Director Federal Government Programs Operations

This position is responsible for directing all aspects of Delta Dental Federal Government Programs Claims and Customer Service operations, including overseeing IT support and compliance with DoD security regulations.

• Sets strategic objectives for Federal Services Operational departments, including Claims Processing and Customer Service, and all IT development and maintenance of the various systems affecting Federal Services, including the DDMI Claims Processing System, DDC supported distributed systems (e.g., Macess, Formworks, Outlook), proprietary applications and IVR; improves cost effectiveness, monitors progress and identifies required corrective actions.
• Ensures ongoing compliance with DoD’s Information Assurance program, and all contractual operations performance requirements.
• Ensures customer (government and enrollee) satisfaction with Federal Government Programs operations.
• Oversees the Claims Processing, Customer Services, IT support, and Government Security functions to ensure work is completed in a timely and accurate manner as defined in division goals.
• Interviews, selects, evaluates, and rewards the performance of all direct reports. Promotes a constructive work environment, organizing staff into teams to accomplish work and meet customer demands.
• Ensures staff receives on-going training and works with training resources to develop written training materials and procedures.
• Develops annual department and project budgets; identifies variances and takes corrective actions as appropriate.
• Negotiates contracts and agreements with clients (including DOD and vendors).
• Represents Federal Government Programs in Customer Operations initiatives.

 

• 12+ years w/Bachelor’s degree (or equivalent experience); 3+ years management
• Experience working with large government contracts and/or experience in healthcare management preferred.
• Extensive knowledge of health care industry.
• Excellent organizational/time management skills with the ability to multi-task while maintaining excellent attention to detail.
• Advanced analytical, critical thinking and problem-solving skills.
• Knowledge of Delta Dental products, policies, claims, eligibility and underwriting guidelines.
• Working knowledge of HIPPA and information assurance requirements.
• Excellent leadership skills.
• Knowledge of project management and continuous improvement processes.
• Strong interpersonal, verbal, and written communication skills.

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 23. $106,400 - $230,600

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  Qualified applicants with arrest or conviction records will be considered for employment in accordance with all applicable federal, state, and local laws, including, but not limited to, fair chance and anti-discrimination ordinances. At Delta Dental, we maintain a strict stance on theft, fraud, and violent crimes. For positions involving driving, we enforce heightened standards regarding driving records. Each individual criminal background check is evaluated on its merits, taking into account the time elapsed since the conviction, evidence of personal development and rehabilitation, and any potential risk posed to our business operations, employees, customers, or vendors.
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