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Mason

    State Dental Director - Mason, United States - Elevance Health

    Elevance Health
    Elevance Health Mason, United States

    3 weeks ago

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    Description
    State Dental Director

    Location:
    This a Part-Time position and will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations in OHIO.

    The State Dental Director is responsible for local branded dental Quality Assurance for a state and/or region.

    How you will make an impact:

    • Reviews or provides oversight for dental quality of care grievances and appeals.
    • Reviews or provides oversight as needed for dental chart and facility audits.
    • Monitors member accessibility to care.
    • Oversees utilization management.
    • Chairs or participates in the Dental Quality Improvement Committee for the state.
    • Implements or oversees dental provider corrective actions as needed and provides oversight of the process in addition to conducting plan reviews based on plan contracts.
    • Provides oversight to staff or vendors in achieving compliance of all state and federal regulations pertaining to the delivery of dental services to our members.

    Minimum Requirements:

    • Requires a DDS or DMD from an American Dental Association accredited dental school and minimum of 5 years as a dental insurance director or similar experience; or any combination of education and experience, which would provide an equivalent background.
    • Current active unrestricted license to practice dentistry in applicable state(s) required.

    Preferred Skills, Capabilities & Experience:

    • Clinical and academic research experience preferred.
    • Experience with both Medicare & Medicaid Administrative filings preferred.


    Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health.

    Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

    Who We Are

    Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler.

    We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

    How We Work


    At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates.

    Our values and behaviors are the root of our culture.

    They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.


    We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

    Elevance Health operates in a Hybrid Workforce Strategy.

    Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.

    Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

    The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.


    Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.

    Applicants who require accommodation to participate in the job application process may contact assistance.


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