Jobs at Delta Dental Insurance Company

The Senior Director of Clinical Quality & Policy leads clinical quality, policy, and utilization management, ensuring evidence-based care and integration of oral health with overall health outcomes, while shaping strategic partnerships and improving clinical performance.

Lead enterprise payment integrity strategy to prevent, detect, correct, and recover improper claims payments. Oversee pre- and post-payment review, clinical and coding validation, audit and recovery, analytics, policy translation, vendor management, and KPI reporting. Partner with Claims, Clinical, Network, Finance, Legal, Compliance, Technology and Analytics. Hire and develop leaders and ensure regulatory and policy compliance while reducing financial leakage and improving operational quality.

Lead architecture, design, delivery, and operational support for enterprise Pega applications. Serve as a Pega Lead System Architect-level individual contributor, establish CoE governance and standards, drive integrations, performance tuning, DevOps practices, reusable assets, and delivery oversight across teams to ensure scalable, secure, maintainable Pega solutions.

Administratively review, analyze, and adjudicate insurance claims for accuracy, eligibility, coverage, and benefit application. Validate documentation, identify discrepancies or potential fraud, coordinate with providers and internal teams, apply policy and regulatory rules, ensure compliant claim outcomes, and meet productivity and quality standards while supporting process improvements.

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.

Identify, assess, monitor, and report enterprise risks across the organization. Perform risk assessments and workshops, create dashboards and reports, brief leadership, analyze data for emerging threats, support mitigation strategies, oversee third-party risk activities, and assist with audits and regulatory reviews in a healthcare/payer environment.

Lead delivery of internal platform services and developer enablement solutions by translating business and technical needs into prioritized backlogs, managing PI/sprint planning, coordinating stakeholders, removing blockers, and using metrics to ensure reliable, high-quality product outcomes.

Lead incident response as Incident Commander for critical security events, perform threat hunting and forensic analysis, build detections and telemetry across endpoint, identity, cloud, and network, run tabletop exercises and purple/red team activities, automate detection and response workflows, collaborate with engineering and risk teams, and translate findings into executive metrics and risk reduction strategies.

Design, build, and maintain scalable, secure microservices-based applications across the full SDLC. Contribute to architecture, write production-quality code, ensure test automation and observability, mentor engineers, and collaborate with cross-functional teams to deliver and operate enterprise platforms.

Lead business requirements and solutioning across the development lifecycle: gather and document requirements, model processes, configure COTS applications, support testing and UAT, perform root cause analysis, and liaise with stakeholders to ensure delivered systems meet business needs.

Design, build, and migrate enterprise Oracle ADF applications to modern stacks (ReactJS front-end, Spring Boot back-end). Develop RESTful APIs, integrate databases, implement cloud-native solutions on Azure/AWS, maintain CI/CD pipelines, ensure security, performance, and production support, mentor engineers, and produce technical documentation and monitoring instrumentation.

The Director of Accounting and Financial Reporting oversees accounting operations and financial activities, ensuring compliance with regulations while driving operational efficiency and strategic decision-making.

The Principal Data Architect leads the development of the Enterprise Data Strategy and architecture, ensuring alignment between operational and analytical systems while enabling advanced analytics and AI integration across the enterprise.

Design, build, and maintain enterprise data engineering solutions and ETL/ELT pipelines using ADF, SSIS, and SAP Data Services. Develop and optimize database schemas and complex SQL in Oracle and SQL Server, implement data warehouse/data lake architectures (star/snowflake), ensure data quality and governance, create Power BI reports, automate workflows with Python and Shell, troubleshoot pipeline failures, support SDLC, and mentor junior engineers.

Lead FP&A activities including driver-based models, forecasting, budgeting, variance and scenario analysis, monthly reporting, executive dashboards, and BI-driven insights. Partner with stakeholders, mentor 1–3 team members, drive automation and process improvement using ERP/EPM and data visualization tools, and support disciplined financial decision-making.

Lead division-level budgeting, forecasting, and monthly performance reporting. Build and maintain complex financial models, perform variance, profitability, scenario and cost-benefit analyses, drive process improvements, mentor junior analysts, and communicate insights to support strategic business decisions.

Perform division-level budgeting, forecasting, variance analysis, and monthly financial reporting. Partner with business owners and cross-functional teams to build models, deliver insights, support decision-making, and drive process improvements and ad hoc financial analysis.

Lead FP&A strategy and transformation: provide senior leadership with insight-driven financial storytelling, scenario and long-range planning, advanced modeling, automation and AI-enabled analytics, cross-functional financial leadership, and build a high-performing FP&A team while ensuring governance and continuous improvement.

The Senior Salesforce Engineer will design and develop scalable Salesforce solutions using Apex and LWC, implement AI features, collaborate with teams, and mentor juniors while ensuring best practices.

The Senior Applications Analyst oversees Business Needs Assessments for Oracle Cloud ERP, optimizing applications and translating business requirements into system designs. Responsibilities include leading documentation, managing the application lifecycle, and collaborating with technical teams to ensure functionality and data integrity.