Live chat
Health Net, Inc.

Dental Operations Manager CA-Woodland Hills or Glendale - Military veterans preferred

Health Net, Inc. - Glendale, CA

Position Purpose: The Dental Operations Manager is responsible for managing, directing and supporting the dental operations for our Medi-Cal, Healthy Families and Medicare members. The director is also responsible for ensuring compliance with our Department of Health Services (DHS) and Healthy Families MRMIB contracts.Monitors Health Net's performance under its dental services contracts with the State. Ensures compliance with all aspects of the contracts.
Oversees Health Net's dental administration functions that are performed by the designated third party administrator. Monitors administrator\u2019s performance against contract.
Acts as point person for provider relations and inquiries.
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.
Makes recommendations as needed to HN management on ways to improve/enhance dental operationsEducation/Experience: College degree in Business preferred.Five to ten years managed care dental experience.Prior experience with negotiating provider contracts preferred.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

14 days 18 hours ago

Health Net, Inc.


Dental Operations Manager CA-Woodland Hills or Glendale - Military veterans preferred Health Net, Inc. - Glendale, CA, United States


Location: Glendale, CA

Company Profile:
Health Net's mission is to help people be healthy, secure and comfortable.