Dental Benefits Manager (DBM) Project Director- Medicaid

About the position

At Delta Dental of Michigan, Ohio, and Indiana, we are dedicated to improving oral health through our benefit plans, advocacy, and community support. As one of the largest dental plan administrators in the country, we are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation. Our mission is amplified by investing in initiatives that build healthy, smart, and vibrant communities for all. We celebrate our All In culture, which embodies a mindset and attitude that encourages taking charge of our careers, helping colleagues, and lending a hand in the community. The Dental Benefits Manager (DBM) Project Director for Medicaid will manage the day-to-day operations of administering state Medicaid dental programs. This includes planning, implementation, and administration of dental benefits for Medicaid beneficiaries, ensuring that all initiatives align with organizational goals and regulatory requirements. The role requires a strong leader who can serve as the primary point-of-contact and subject matter expert between Renaissance/Delta Dental and state Medicaid staff, ensuring successful contract execution against program requirements. In this position, the DBM Project Director will be responsible for total market oversight to ensure program success. This includes developing, implementing, administering, and maintaining benefit programs, policies, and procedures. The director will gather requirements, create plans, manage resources, and facilitate project execution and deployment. Additionally, the role involves overseeing cross-functional meetings with various functional areas to meet overall program expectations and business objectives. Effective communication of project status to all stakeholders, as well as addressing relevant issues and decisions, is crucial. The DBM Project Director will also negotiate with project stakeholders to efficiently resolve potential issues and mitigate risks. Analyzing data to evaluate the efficiency and value of current programs will inform strategic planning and decision-making aligned with program financials. The director will identify opportunities for innovation and improvement in dental benefit management processes, interview, hire, train, develop, and evaluate Tennessee-based staff to ensure accountability for achieving goals and objectives. Furthermore, the director will provide expertise and support in reviewing, researching, investigating, negotiating, and resolving all forms of external concerns from clients and external stakeholders. Other related duties may be assigned as necessary to complete the primary job responsibilities.

Responsibilities
? Manage day-to-day operations of administering state Medicaid dental programs.
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? Serve as primary point-of-contact and subject matter expert between Renaissance/Delta Dental and state Medicaid staff.
,
? Ensure successful contract execution against program requirements.
,
? Oversee total market oversight to ensure program success.
,
? Develop, implement, administer, and maintain benefit programs, policies, and procedures.
,
? Gather requirements, create plans, manage resources, and facilitate project execution and deployment.
,
? Oversee cross-functional meetings with various functional areas to meet overall program expectations and business objectives.
,
? Communicate project status to all stakeholders and address relevant issues and decisions.
,
? Negotiate with project stakeholders to resolve potential issues and mitigate risks.
,
? Analyze data to evaluate the efficiency and value of current programs and inform strategic planning.
,
? Identify opportunities for innovation and improvement in dental benefit management processes.
,
? Interview, hire, train, develop, and evaluate Tennessee-based staff.
,
? Provide expertise and support in reviewing, researching, investigating, negotiating, and resolving external concerns.

Requirements
? Bachelor's degree in business administration, healthcare administration, or a related field.
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? Seven years of experience in benefit administration or program/project management.
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? Two years of leadership experience.
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? Previous experience administering Medicaid or managed care programs preferred.
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? Advanced knowledge of the insurance industry.
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? Strong verbal and written communication skills.
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? Strong interpersonal skills, including the ability to represent and present on behalf of the organization.
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? Ability to identify and persuade key decision makers.
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? Strong analytical skills.
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? Ability to identify and resolve complex problems using independent judgment.

Nice-to-haves
? Experience in managed care programs.
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? Knowledge of Medicaid regulations and compliance.

Benefits

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