Delta Dental of Michigan

Rural Health Transformation Program Lead

Delta Dental of Michigan$75K — $95K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in business administration, healthcare administration, public health, marketing, communications, or related field.
  • 5 years of experience in dental insurance or payer operations, group benefit implementations, project management, or account management.
  • Knowledge of dental insurance, payer operations, and Medicaid programs.
  • Project management skills, capable of managing multiple implementations simultaneously.
  • Strong verbal, written communication, and analytical skills.

Responsibilities

  • Lead implementation of dental and value-based care programs from planning to execution.
  • Develop and manage detailed project plans and timelines, proactively addressing risks and barriers.
  • Ensure operational readiness through system configuration and process workflows.
  • Oversee payer operations including eligibility, enrollment, and claims processing.
  • Monitor program performance post-implementation and manage change requests.
  • Drive continuous improvement by evaluating outcomes and identifying opportunities for enhancement.
  • Collaborate with internal teams and external stakeholders to ensure cross-functional success.

Benefits

  • Hybrid work environment offering flexibility.
  • Opportunity to impact rural and underserved communities.
  • Professional development through grant-funded initiatives.
  • Dynamic teamwork with cross-functional collaboration.
  • Potential for continued employment depending on grant funding.
Full Job Description

Job Title:

Rural Health Transformation Program Lead

Number of Positions:

1

Location:

Nashville, TN

Location Specifics:

Hybrid Position

Job Summary:

This position is funded by a five-yeargrantand is expected to continue for the duration of the grant funding, up to five years. We are seeking a candidate who is interested in remaining in the position for that anticipated period. However, employment in this position is at will, and nothing in this posting creates a contract, guarantee of employment for any specific duration, or limitation on the employer92s right to end the employment relationship at any time, with or without cause or notice, subject to applicable law.

Position Description:

Leads the implementation and ongoing management of dental and value-based care programs that support rural and underserved communities. Oversees program execution, cross-functional coordination, stakeholder engagement, and performance improvement to ensure operational success and compliance with business, contractual, and regulatory requirements.

Primary Job Responsibilities:

  • Leads implementation of assigned dental and value-based care programs from initial planning through go-live, ensuring timely execution, alignment with business objectives, and readiness to support successful operational and clinical outcomes.
  • Develops, maintains, and manages detailed project plans, timelines, deliverables, and key milestones, while proactively identifying risks, resolving barriers, and coordinating activities needed to keep implementations on track.
  • Coordinates system configuration, benefit setup, testing, and operational readiness activities to ensure business processes, workflows, and supporting systems are fully prepared for implementation and ongoing administration.
  • Oversees payer operations related to eligibility, enrollment, claims processing, and program administration, partnering with internal teams to support accurate execution, issue resolution, and effective service delivery.
  • Monitors account and program performance following implementation, managing updates, issue resolution, and change requests while ensuring sustained operational effectiveness and alignment with client and program expectations.
  • Drives continuous improvement efforts by evaluating implementation outcomes, operational performance, and program data to identify opportunities to improve access, utilization, quality, and value-based care results.
  • Partners with internal teams and external stakeholders, including operational, clinical, account, and community partners, to support implementation success, strengthen cross-functional alignment, and respond to evolving business and program needs.
  • Contributes implementation expertise and subject matter knowledge to proposals, benefit comparisons, stakeholder presentations, and other business development activities that support growth, market readiness, and informed decision-making.

Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.

#LI-Hybrid

Minimum Requirements:

Position requires a bachelor92s degree in business administration, healthcare administration, public health, marketing, communications, or a related field and five years of experience in dental insurance or payer operations, group benefit implementations, project management, or account management. Experience with value-based care models, population health, or healthcare transformation initiatives is preferred. Will accept any suitable combination of education, training, or experience.

Position requires knowledge of dental insurance and payer operations, group contracts, summary plan documents, eligibility processes, claims systems and operational workflows, and dental terminology and procedure codes; experience working with Medicaid programs; project management skills with the ability to manage multiple implementations simultaneously; strong verbal and written communication skills; ability to analyze complex issues, exercise independent judgment, and drive solutions; and strong organizational skills and attention to detail in a highly regulated environment.

About Delta Dental of Michigan

Delta Dental of Michigan is a non-profit dental insurance company that provides dental insurance programs to over 1.8 million people in Michigan. The company was founded in 1957 and is headquartered in Okemos, Michigan. Delta Dental of Michigan is part of the Delta Dental Plans Association, which is the largest dental benefits provider in the United States. The company offers a variety of dental insurance plans, including PPO, HMO, and fee-for-service plans. Delta Dental of Michigan is committed to improving oral health and access to dental care in Michigan.
Learn more about Delta Dental of Michigan
Size
1 employees
Industry
Founded
1957

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