Delta Dental of Washington · 5 hours ago
Senior Program Manager, Provider Reimbursement
Seattle, WA
Full-time
Onsite
Mid, Senior Level
$109K/yr - $155K/yr
5+ years expDelta Dental of Washington is seeking a Senior Program Manager to lead and support provider reimbursement initiatives. The role involves designing and optimizing value-based reimbursement programs to improve provider satisfaction and align with regulatory standards while managing a team and collaborating across functions.
Health Care
Responsibilities
Lead the end-to-end design, delivery, and continuous improvement of provider reimbursement programs, including roadmap creation, milestone tracking, and business case development
Support the definition and execution of reimbursement strategies aligned with business goals and provider partnership objectives
Manage and develop the Provider Reimbursement team by defining roles, organizing work, and providing guidance on training, performance management, and professional development strategies
Leverage claims data, provider behavior, and reimbursement trends to develop strategic insights through forecasting, ROI analysis, and cost modeling that inform reimbursement model design and drive program performance
Define and monitor key performance indicators (KPIs) to evaluate the performance of value-based reimbursement programs and identify opportunities for continuous improvement
Lead cross-functional initiatives to implement, scale, and advocate for provider reimbursement programs in collaboration with clinical, legal, compliance, underwriting, and operational teams
Regularly engage and present to key Board Committees on network compensation strategy, updates and outcomes
Ensure compliance with federal, state, and internal regulatory standards across all reimbursement initiatives
Build and maintain strong relationships with provider partners and internal stakeholders to drive alignment, foster trust, and ensure successful adoption of reimbursement programs
Provide subject matter expertise and strategic guidance on provider reimbursement initiatives, ensuring effective program design, proactive change management, and stakeholder alignment
Identify opportunities to scale and evolve reimbursement capabilities in alignment with emerging industry trends, regulatory changes, and organizational priorities
Qualification
Required
5–8 years of experience leading the end-to-end delivery of programs, including roadmap development, milestone tracking, and cross-functional coordination
Strong knowledge of healthcare insurance, provider reimbursement methodologies, coding standards, and claims adjudication
Ability to guide, support, and develop team members through mentorship, training, and performance feedback to foster growth and improvement
Proven experience leading cross-functional program initiatives in a matrixed environment
Demonstrated ability to analyze data and translate insights into strategic program decisions
Familiarity with provider network operations and the impact of reimbursement programs on provider engagement and satisfaction
Proven ability to develop business cases, define key performance indicators (KPIs), and conduct forecasting and ROI analyses to inform the design, implementation, and evaluation of provider reimbursement models
Ability to align program objectives with broader organizational strategy and provider partnership goals
Proficiency in applying project management tools (e.g., Smartsheet, Asana, Jira) to monitor tasks, assign responsibilities, and manage timelines
Familiarity with healthcare regulatory compliance at both state and federal levels
Excellent verbal and written communication skills with an ability to influence and build relationships with both internal and external stakeholders
Benefits
Highly competitive medical, dental and vision plans
Generous 401k match
Vacation and sick time from their very first day
Tuition reimbursement plan
Professional development plans
Employee-led communities
Company
Delta Dental of Washington
Delta Dental of Washington is Washington's leading dental benefits company.
201-500 employees
H1B Sponsorship
Delta Dental of Washington has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2024 (2)
2022 (3)
2021 (2)
Funding
Current Stage
Growth StageTotal Funding
unknownKey Investors
SMILE Health
2023-08-08Non Equity Assistance
Leadership Team
Laura Smith
President and CEO
Ryan Bartlett
VP of Finance & Chief Financial Officer
Recent News
Arkansas Business — Business News, Real Estate, Law, Construction
2025-03-18
2025-01-31
Company data provided by crunchbase