Director, Clinical Provider Support & Development, DentaQuest

You are as unique as your background, experience and point of view. Here, you'll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll have new and exciting opportunities to make life brighter for our Clients - who are at the heart of everything we do. Discover how you can make a difference in the lives of individuals, families and communities around the world.
DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all.

Location

:

We welcome applicants from anywhere in the U. S.
• Candidates located in CST, MST and PST Time Zones Preferred.
At Sun Life, we look for optimistic people who want to make life brighter for ourClients. We understand the value of diverse cultures, perspectives, and identities, and want you to bring your full and authentic self to work. Every day,you'll be empowered and challengedbyworking withdynamic colleaguesto find new and innovative ways to make Sun Life the best benefits company in America.
The opportunity:
The Director of Provider Support and Development, reporting to the Vice President, Clinical Affairs, provides subject matter expertise in the delivery of comprehensive clinical programs and patient care. This position provides leadership and oversight of dentist providers in a variety of states where Advantage Dental+ has practices. Working with various leadership teams, operations partners, HR and others, the position focuses on continuously improving clinical operations. The Director is responsible for provider development activities both at the organization level as well as coordinating with the Regional Dental Directors to facilitate individualized development programs as needed in support of our employed providers. The Director will act as a subject matter expert for all applicable lines of clinical services; and plays an important role in employee engagement and building career development pathways for clinical employees. Follows and supports the CARE model.
How you will contribute:
Provides clinical leadership to the practices within Advantage Dental+.

Leads Advantage Dental+ efforts in development and implementation of programs to support overall provider development across the organization.

Works closely with their direct reporting Regional Dental Directors, the AVP of Clinical Affairs (and their Regional Dental Directors) as well as Operational leaders to develop targeted development plans as needed in support of individual employed providers as needed.

Establish a general provider development plan model that can be utilized across organization.

Provide leadership, and direction for Regional Dental Directors who are directly reporting to them.

Work with their Regional dental directors to identify key clinical leaders within each practice and region who can support the clinical teams.

Work to develop leadership opportunities for dentist providers.

Supports ongoing efforts with the Clinical Preventistry Model of Care.

Provide clinical oversight of the clinical chart review and quality assurance auditing process in collaboration with the Director, Quality Assurance, and the Regional Dental Directors.

Elevate risks as needed through the Quality Assurance and Risk Management teams.

Care coordinate with Risk, Ops and Legal to help mitigate patient grievances that are clinical in nature and /or adverse events/incidences which occur as a result of patient care.

Develop and maintain key partnerships with stakeholders for preceptorships in the states/region where their clinical leadership is of primary responsibility.

Work with Regional Dental Directors and others when provider clinical deficiencies are identified to problem solve for solutions.

Participates in various clinical and quality related committee meetings; leading meetings as needed.

Provides internal consulting to the Vice President of Clinical Affairs and others on dental and oral health issues.

Provides direction in connection with ongoing state specific requirements related to VBC (value based care) metrics, changes in dental board regulations, etc. at the request of the Vice President of Clinical Affairs.

Assists Executive Clinical Leadership with developing clinical standard operating policies and procedures.

Maintain a consistent practice visit cadence for those practices directly under their reporting structure

Facilitates onsite trainings for practice providers as time allows.

Provides direct patient services in support of provider development, within scope and as licensure allows.

Works in partnership with the regional directors of operations re: trainings and other activities that may impact patient care or the business.

Maintains a collaborative and partnered approach with the regional director of operations.

Performs assigned duties in accordance with the scope of licensing, accreditation, and federal and state regulations, including assisting in the development and implementation of appropriate dental and clinical policies, protocols and procedures that are compliant with the most current accepted professional standards.

Attends Oral Health meetings as needed.

Other duties as assigned.

Travel 20-25% of the time.

Field Team Leadership/Coaching
Coaches and mentor clinical teams to ensure quality standards are met and provide frequent and specific feedback regarding individual performance.

Provides consistent and effective leadership to build and maintain a high performing team.

Attends team huddles and provides 1-1's when possible, during practice visits.

Influences team to achieve region, organization & corporate objectives while helping employees understand current and new clinical directions

Ability to demonstrate clinical procedures chairside with teams.

What you will bring with you

Required:
Graduate of an accredited Dental School (D. D. S or D. M. D)

Maintain an unrestricted dental license, if required by market/responsibilities

Experience in provider mentoring, provider development planning and quality assurance process

Understanding of basic dental operations functions

Resides in the contracted state preferred

Comply with applicable federal and state statutes and regulations

Knowledge of general dentistry

Specialties experience a plus

Efficient PC Skills.

Ability to make independent determinations on all types of dental claims, where required by market/responsibilities

Excellent written and verbal communication skills.

Ability to distinguish between multiple market benefits.

Ability to prioritize and organize multiple tasks.

Ability to remain organized with multiple interruptions.

Attends additional training as .