Remote New

Expert Policy Quality Enablement

Delta Dental of California
$81,305.00 -$176,043.00
dental insurance, paid time off, paid holidays, tuition reimbursement, 401(k), employee discount
United States
Mar 25, 2026
JOB DESCRIPTION The Expert Policy Quality Enablement role supports Delta Dental'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 complex, 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. RESPONSIBILITIES Supports the governance, coordination, and communication of all 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 progress 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 progress and ensure accountability within a complex, 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 intent and quality expectations among internal teams and external partners. QUALIFICATIONS 7+ w/Bachelor's degree Program management training or 5+ years of experience in managing complex, 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 develop expertise on MS Share Point 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 all 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 complex data and details. Licenses * Certified Project Management Professional (PMP)-PMI. Preferred 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 21, $81,305.00 -$176,043.00 ADDITIONAL INFORMATION 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 This position requires that the applicant undergo a background check. Qualified applicants with arrest or conviction records will be considered for employment in accordance with any applicable federal, state or local laws, including, but not limited to, the California Fair Chance Act, the Los Angeles County Fair Chance Ordinance, the City of Los Angeles Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, and/or New York Corrections Law Article 23-A. Important Work Authorization Information Please note, Delta Dental will not sponsor applicants for work visas for this position. #LI-Remote ABOUT THE TEAM At Delta Dental, 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 make 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 when we take exceptional care of each other, we can make a positive impact for all. 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 all levels, and a work environment focused on teamwork and camaraderie. Discover the smiling faces behind Delta Dental and experience our values and culture in action by connecting with us on social media. Follow Delta Dental Ins. on Facebook and Instagram, #LifeatDDins on Facebook and Instagram, Delta Dental Ins. on Twitter and Delta Dental Ins. on LinkedIn. 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 Delta Dental of California network includes affiliates Delta Dental Insurance Company; Delta Dental of Pennsylvania; Delta Dental of New York, Inc.; Delta Dental of the District of Columbia; Delta Dental of Delaware, Inc.; and Delta Dental of West 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 Delta Dental Plans Association (DDPA), a not-for-profit national association based in Oak Brook, Illinois. Through our national network of Delta Dental companies, we offer dental coverage in all 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. Delta Dental Ins. is an equal opportunity employer and is committed to providing a professional work environment free from discrimination and harassment. Individuals seeking employment at Delta Dental are considered without regard to race, ethnicity, color, age, sex, religion, national origin, ancestry, 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. Delta Dental is committed to providing equal employment opportunities to all 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 Delta Dental Enterprise is unable to hire individuals residing in Alaska, North Dakota, Nebraska, Hawaii, Oklahoma, Vermont, Maine, West Virginia, New Hampshire, Wyoming, Puerto Rico, District of Columbia (Washington D.C.) or other US Territories at this time. Proof of eligibility to work in the United States must be provided if selected for hire. Delta Dental includes: Delta Dental of California, Delta Dental Insurance Company, Delta Dental of Pennsylvania, and Delta Dental of New York If You Are A Current Employee Click Here* To Apply