Dental Business Service Director

Summary

Gainwell is the leading provider of technology solutions that are vital to the administration and operations of health and human services programs. Gainwell is a new company with over 50 years of proven experience, a reputation for service excellence and unparalleled industry expertise. Gainwell, with more than 10,000 employees, will support clients across 42 U.S. states and territories with offerings including Medicaid Management Information Systems (MMIS), fiscal agent services, program integrity, care management, immunization registry and eligibility services.

At Gainwell, it’s easy to see the positive impact of what we do. The passion you bring to your career ultimately benefits the lives improved by services we provide to our clients. We encourage you to challenge yourself, learn and grow in a company that thrives on innovation. We go beyond entering new arenas to shaping markets with transformational experiences that redefine our business. The difference is clear.

Your role in our mission

• Provide overall leadership for dental operations supporting large State Medicaid management client programs.  Dental Operations includes the business, clinical, and technical solutions which support the scope of the client pharmacy services contract. 
• Directly responsible for building high-level relationships with the client, and the strategic partners who support the contract scope of services.
• Serve as primary point of contact and provide leadership accountability for dental strategy and service operations for the client.
• Provide direction and mentoring to front line management team responsible for day-to-day operations, ensuring contract objectives and service levels are met consistently. These managers have operational responsibility for claims, prior authorization and call center. Other managers support trend analytics, formulary management and quality improvement.
• Provide senior leader oversight of business/clinical processes, staffing and technical solutions to maximize overall quality and efficiency, and within approved budgets. 
• Work with client leadership to understand drivers of utilization and quality, identify new clinical and operational program opportunities to drive overall program effectiveness.  Partner with internal stakeholders to develop solutions and pricing to achieve profitability objectives on new or existing client programs.
• Provide leadership oversight of team(s) responsible for new client initiatives and projects. Ensures project milestones and deliverables are met, and routine client communication occurs. 
• Identify and drive continuous process improvement initiatives to improve the value and cost effectiveness of pharmacy service operations, including recommending changes to mix of offerings, and the systems and operations through which it is delivered.
• Provide leadership to the Business Office Manager who is responsible for the cost accounting requirements for business operations, and for management oversight of the tracking of hours as outlined in the contract. Provide routine reporting and communication with the client regarding these hours. 
• Lead routine team meetings with the client where overall program status is reviewed, including a review of service level metrics, status of program change requests and projects, and issue management. 
• Provide internal leadership and innovation in driving new technical solutions in line with the dental business. Work directly with internal business partners and technical staff assigned to the account.
• Gather feedback from client on program results; analyze feedback and incorporate same into future programs. 

What we're looking for

• Bachelors degree or equivalent combination of education and experience.
• 10 or more years of operations leadership or project management experience required.  
• 5 or more years of healthcare management industry experience in a leadership role.  Dental Business Operations Management experience strongly preferred.  
• Experience and working knowledge of healthcare data/outcomes is preferred.
• Strong presentation, negotiation, and communication skills required.

What you should expect in this role

• This role is a hybrid opportunity that requires onsite work in Sacramento, CA. Candidate must be located in California, Sacramento area preferred.