Senior Director Clinical Quality and Policy
About The Position
The Senior Director of Clinical Quality & Policy provides enterprise clinical leadership for a transforming dental health plan, ensuring that clinical policy, quality strategy, and utilization management are grounded in evidence-based care, data-driven decision-making, and whole-person health outcomes. This leader will be accountable for key clinical functions including Utilization Management, Clinical Review, and Clinical Quality, while also helping shape the organization's broader clinical positioning in the marketplace and supporting the development of integrated care models that connect oral health to whole person health. The Senior Director brings strong clinical credibility, policy expertise, business acumen, and strategic leadership to help influence enterprise priorities, provider engagement, quality outcomes, and market differentiation. This leader moves confidently between strategy and execution while bringing the credibility to engage with providers and clinical leaders, the business acumen to influence enterprise decisions, and the vision to help position the organization more broadly in the marketplace as a trusted health plan focused on quality, whole person care, and improved outcomes. This role operates as a peer executive leader and consensus builder across clinical, operational, and enterprise stakeholders.
Requirements
- Strong clinical credibility
- Policy expertise
- Business acumen
- Strategic leadership
- Ability to engage with providers and clinical leaders
- Ability to influence enterprise decisions
- Vision to position the organization in the marketplace
- Ability to move confidently between strategy and execution
- Proof of eligibility to work in the United States must be provided if selected for hire.
Responsibilities
- Provides enterprise clinical leadership for a transforming dental health plan.
- Ensures clinical policy, quality strategy, and utilization management are grounded in evidence-based care, data-driven decision-making, and whole-person health outcomes.
- Accountable for key clinical functions including Utilization Management, Clinical Review, and Clinical Quality.
- Helps shape the organization's broader clinical positioning in the marketplace.
- Supports the development of integrated care models that connect oral health to whole person health.
- Influences enterprise priorities, provider engagement, quality outcomes, and market differentiation.
- Operates as a peer executive leader and consensus builder across clinical, operational, and enterprise stakeholders.
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
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What This Job Offers
Job Type
Full-time
Career Level
Executive
Education Level
No Education Listed
