Policy Writer

Job Category: Clinical ManagementJob Description:The Policy Writer is responsible for researching, drafting, and maintaining clinical and business policies and guidelines that support accurate payment, regulatory compliance, and high-quality care across the enterprise. This role works closely with clinical experts, business leaders, and operational stakeholders to ensure all policies reflect current clinical standards, support business strategies, and align with regulatory and contractual requirements.Responsibilities:

• Conduct external review of scientific research and industry best practices for clinical policy to inform Delta Dental business and clinical policies.
• Collaborate with dentists, clinical experts, business stakeholders and cross-functional teams to ensure the accuracy and relevance of clinical and business policies.
• Monitor changes in clinical guidelines, regulatory requirements, and payer trends to update policies proactively.
• Write clear, concise, and well-structured clinical policy documents that align with organizational standards and legal requirements.
• Continuously review and revise existing dental policies to ensure compliance with regulatory requirements and improve clarity for implementation.
• Provide input and subject matter expertise on enterprise initiatives related to or impacting clinical and business policy.
• Support audits and reviews of clinical and business policies by providing thorough documentation and rationale for policy decisions.
• Assist in the development of training materials, resources and communications related to dental and business policies for internal teams.
• Write clinical policies and guidelines for dental care services and business policies for claim outcomes and payments.

Qualifications:

• 4+ w/Bachelor's degree.
• Experience working in a clinical related function preferred. Writing clinical policy and payment policies highly preferred.
• Excellent verbal and written communication skills.
• Knowledge of CDT codes and dental nomenclature.
• Strong analytical and problem solving skills.
• Strong organizational and time management skills.
• Knowledge of Microsoft Office programs, i.e. Word, Excel, Outlook etc.
• Excellent customer service skills.
• Ability to successfully communicate ideas and recommendations to all levels within the organization.
• Ability to build strong working relationships with cross-functional teams.
• Strong presentation skills. Comfortable with presenting to all levels of management.
• Knowledge of Delta Dental products, policies, claims, eligibility and underwriting guidelines.
• High level of proficiency, accuracy, integrity, and attention to detail.

Licenses

• DDM - Doctor Of Dental Medicine. Upon Hire Pref'
• DDS - Doctor Of Dental Surgery. Upon Hire Pref'
• RDH - Registered Dental Hygienist. Upon Hire Pref'

Base Pay InformationThe national base pay range at the end is a good-faith estimate of what Delta Dental may pay for new hires. Actual pay may vary based on Delta Dental's assessment of the candidate's knowledge, skills, abilities (KSAs), related experience, education, certifications and ability to meet required minimum job qualifications. Other factors impacting pay include prevailing wages in the work location and internal equity.
Pay Grade 21. $80,500 - $174,300About Us: Behind the smile! We are dedicated to safeguarding the health and financial stability of our employees and their loved ones. This commitment extends beyond the workplace to foster personal growth and holistic wellbeing. Our life-changing rewards package includes:

• Competitive base and incentive pay
• 401(k) with robust matching and non-matching contributions
• Rich medical & pharmacy benefits
• 100% employer-paid dental and vision benefits
• Holistic wellbeing program with deep financial incentives
• Generous paid time off plus 12 paid holidays and your birthday off
• Culture of growth and learning: career development; tuition reimbursement; recognition program
• Family support: adoption assistance, fertility treatment, child, elder & pet care assistance
• Social responsibility and volunteer opportunities
• Employee discount program

Fair Chance Ordinances and Criminal Background ConsiderationsThis position requires that the applicant undergo a background check. Qualified applicants with arrest or conviction records will be considered for employment in accordance with any applicable federal, state or local laws, including, but not limited to, the California Fair Chance Act, the Los Angeles County Fair Chance Ordinance, the City of Los Angeles Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, and/or New York Corrections Law Article 23-A.#LI-RemoteAbout the Team:At Delta Dental, we're behind millions of smiles and counting. For over 68 years, we've served our communities by increasing access to affordable, quality care - but that commitment to care extends beyond the people we serve, to the dedicated employees who make those smiles genuine. We've come this far by building fair programs that offer opportunities for advancement, create meaningful connections and improve the lives of our employees and their families. Because we know that when we take exceptional care of each other, we can make a positive impact for all.We champion an inspirational workplace through our commitment to trust, service, excellence and innovation. Joining us means working for a company that offers stability and balance, opportunities for leadership at all levels, and a work environment focused on teamwork and camaraderie.Discover the smiling faces behind Delta Dental and experience our values and culture in action by connecting with us on social media. Follow Delta Dental Ins. on and , #LifeatDDins on and , Delta Dental Ins. on and Delta Dental Ins. on . If you've got an appetite for innovation and want to be a part of a team that's transforming the future of health care, join us!Since 1955, we have offered comprehensive, high-quality oral health care benefits to millions of enrollees and built the strongest network of dental providers in the country. The Delta Dental of California network includes affiliates Delta Dental Insurance Company; Delta Dental of Pennsylvania; Delta Dental of New York, Inc.; Delta Dental of the District of Columbia; Delta Dental of Delaware, Inc.; and Delta Dental of West Virginia, providing dental benefits to more than 31 million people across 15 states, the District of Columbia, Puerto Rico and the Virgin Islands.The company and its affiliates are part of Delta Dental Plans Association (DDPA), a not-for-profit national association based in Oak Brook, Illinois. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. We offer vision coverage through DeltaVision in 15 states and the District of Columbia. Collectively, we deliver benefits to more Americans than any other dental insurance company.Delta Dental Ins. is an equal opportunity employer and is committed to providing a professional work environment free from discrimination and harassment. Individuals seeking employment at Delta Dental are considered without regard to race, ethnicity, color, age, sex, religion, national origin, ancestry, pregnancy, sexual orientation, gender identity, gender expression, genetic information, actual or perceived physical or mental disability, registered domestic partner status, caregiver status, marital status, veteran or military status, citizenship status, or any other legally protected category. Delta Dental is committed to providing equal employment opportunities to all employees and applicants for employment. Accordingly, we have adopted and maintain an Equal Employment Opportunity Policy, Harassment-Free Work Environment Policy, and Respectful Workplace policies and will not tolerate violations of these policies.Unfortunately, our Delta Dental Enterprise is unable to hire individuals residing in Alaska, North Dakota, Nebraska, Hawaii, Oklahoma, Vermont, Maine, West Virginia, New Hampshire, Wyoming, Puerto Rico, District of Columbia (Washington D.C.) or other US Territories at this time.Proof of eligibility to work in the United States must be provided if selected for hire.*Delta Dental includes: Delta Dental of California, Delta Dental Insurance Company, Delta Dental of Pennsylvania, and Delta Dental of New YorkIf You Are A Current Employee To Apply

Apply for the job now!

Apply for this job