Dental Director

The Dental Director serves as a clinical subject matter expert for the dental health plan, supporting key functions such as quality management, utilization review, clinical policy development, and regulatory compliance.

Requirements

• Active California State Dental License
• Serve as a clinical advisor and subject matter expert across dental operations, policy, and quality programs.
• Provide oversight and clinical decision-making support for utilization review, credentialing, peer review, grievances and appeals, claims review, medical necessity, and access and availability processes.
• Develop, review, and maintain evidence-based clinical policies and guidelines aligned to current industry standards and regulatory requirements.
• Support regulatory and accreditation readiness, ensuring documentation, processes, and policies are audit ready.
• Contribute to dental quality improvement initiatives, including the Quality Improvement Work Plan (QIWP), care gap closure strategies, and performance measurement.
• Partner with cross-functional teams to ensure consistent, member-centered dental care delivery.
• Prepare for and participate in state, group, and regulatory exams and audits, representing the clinical oversight of all areas of quality.

Benefits

• Competitive base and incentive pay
• 401(k) with robust matching and non-matching contributions
• Rich medical & pharmacy benefits
• 100% employer-paid dental and vision benefits
• Holistic wellbeing program with deep financial incentives
• Generous paid time off plus 12 paid holidays and your birthday off
• Culture of growth and learning: career development; tuition reimbursement; recognition program
• Family support: adoption assistance, fertility treatment, child, elder & pet care assistance
• Social responsibility and volunteer opportunities
• Employee discount program

Originally posted on Himalayas