Dental Operations Manager

Job not on LinkedIn

🕒 5 days ago

🏄 California – Remote

🏄 California – Remote

💵 $107.7k - $199.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

⚙️ Operations

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Centene Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1984

⚕️ Healthcare Insurance

🤝 Non-profit

🌍 Social Impact

Healthcare Insurance • Non-profit • Social Impact

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

📋 Description

• responsible for managing, directing and supporting the dental operations for our Medi-Cal, Healthy Families and Medicare members. • ensuring compliance with Department of Health Services (DHS) and Healthy Families MRMIB contracts. • monitors Health Net's performance under its dental services contracts with the State. • oversees Health Net's dental administration functions performed by the designated third party administrator. • maintains and expands provider network through contract negotiations and execution. • works closely with Dental Director to ensure that the dental care provided meets the standards for acceptable dental care. • performs utilization review by reviewing claims and encounter data. • develops and implements policies and procedures for the dental plan. • assists in grievance resolution related to quality of care under the dental plan. • actively participates in plan grievance procedures under the dental plan.

🎯 Requirements

• College degree in Business preferred. • Five to ten years managed care dental experience. • Prior experience with negotiating provider contracts preferred.

🏖️ Benefits

• competitive pay • health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work with remote, hybrid, field or office work schedules