Jobs at Delta Dental Insurance Company

Leads enterprise implementation and adoption of the Business Quality Management System across business functions. Advises leaders, conducts quality assessments, statistical and root-cause analyses, identifies systemic risks, and drives continuous improvement. Coordinates complex cross-functional initiatives, change management, training, audits, and performance monitoring. Translates quality standards, Lean Six Sigma principles, and operational findings into scalable practices and actionable recommendations while influencing stakeholders without direct authority.

Leads the design, implementation, optimization, and support of Epic interoperability solutions, including Bridges, HL7, FHIR, APIs, interfaces, and data conversions. Serves as the senior technical authority for integration services while managing and mentoring interoperability analysts. Oversees interface lifecycle governance, testing, deployments, monitoring, troubleshooting, data migration, release management, vendor coordination, and operational improvement. Ensures secure, scalable, compliant exchange of healthcare information across internal and external systems.

Directs network development across the Western United States, leading provider contracting, negotiations, strategic partnerships, network growth, performance monitoring, and cost management. Oversees regional teams and provider agreements, supports sales growth, ensures regulatory and policy compliance, and develops strategies to strengthen network access, quality, competitiveness, and financial performance.

Manage day-to-day clinical appeal review operations and oversee Clinical QM and Grievance & Appeals. Lead clinical governance, ensure regulatory compliance, analyze trends, identify quality risks, design and implement quality improvement initiatives, develop policies and workflows, and provide cross-functional training and clinical subject-matter expertise.

Lead engineering team to define and execute threat detection, platform, analytics, and automation roadmaps. Advance automated, AI-augmented detection and response across SIEM/EDR/NDR/SOAR and cloud environments, partner with Incident Response, and drive measurable risk reduction via metrics and team development.