Teams 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.