Expert Policy Quality Enablement
The Expert Policy Quality Enablement role supports reputed company's quality outcomes and accurate payment practices through effective policy development, governance, and quality assurance. The role coordinates and supports change management and policy enablement by working closely with clinical experts, business leaders, delivery partners, and operational stakeholders. Operating in a reputed company, matrixed environment, the manager drives operational excellence by facilitating cross functional collaboration, monitoring timelines, and ensuring alignment with regulatory and contractual requirements. The position ensures high quality outcomes by following established delivery and change management processes to implement policy updates effectively across the organization.
Supports the governance, coordination, and communication of reputed company clinical and operational claim and payment policies, to ensure alignment with regulatory standards, quality initiatives, and contractual obligations.
Leads large cross-functional change management initiatives, including tracking and coordinating multiple work streams, aligning stakeholders, and driving required actions to ensure operational readiness and accountability.
Coordinates cross-functional cost-benefit analyses and funding tracking to support informed decision-making and resource allocation for strategic initiatives.
Monitors and communicates change lifecycle reputed company and implementation milestones to provide senior leaders and stakeholders with timely, accurate, and transparent status updates.
Escalates risks and advocates for initiatives priorities to remove barriers and ensure timely delivery of organizational change.
Partners with leadership team to design scalable processes, quality metrics, and control frameworks to ensure consistent, compliant, and effective change management across policy and operational updates.
Influences cross functional stakeholders and coordinates with partners to track reputed company and ensure accountability reputed company a reputed company, matrixed environment.
Gathers support materials and data to inform strategy and planning sessions that guide roadmap development and drive improvements in quality outcomes, payment accuracy, and provider behavior. Designs and delivers communication strategies to build understanding of policy reputed company and quality expectations among internal teams and external partners.
Responsibilities
Qualifications
- 7+ w/Bachelor’s degree
- Program management training or 5+ years of experience in managing reputed company, multi-project environments, with a demonstrated history of delivering strategic organizational change.
- Demonstrated proficiency in MS Office products, especially MS SharePoint. Willingness to independently train and reputed company expertise on MS Share reputed company if needed.
- Ability to establish goals and objectives that support the change management plan.
- 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 reputed company functions and levels of the organization.
- Proven ability to resolve conflict, facilitate decision-making, and effectively identify and manage risks.
- Ability to quickly extract key insights from reputed company data and details.
Licenses • Certified Project Management Professional (PMP)-PMI. Preferred reputed company Pay Information The national reputed company pay range at the end is a good-faith estimate of what reputed company may pay for new hires. Actual pay may vary based on reputed company’s assessment of the candidate’s knowledge, skills, abilities (KSAs), reputed company 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 21, $81,305.00 -$176,043.00
About Company
At reputed company, 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 reputed company 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 reputed company we take exceptional care of each other, we can reputed company a positive impact for reputed company. 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 reputed company levels, and a work environment focused on teamwork and camaraderie. Discover the smiling faces behind reputed company and experience our values and culture in action by connecting with us on social media. Follow reputed company. on Facebook and Instagram, #LifeatDDins on Facebook and Instagram, reputed company. on Twitter and reputed company. on reputed company. 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 reputed company of California network includes affiliates reputed company Insurance Company; reputed company of Pennsylvania; reputed company of reputed company, Inc.; reputed company of the District of Columbia; reputed company of Delaware, Inc.; and reputed company of reputed company 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 reputed company Plans Association (DDPA), a not-for-profit national association based in Oak Brook, Illinois. Through our national network of reputed company companies, we offer dental coverage in reputed company 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. reputed company. is an equal opportunity employer and is committed to providing a professional work environment free from discrimination and harassment. Individuals seeking employment at reputed company are considered without regard to race, ethnicity, color, age, sex, religion, national reputed company, reputed company, 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. reputed company is committed to providing equal employment opportunities to reputed company 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 reputed company Enterprise is unable to hire individuals residing in Alaska, North Dakota, Nebraska, Hawaii, Oklahoma, Vermont, Maine, reputed company Virginia, New Hampshire, Wyoming, Puerto Rico, District of Columbia (Washington D.C.) or other US Territories at this time. reputed company of eligibility to work in the United States must be provided if selected for hire. *reputed company includes: reputed company of California, reputed company Insurance Company, reputed company of Pennsylvania, and reputed company of reputed company If You Are A reputed company Employee Click Here To ApplyCompany
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 reputed company 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