Dental Director

Your Role

The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Dental Director will report to the Sr. Medical Director, Operations. In this role you will provide leadership and guidance on dental program specialty for Blue Shield of California.

The Dental Director provides clinical expertise and consultative support to the organization related to dental. They are responsible for consulting and advising on care management, population health management and all other appropriate areas. Moreover, the Dental Director meaningfully contributes to the Blue Shield priorities and transformative initiatives that continue to improve the health and wellbeing of Blue Shield of California members. You will also provide direction and leadership in compliance with state and federal laws and regulatory requirements related to dental specialty.

Your Knowledge and Experience

• Doctor of Dental Science (DDS) degree or Doctor of Dental Medicine (DMD)
• Completed dental residency training
• Active, unrestricted dental license in the state of California required
• Board certification in dentistry through American Board of Dental Specialties (ABDS) or American Board of General Dentistry (ABGD) preferred
• Minimum 5 years direct patient care experience post residency
• 5 years' experience in managed care that can contribute to utilization management, case management, and / or quality improvement activities or other health care administrative operations at the IPA or health plan level, preferred
• Knowledge of Medicare, California statutes and regulations including DMHC. Understanding of NCQA accreditation standards preferred
• Knowledge of the wide ranges of psychosocial challenges, social determinants, and social needs
• An ability to work independently to achieve objectives and resolve issues in ambiguous circumstances
• Clear, compelling communication skills with demonstrated ability to motivate, guide, influence, and lead others, including the ability to translate detailed analytic analysis and complex materials into compelling communications
• Strong collaboration skills to effectively work within a team that may consist of diverse individuals who bring a variety of different skills ranging from medical to project management and more
• Excellent written and verbal communication skills
• Excellent analytical, time management and organizational skills
• Proficient with computer programs such as Microsoft Excel, Outlook, Word, and PowerPoint