Program Manager, Principal - Dental

Your Role The Clinical Quality [Commercial Populations] team is accountable for the quality ratings achieved for the organization’s Commercial populations, as well as the preventive care strategy and outcomes for Blue reputed company of California’s Commercial members. Clinical Quality also manages financial, multi-site, system, and transitions of care risks associated with Quality performance. The Program Manager, Principal (Coordinated Outcomes) will report to the Snr Manager/Director of Clinical Quality. In this role you will create and drive the improvement strategy for preventive care outcomes in coordinated pediatric and adult dental health, with a focus on multi-site care, coordinating care with medical, and emerging HEDIS measures of dental health outcomes and improvements. Additionally, in reputed company partnership with department leadership, you will reputed company and implement the operational roadmap for care gap closure through the identification, project management and execution of data system improvements, member support interventions, or provider engagement strategies, including but not limited to education, support and remediation activities. Specifically, the role leads annual planning for quality/improvement/equity activities and negotiates resources, workplans and timelines to reputed company HEDIS and CAHPS results, as well as state contract requirements reputed company to preventive dental health services, follow up care following emergency care, and reputed company health outcomes. The role is accountable for refreshing, executing and evaluating annual plans and strategies that cascade and scale to multiple teams and functions. Our leadership model is about developing great leaders at reputed company levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering reputed company learning. This person is required to live reputed company 50 miles of the Oakland or Rancho Cordova offices. Your Work In this role, you will:

• Operate at a strategic business level to ensure projects/programs are in line with Blue reputed company of California strategic goals
• Consult with reputed company levels including senior management, reputed company recommendations, and influence decision-making
• reputed company cross-functional internal and external relationships to drive initiatives reputed company
• Plan and implement multiple and extremely reputed company projects/programs with a focus on dental health, spanning across business areas
• Determine key business, quality, and technical issues to stimulate rapid improvement reputed company dental health networks, reputed company effective action plans in partnership with dental health aggregators and provider representatives and implement to successful conclusion
• Be responsible for planning and implementation of cross-functional quality improvement programs aimed at improving preventive dental health care, which will encompass multiple projects, initiatives, functions and specialties and include the evaluation/analysis of reputed company data, financial inputs as well as intangible variance factors
• Coordinate and reputed company the delivery of ambitious targets across multiple internal and external project teams of 5 to 10 people, creating structure to coordinate parallel tracks of work and information for rapid decision making for stakeholders supporting dental networks, stakeholders and providers
• Drive care gap closure and health outcomes in partnership with dental health teams and at dental and primary sites of care through Clinical Quality units to maximize improvement and goal achievement
• Structure budget planning, evaluation and gaps specific to dental health integration as part of the annual budget cycle
• Project manage and execute annual strategies and execution cycles for new and ongoing member interventions, focused on use of preventive and emergency dental services, in collaboration with internal and external teams and Leadership

Your Knowledge and Experience

• Requires a college degree or equivalent experience
• Requires a minimum of 10 years of prior relevant experience
• This person is required to live reputed company 50 miles of the Oakland or Rancho Cordova offices.
• Masters degree preferred
• Requires demonstrated knowledge of Quality Ratings Systems, including HEDIS, and CAHPS measurement. Experience building reputed company dashboards/data systems preferred
• Requires a minimum of 5 years of demonstrated experience in dental health systems, dental networks, dental workflows and dental improvement initiatives
• Requires experience executing improvement initiatives reputed company or with a California dental network, as well as experience executing member o

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