Remote

Manager Policy Management and Provider Strategy

Delta Dental of California
$92,500 - $200,400
dental insurance, paid time off, paid holidays, tuition reimbursement, 401(k), employee discount
United States
May 30, 2025
JOB DESCRIPTION The Manager of Policy Management & Provider Strategy is a strategic leader responsible for advancing quality outcomes and accurate payment through the development and execution of integrated policy and provider strategies. This role leads the governance, coordination, and communication of clinical and operational policies, ensuring alignment with enterprise goals, regulatory standards, and quality initiatives. As a key partner across the enterprise and with external stakeholders, this role plays a critical part in shaping and executing the Quality roadmap-driving strategic alignment between policy management, provider oversight, and payment quality. The manager also champions enterprise-wide education and awareness efforts to build understanding of policy intent, application, and impact. RESPONSIBILITIES Leads initiatives and programs-both directly and through influence-focused on policy development, governance, quality-focused provider strategy, and education around payment quality management. Partners across all lines of business and collaborates with key departments including Sales, Claims, Dental Affairs, Actuarial, Provider Network Development, Utilization Management, and Grievance and Appeals to ensure alignment and execution. Leads a team and supports the collaborative drafting, publishing, communication, transparency and management of clinical and business policies. Directs the design and delivery of communication strategies, ensuring all communications build understanding of policy intent and quality expectations among internal teams and external partners. Oversees the strategic coordination and operational management of the Business Policy Decisioning Council, including intake, triage, meeting cadence, and communications. Partners with requestors to ensure proposals are well-prepared and aligned with business objectives prior to review. Leads the development and ongoing management of centralized policy resources that guide the administration of clinical and non-clinical policies, contractual obligations, and regulatory requirements. Ensures these resources drive quality outcomes, support accurate payment practices, and influence provider behavior in alignment with enterprise goals. Leads cross-functional collaboration to shape and evolve the quality provider strategy, driving prioritization and roadmap execution to strengthen provider partnerships and ensure accountability to the highest standards of quality care. Participates in annual strategy and planning sessions and contributes to the development of support materials to ensure there is a clear Quality roadmap and plan to monitor and improve quality outcomes, payment, and provider behavior. Oversees the cross-functional design, implementation, and ongoing administration of enterprise provider incentive programs. Manages and develops multi-disciplinary teams to achieve strategic objectives, encompassing determining staffing needs, setting goals, monitoring performance, interviewing, selecting, coaching, and evaluating the performance of all direct reports, and overseeing, and maintaining department budgets. QUALIFICATIONS 8+ years w/Bachelor's degree; 1+ years supervisory/management. Strong people leadership skillsets, including talent development and the ability to realize strategies through a team. High detail orientation with strong analytical, critical thinking and problem-solving skills. Excellent organizational/time management and project management skills. Extensive knowledge of health care industry. Excellent interpersonal, verbal, and written communication skills, including proven ability to collaborate and influence across all functions and levels of the organization. Proven ability to resolve conflict and facilitate decision-making. Ability to quickly extract key insights from complex data and details. Ability to translate an opportunity into an educational campaign, leveraging multiple mediums. Base Pay Information The national base pay range at the end is a good-faith estimate of what Delta Dental may pay for new hires. Actual pay may vary based on Delta Dental's assessment of the candidate's knowledge, skills, abilities (KSAs), related experience, education, certifications and ability to meet required minimum job qualifications. Other factors impacting pay include prevailing wages in the work location and internal equity. Pay Grade 22. $92,500 - $200,400 ADDITIONAL INFORMATION Behind the smile! We are dedicated to safeguarding the health and financial stability of our employees and their loved ones. This commitment extends beyond the workplace to foster personal growth and holistic wellbeing. Our life-changing rewards package includes: 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 Fair Chance Ordinances and Criminal Background Considerations This position requires that the applicant undergo a background check. Qualified applicants with arrest or conviction records will be considered for employment in accordance with any applicable federal, state or local laws, including, but not limited to, the California Fair Chance Act, the Los Angeles County Fair Chance Ordinance, the City of Los Angeles Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, and/or New York Corrections Law Article 23-A. #LI-Remote ABOUT THE TEAM At Delta Dental, we're behind millions of smiles and counting. For over 68 years, we've served our communities by increasing access to affordable, quality care - but that commitment to care extends beyond the people we serve, to the dedicated employees who make those smiles genuine. We've come this far by building fair programs that offer opportunities for advancement, create meaningful connections and improve the lives of our employees and their families. Because we know that when we take exceptional care of each other, we can make a positive impact for all. We champion an inspirational workplace through our commitment to trust, service, excellence and innovation. Joining us means working for a company that offers stability and balance, opportunities for leadership at all levels, and a work environment focused on teamwork and camaraderie. Discover the smiling faces behind Delta Dental and experience our values and culture in action by connecting with us on social media. Follow Delta Dental Ins. on Facebook and Instagram, #LifeatDDins on Facebook and Instagram, Delta Dental Ins. on Twitter and Delta Dental Ins. on LinkedIn. If you've got an appetite for innovation and want to be a part of a team that's transforming the future of health care, join us! Since 1955, we have offered comprehensive, high-quality oral health care benefits to millions of enrollees and built the strongest network of dental providers in the country. The Delta Dental of California network includes affiliates Delta Dental Insurance Company; Delta Dental of Pennsylvania; Delta Dental of New York, Inc.; Delta Dental of the District of Columbia; Delta Dental of Delaware, Inc.; and Delta Dental of West Virginia, providing dental benefits to more than 31 million people across 15 states, the District of Columbia, Puerto Rico and the Virgin Islands. The company and its affiliates are part of Delta Dental Plans Association (DDPA), a not-for-profit national association based in Oak Brook, Illinois. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. We offer vision coverage through DeltaVision in 15 states and the District of Columbia. Collectively, we deliver benefits to more Americans than any other dental insurance company. Delta Dental Ins. is an equal opportunity employer and is committed to providing a professional work environment free from discrimination and harassment. Individuals seeking employment at Delta Dental are considered without regard to race, ethnicity, color, age, sex, religion, national origin, ancestry, pregnancy, sexual orientation, gender identity, gender expression, genetic information, actual or perceived physical or mental disability, registered domestic partner status, caregiver status, marital status, veteran or military status, citizenship status, or any other legally protected category. Delta Dental is committed to providing equal employment opportunities to all employees and applicants for employment. Accordingly, we have adopted and maintain an Equal Employment Opportunity Policy, Harassment-Free Work Environment Policy, and Respectful Workplace policies and will not tolerate violations of these policies. Unfortunately, our Delta Dental Enterprise is unable to hire individuals residing in Alaska, North Dakota, Nebraska, Hawaii, Oklahoma, Vermont, Maine, West Virginia, New Hampshire, Wyoming, Puerto Rico, District of Columbia (Washington D.C.) or other US Territories at this time. Proof of eligibility to work in the United States must be provided if selected for hire. Delta Dental includes: Delta Dental of California, Delta Dental Insurance Company, Delta Dental of Pennsylvania, and Delta Dental of New York If You Are A Current Employee Click Here* To Apply