Senior Program Manager, Provider Reimbursement

Senior Program Manager

Are you passionate about building programs that support the provider experience through effective reimbursement strategies? We're looking for a Senior Program Manager to lead and support our provider reimbursement initiatives and help us deliver meaningful value to all stakeholders including providers, employers and members. In this role, you will be responsible for designing, implementing, and optimizing value-based reimbursement programs that improve provider satisfaction, align with regulatory standards, and support the company's strategic goals. You'll manage staff members and lead cross-functional efforts to design the next evolution of dental reimbursement strategies, ensure operational efficiency, and strengthen relationships with our provider partners.

At Delta Dental of Washington our vision is that all people can enjoy good oral and overall health, with no one left behind. We succeed because of a shared commitment to a set of values that guide everything we do for our customers, for our communities, and for each other. We are Accountable. We lean in with Courage. We stay Curious. We are Inclusive. We act with Integrity. We offer a highly competitive medical, dental and vision plans as well offering a generous 401k match and all employees start accruing vacation and sick time from their very first day. We empower employee development through our tuition reimbursement plan, professional development plans, and employee-led communities.

The pay range for this position in Western Washington varies between $109,000 $155,400, and for Eastern Washington varies between $92,800 - $132,000. Washington Dental Service and its affiliates, including Arcora Foundation, Delta Dental of Washington, and TriForza Corp. intends to offer the selected candidate a base pay within this range, dependent on job-related, non-discriminatory factors such as experience. Base pay will also be adjusted based on the candidate's geographic location.

Essential Responsibilities Include The Following :

• Lead the end-to-end design, delivery, and continuous improvement of provider reimbursement programs, including roadmap creation, milestone tracking, and business case development.
• Support the definition and execution of reimbursement strategies aligned with business goals and provider partnership objectives.
• Manage and develop the Provider Reimbursement team by defining roles, organizing work, and providing guidance on training, performance management, and professional development strategies.
• Leverage claims data, provider behavior, and reimbursement trends to develop strategic insights through forecasting, ROI analysis, and cost modeling that inform reimbursement model design and drive program performance.
• Define and monitor key performance indicators (KPIs) to evaluate the performance of value-based reimbursement programs and identify opportunities for continuous improvement.
• Lead cross-functional initiatives to implement, scale, and advocate for provider reimbursement programs in collaboration with clinical, legal, compliance, underwriting, and operational teams.
• Regularly engage and present to key Board Committees on network compensation strategy, updates and outcomes.
• Ensure compliance with federal, state, and internal regulatory standards across all reimbursement initiatives.
• Build and maintain strong relationships with provider partners and internal stakeholders to drive alignment, foster trust, and ensure successful adoption of reimbursement programs.
• Provide subject matter expertise and strategic guidance on provider reimbursement initiatives, ensuring e