At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.The Dental Director is responsible for oversight of clinical management and review activities in accordance with individual member plans and clinical review guidelines. They are responsible for improving the quality and efficiency of oral healthcare in their respective program and are responsible for organizing all assigned dental professionals towards functional objectives.If you live witihn the state of Ohio, you will have the flexibility to work remotely as you take on some tough challenges.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
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.Required Qualifications:
Post-graduate experience in direct patient care
Doctor of Dental Surgery (DDS) or Doctor of Dental Medicine (DMD)
OH Dental License
5+ years of clinical experience
3+ years of managed care experience
Must reside in the state of Ohio
Preferred Qualifications:
Current board certification, if applicable
Proficient in Word, Excel and PowerPoint
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter PolicyAt UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.