Gainwell Technologies

Dental Services and Clinical Policy Manager (Remote in California)

Gainwell Technologies • $121K — $174K *
Wrangell, AK 99929In-Person
Healthcare
5 - 7 years of experience
Today
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Job Overview by Ladders

Qualifications

  • DDS or DMD dental degree with an active California dental license.
  • Minimum of 5 years in management or leadership roles, demonstrating progressive responsibility.
  • Proficient in Excel, data analytics, and PowerPoint.
  • Strong verbal and written communication skills with a knack for presentations.
  • Effective people management abilities.

Responsibilities

  • Manage a team of dental consultants to ensure efficient operations and support for Medi-Cal Dental.
  • Analyze trends and develop data-driven proposals for policy and workflow improvements.
  • Serve as the main escalation point for member and provider issues related to dental services.
  • Supervise recruitment, training, and mentorship of staff to meet company objectives.
  • Collaborate with cross-functional teams for project development and implementation.
  • Align daily operations with strategic long-term goals.
  • Ensure compliance with laws, regulations, and industry standards.

Benefits

  • Health benefits (medical, dental, vision) start on day 1 of employment.
  • 401K company match and additional benefits available shortly after starting.
  • Flexible vacation policy after 90 days of employment with manager approval required.
  • Company-provided computer for work-related tasks.
  • Candidates must maintain a minimum broadband speed of 24MBS download and 8MBS upload for remote work.
Full Job Description
Summary

The Dental Services and Clinical Policy Manager is responsible for defining, managing, analyzing and improving dental consultant support related to Medi-Cal Dental clinical dental services and clinical policy, ensuring they meet agreed-upon standards and expectations. Oversees daily business operations, optimizing workflows, managing resources, recommending IT system updates, and ensuring productivity aligns with company goals. This position requires collaboration with various stakeholders to ensure Service Level Agreements (SLAs) and Key Performance Indicators (KPIs) are met, leading personnel and taking corrective action when necessary. This position will be based in Roseville, CA and requires working remotely within the state of California daily.

Your role in our mission

  • Manage a team of dental consultants supporting Medi-Cal Dental complaints and grievances, Conlan, First Level Appeals, outreach, provider training and State Hearing day-to-day activities to ensure operations run smoothly and efficiently
  • Analyze trends, develop and present data-driven improvement proposals, and implement strategies to improve policy, workflows, IT applications, productivity, quality standards and member utilization of dental services.
  • Serve as a point of escalation, including the point of contact for the client, to support resolution of member and provider issues related to dental policies and access to dental services
  • Supervise, hire, train, and mentor employees to meet performance expectations and company goals.
  • Partner with cross-functional teams to pursue project development and Go Live deployment. Handle special projects as assigned.
  • Contribute to long-term planning and align daily operations with strategic objectives.
  • Ensure clinical related operations adhere to relevant laws, regulations, and industry standards.
  • Other duties as assigned.


What we're looking for

  • DDS or DMD dental degree with a current, in good-standing, non-expired dental license from the State of California.
  • Must be able to work remotely within California and maintain physical California residence.
  • A minimum of five 5 years of management / leadership experience with progressive increase in responsibilities.
  • Solid understanding of Excel, data analytics and Powerpoint. Ability to demonstrate intelligence needed to assess workflows, processes and SLA requirements.
  • Excellent verbal, written and presentation communications skills. Strong people management skills.


What you should expect in this role

  • This is a full-time permanent regular salaried (W-2) employee position.
  • Monday through Friday work schedule (40 hours per week).
  • Some travel may be required for training, seminars or other Provider support events, less than 25%.
  • Candidates must live in California.
  • Health (medical, dental, vision) benefits start on day 1 of employment.
  • Company match 401K and other benefits available within months of starting.
  • New employees are eligible to take advantage of flexible vacation policy after ninety (90) calendar days of employment. Any exception requires manager approval prior to employee's Gainwell start date.
  • Company provided computer for work use.
  • For all hybrid and remote positions employees' Broadband Internet connections, should have a minimum speed of 24MBS download and 8 MBS upload. Greater speeds will of course provide better performance. Gainwell does not reimburse for internet connections.
  • Video cameras must be used during all interviews, as well as during the initial week of orientation if hired.
  • The use of AI during interviews is prohibited.
  • This position will accept applications until August 10, 2026.


#LI-NB1

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#LI-REMOTE

The pay range for this position is $121,900.00 - $174,100.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

About Gainwell Technologies

Gainwell Technologies offerings including Medicaid Management Information Systems (MMIS), fiscal agent services, program integrity, care management, immunization registry, and eligibility services. With over 50 years of proven experience, Gainwell carries forward a reputation for technological innovation, service excellence, and unparalleled industry expertise in offering clients scalable and flexible health and human services solutions for their most complex challenges.

Gainwell Technologies Careers

There has never been a more opportune time to join Gainwell Technologies, a leader in providing cutting-edge technology solutions. As a hub of innovation and diversity, Gainwell Technologies offers a plethora of job opportunities aimed at enhancing the digital landscape.

Work You’ll Do

Join Gainwell Technologies' esteemed team to assist some of the most prominent organizations in mastering their technological advancements and digital transformations. At Gainwell Technologies, the focus is on leveraging a unique blend of technology, industry expertise, and digital innovation to lead the market. Professionals at Gainwell Technologies are positioned uniquely at the crossroads of technology and consulting, driving leadership and growth in various sectors through transformative solutions.

Gainwell Technologies Professional Growth and Opportunities

The team is dedicated to building a leading-edge environment that fosters professional growth and innovation. Gainwell Technologies is not just about addressing the current needs of the market but also about foreseeing and shaping the future of technology.

Innovative Work

At Gainwell Technologies, employees engage in groundbreaking work at the intersection of technology and practical application. The company is home to a large group of dedicated professionals who are committed to delivering robust solutions on trusted platforms.

Career Advancement

Embark on a career journey with Gainwell Technologies where the sky is the limit. The company supports ambitious professionals with comprehensive training, development programs, and diverse certification opportunities designed to future-proof careers in the technology sector.

Explore Job Opportunities and Culture

Gainwell Technologies is committed to creating a workplace culture that promotes diversity and inclusion, where every team member’s contribution is valued. Explore various job opportunities, from internships to full-time positions, and become part of a team that values innovation and leadership.

The Gainwell Technologies Commitment to Diversity and Professional Development

Gainwell Technologies recognizes the importance of diversity training and professional development in creating a thriving workplace. The company is dedicated to providing employees with the resources they need to succeed in their careers and contribute to the industry effectively.

Stay Connected with Gainwell Technologies Careers

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Discover open positions that align with your skills and interests. Gainwell Technologies is on the lookout for passionate, curious, and creative professionals who are driven to find solutions and excel in their careers. SEARCH GAINWELL TECHNOLOGIES JOBS

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Learn more about Gainwell Technologies
Size
10,001 employees
Industry
Information Technology
* Ladders Estimates

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