Expert Program Manager - Payment Integrity

Delta Dental · Remote, United States

This role is responsible for bringing structure, visibility, and accountability to complex programs spanning data, analytics, technology, operational improvement, and emerging AI capabilities. The individual will facilitate planning, coordinate execution across multiple teams, manage dependencies and risks, and ensure strategic initiatives are delivered on time and aligned with organizational objectives.

The ideal candidate is a highly organized program leader with extensive experience managing large-scale, cross-functional initiatives in fast-paced environments. They excel at breaking complex strategies into manageable workstreams, developing clear execution plans, and driving progress through influence, collaboration, and effective stakeholder engagement.

Translate long-term strategic objectives into actionable work plans and 12-week planning cycles.
Drive execution of complex programs and projects across multiple Payment Integrity teams and business functions.
Create structure, visibility, and accountability around priorities, deliverables, timelines, and outcomes.
Identify, monitor, and manage program risks, issues, dependencies, and decision points.
Support initiatives involving data infrastructure, data warehousing, vendor solutions, analytics platforms, and emerging AI and machine learning capabilities.
Coordinate planning and execution activities using Agile methodologies, ensuring work is organized into manageable workstreams and sprints where appropriate.
Develop presentation materials and executive-level communications that support strategic decision-making.
Drive continuous improvement of program management processes, tools, and team collaboration practices.
Bachelors degree or equivalent combination of education and experience.
~7+ years of program management, project management, or related leadership experience.
~ Demonstrated success leading large, complex, cross-functional initiatives from planning through execution.
~ Healthcare, health insurance, payment integrity, analytics, or related industry experience.
~ Strong program and project management expertise with the ability to break complex initiatives into manageable workstreams and execution plans.
~ Exceptional organizational, communication, and stakeholder management skills.
~ Strong analytical and problem-solving skills with the ability to identify trends, risks, and opportunities.
~ Experience supporting initiatives involving data infrastructure, data warehousing, reporting, analytics, or technology implementations.
~ Working knowledge of Agile methodologies, Scrum practices, and iterative planning approaches.
~ Experience utilizing project and analytics tools such as: Jira, Confluence, Power BI, Tableau, JMP, Microsoft Office Suite
~ Experience operating in environments undergoing transformation and organizational change.
~ Demonstrated ability to bring clarity, structure, and momentum to evolving programs and strategic initiatives.

The 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.
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. 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
~ tuition reimbursement; Family support: adoption assistance, fertility treatment, child, elder & pet care assistance
~ 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.
Please note, Delta Dental will not sponsor applicants for work visas for this position.

LI-Remote

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. Weve 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. 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 Facebook and Instagram, #LifeatDDins on Facebook and Instagram, Delta Dental Ins. on Twitter and Delta Dental Ins. on LinkedIn. 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.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.Delta Dental includes: Delta Dental of California, Delta Dental Insurance Company, Delta Dental of Pennsylvania, and Delta Dental of New York