biotechnology company advancing next-generation GPCR-targeted therapeutics,...Show more
The UCSF School of Dentistry is actively recruiting a.Dental Practice, a high-volume, multi-specialty dental clinic located in the city of San Mateo.
This flagship practice is designed with a strong...Show more
Full-time Work Hours, Onsite, Monday–Friday.Perform chairside dental assisting, including four-handed dentistry and assisting in hospital environments.
Schedule operating room cases, organize or scr...Show more
SAGE Veterinary Centers - Redwood City.Located in Silicon Valley, about 25 miles from San Francisco, our hospital values true collaboration among Specialty, Emergency, and Urgent Care services unde...Show more
Arrowhead Pharmaceuticals, Inc.Nasdaq : ARWR) is a clinical stage biopharmaceutical company that develops medicines that treat intractable diseases by silencing the genes that cause them.Using a bro...Show more
We are a state-of-the-art Endo Practice looking for an Endo Associate.The practice is experiencing tremendous growth and is supported by a top-notch Partner, clinical and administrative team.Our pa...Show more
Join Our Established Oral Surgery Practice in the Bay Area.We are an established and well-respected oral surgery practice in the Bay Area seeking a personable, hard-working, and efficient team play...Show more
Dental Director / Clinical Advisor.Healthcare Services and Operations.Dental Director / Clinical Advisor.This role supports care management, population health, and integration of medical and dental...Show more
Our co-founders started Zip in 2020 to address this seemingly intractable problem with a purpose-built platform that provides a simple, consumer-grade user experience.
Within just a few short years,...Show more
This role is eligible for Specialized Dental Partners’ Loan Relief Program, designed to support Endodontists in select high-priority markets.
Our Access to Care Program offers much needed care to de...Show more
LocumJobsOnline is working with CompHealth to find a qualified Dermatology MD in Albany, California, 94706!.Whether you are searching for a position in your area or in another state, we have profes...Show more
The UCSF School of Dentistry is actively recruiting a.Dental Practice, a high-volume, multi-specialty dental clinic located in the city of San Mateo.
This flagship practice is designed with a strong...Show more
Vernon, CA (Onsite, Full-Time).An established and fast-growing CPG company in the beverage space is seeking an experienced.
This individual will oversee brand strategy, campaign development, and pro...Show more
AlliedTravelCareers is working with Medical Solutions to find a qualified Surg Tech in Redwood City, California, 94062!.A facility in Redwood City, CA is seeking its next amazing Surgical Tech.Read...Show more
Endodontic Associate Doctor
Jason Smith Endodontics • San Francisco, CA, United States
Full-time
Last updated: 30+ days ago • Promoted
Deputy Director (7375U), Greater Good Science Center - 82216
InsideHigherEd • Berkeley, California, United States
Full-time
Last updated: 29 days ago • Promoted
Service Director
Maritime SF • San Francisco, CA, US
Full-time
Last updated: 11 days ago • Promoted
Senior Manager, Mechanical Simulation & AnalysisMechanical Design Engineering • Berkeley, CA; Weirton, WV; Somerville, MA • Full time • On-site
Form Energy • Berkeley, CA, United States
Full-time
Last updated: 30+ days ago • Promoted
Senior Medical Director Clinical Development
GQR • South San Francisco, CA, US
Full-time
Last updated: 11 days ago • Promoted
Prosthodontist
University of California • San Francisco, CA, United States
Full-time
Last updated: 4 days ago • Promoted
Registered Dental Assistant
LHH • Redwood City, CA, US
Full-time
Last updated: 19 days ago • Promoted
Medical Director
Ethos Veterinary Health • Redwood City, CA, United States
Full-time
Last updated: 30+ days ago • Promoted
Associate Medical Director, Clinical Development
Arrowhead Pharmaceuticals • Oakland, CA, US
Full-time
Last updated: 27 days ago • Promoted
Endodontic Associate Doctor
Isom Endodontics • San Francisco, CA, United States
Full-time
Last updated: 30+ days ago • Promoted
Oral Surgeon
Bayside Oral & Maxillofacial Surgery • Berkeley, US
Full-time
Last updated: 30+ days ago • Promoted
Dental Director
Pacer Group • Oakland, CA, United States
Full-time
Last updated: 27 days ago • Promoted
Quality Management Director - Dental
ZipHQ, Inc. • San Francisco, California, United States
Full-time
Last updated: 1 day ago • Promoted
Endodontic Associate Doctor
Southern Arizona Endodontics • San Francisco, CA, United States
Full-time
Last updated: 30+ days ago • Promoted
Physician (MD / DO) - Dermatology - $500,000 per year in Albany, CA
LocumJobsOnline • Albany, CA, US
Full-time +2
Last updated: 30+ days ago • Promoted
Prosthodontist
University of California, San Francisco • San Francisco, CA, United States
Full-time
Last updated: 4 days ago • Promoted
Marketing Director
Vaco by Highspring • Belvedere, California, United States
Full-time +1
Last updated: 30+ days ago • Promoted
Travel Surgical Tech - $1,472 per week in Redwood City, CA
AlliedTravelCareers • Redwood City, CA, US
Full-time
Last updated: 30+ days ago • Promoted