Senior Director Dental Services

--This position is located in New Jersey --

The director, dental services, is responsible for the administration and delivery of all dental services provided by the health plan, including policy development and clinical performance direction and oversight for the health plan dental vendor. The position works in conjunction with the dental vendor to identify provider network needs and develop strategies to fill identified gaps and ensure an appropriate training process is in place for all providers. The director, dental services has responsibility for the coordination and monitoring of dental continuous quality improvement activities.

Reports to: Medical Director
Dept: Dental Services
Location: Newark or Lawrenceville, NJ

Essential Functions:

  • Demonstrates the ability to sufficiently provide direction of dental services, which includes development of protocols, standard procedures, and management of all patient care related activities.
  • Reviews dental policies and procedures on an ongoing basis.
  • Coordinates and monitors all dental CQI activities and report as directed.
  • Serves as a liaison with the local market regulatory agencies and dental community and provides professional dental advice to the Medical Director, Field.
  • Provides dental advice to health committees, and attends required meetings or functions as requested.
  • Performs other duties as assigned.
Candidate Education:
  • Required DDS or DMD from an accredited school of dentistry
Candidate Experience:
  • Required 5 years of experience in dentistry
  • Preferred 3 years of experience in NCQA accredidation
  • Preferred 3 years of experience in government sponsored healthcare programs

Licenses and Certifications:

  • Required Must be licensed to practice dentistry, without restrictions, in working state.
Technical Skills:
  • Required Intermediate Microsoft Excel
  • Required Intermediate Microsoft Word
  • Preferred Intermediate Microsoft Access
  • Required Intermediate Microsoft Outlook
  • Preferred Intermediate Microsoft Project

    About us
    Headquartered in Tampa, Fla., WellCare Health Plans, Inc. (NYSE: WCG) focuses exclusively on providing government-sponsored managed care services through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans to families, children, seniors and individuals with complex medical needs. WellCare is a Fortune 500 company, and in 2018, was recognized as a Fortune "World's Most Admired Company", ranking in the top five among the health insurance and managed care industry-a testament to the hard work and dedication of the company's nearly 9,000 associates who each day live WellCare's values and deliver on its mission to help its members live better, healthier lives. The company serves approximately 4.4 million members nationwide as of Dec. 31, 2017. For more information about WellCare, please visit the company's website at EOE: All qualified applicants shall receive consideration for employment without regard to race, color, religion, creed, age, sex, pregnancy, veteran status, marital status, sexual orientation, gender identity or expression, national origin, ancestry, disability, genetic information, childbirth or related medical condition or other legally protected basis protected by applicable federal or state law except where a bona fide occupational qualification applies. Comprehensive Health Management, Inc. is an equal opportunity employer, M/F/D/V/SO.