Dental Operations Manager

Centene Corporation

Dental Operations Manager overseeing dental operations for 28 million members in Medi-Cal and Medicare. Responsible for compliance and provider network management with third party administrators.

Posted 5/29/2026full-timeRemote • California • 🇺🇸 United StatesMid-LevelSenior💰 $107,700 - $199,300 per yearWebsite

About the role

Key responsibilities & impact

responsible for managing, directing and supporting the dental operations for our Medi-Cal, Healthy Families and Medicare members.
ensuring compliance with Department of Health Services (DHS) and Healthy Families MRMIB contracts.
monitors Health Net's performance under its dental services contracts with the State.
oversees Health Net's dental administration functions performed by the designated third party administrator.
maintains and expands provider network through contract negotiations and execution.
works closely with Dental Director to ensure that the dental care provided meets the standards for acceptable dental care.
performs utilization review by reviewing claims and encounter data.
develops and implements policies and procedures for the dental plan.
assists in grievance resolution related to quality of care under the dental plan.
actively participates in plan grievance procedures under the dental plan.

Requirements

What you’ll need

College degree in Business preferred.
Five to ten years managed care dental experience.
Prior experience with negotiating provider contracts preferred.

Benefits

Comp & perks

competitive pay
health insurance
401K and stock purchase plans
tuition reimbursement
paid time off plus holidays
flexible approach to work with remote, hybrid, field or office work schedules

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

utilization reviewcontract negotiationspolicy developmentprocedure implementation

Soft Skills

managementdirectionsupportgrievance resolutioncollaboration