Clinical Director

CLINICAL DIRECTOR, WEST COASTReports to: Chief Clinical OfficerLocation: California based, remote with regional travel (target 25 to 35 percent)Status: Full time, exemptCompensation: $225,000-$250,000 base, plus performance incentive and benefitsLicensure: Active California DENTIST license required at hire. Additional state licensure within the region obtained over the first several months, supported by the company.Clinical time: One day per week in clinicAbout The RoleEnable Dental delivers mobile and portable dentistry to PACE programs, skilled nursing facilities, assisted living communities, and adults with intellectual and developmental disabilities across 27 markets and 13 states. The West Coast Clinical Director is the senior clinical leader for the region and the clinical seat at the table with our West Coast program partners.This is a regional ownership role. You are the clinical line of authority for providers in the region, the clinical voice with payer and program leadership, and the person accountable for the quality and integrity of the care delivered under our contracts.ScopeClinical supervision of West Coast providers across PACE, SNF, ALF, and IDD sitesPrimary clinical relationship owner for West Coast PACE and payer programsRegional peer to the operations leader for the same territory, reporting to the CCOPartners with the other Clinical Directors, Compliance, and the full Clinical Excellence team to keep standards, audit definitions, and provider expectations consistent across every regionResponsibilitiesProvider leadership and developmentServe as the clinical supervisor of record for dentists and hygienists in the region, holding the clinical reporting line and the standards that come with itConduct in person onboarding and 30, 60, and 90 day check ins for new providersCoach the geriatric and special needs care model case by case: treatment planning, case presentation, palliative sequencing, prognosis judgment on medically complex and frail patientsOwn error report follow up, remediation planning, and retrainingParticipate in clinical screening and hiring of provider candidates for the regionQuality and chart auditRun routine chart auditing to a defined coverage standard per provider per quarter, in partnership with the Clinical Excellence team and the fractional audit consultantConduct treatment plan audits and clinical review of the scheduleInvestigate clinical grievances to closure inside contractual and federally clocked response windows, and route findings into provider coachingMaintain provider scorecards on documentation quality, remake rate, and adherence to standardsReferral and specialty care managementReview specialist referrals for clinical appropriateness and scope, redirecting to internal providers where clinically appropriateUpskill regional general dentists on surgical extractions and straightforward endodonticsDesign the clinical model for fractional internal endodontist and oral surgeon capacity, and manage single case agreements with external specialistsContract and benefit adjudicationAdjudicate frequency-limited, carve-out, and conditional services against each contract's benefit design at the chart levelSecure prospective interdisciplinary team authorization for out-of-benefit cases before treatment, with a documented authorization trailIdentify and sequence program-paid cases, including the implant and advanced prosthetic pipeline, for internal deliveryProvide clinical redline input at contract renewal on frequency definitions, remake and warranty windows, and benefit languageProgram partnershipRepresent Enable Dental clinically at quarterly joint operating committees, including preparation and follow throughDeliver quarterly clinical summaries and reconciliations per programProvide clinical input to business development on new programs and market launches in the regionStandards and processWork with Compliance on licensure, credentialing, CE, state supervision rules, and site visit findings across every state in the regionContribute to the Clinical Policy Manual and to regional standard operating procedures, developed jointly with the other Clinical Directors so one region's practice does not diverge from the restFeed audit results and provider performance into the Clinical Excellence dashboardClinical practiceTreat patients one day per week in the field. This keeps licensure current, sustains credibility with the providers you lead, and gives you direct knowledge of the care model, the equipment, and the site conditions your team works in.How performance is measuredChart audit coverage per provider per quarterGrievance response time and closure rateProvider 30, 60, and 90 day check in completionReferral turnaround and appropriateness review coverageExternal specialist spend per referralAdjudication and authorization volume against contract termsProvider retention and engagementRemake rate and documentation quality at provider levelRequired QualificationsDDS or DMD from an accredited programActive, unrestricted California dental license in good standing at hire. California is the only license required on day one.Willingness to obtain licensure in the additional states within the region over the first several months. The company covers application costs and provides time to complete the process, and Compliance manages the sequence with you.Five or more years of clinical practice, including general dentistry with removable prosthetics, extractions, and treatment planning for medically complex adultsDirect supervisory experience with dentists and hygienists reporting to youWorking fluency with electronic health records, and comfort using data and reports as a routine part of clinical decision makingWillingness to travel regionally on a regular cadenceIdeal backgroundWe expect the strongest candidates to come from one of the following, and we are equally interested in all three:DSO or group practice clinical leadership. Regional or multi site clinical director experience where dentists and hygienists reported to you directly, with accountability for quality, standards, and provider development across locations.FQHC or public health dentistry. Dental director experience in a federally qualified health center, community health center, or public health system, including work under government contracts, grant requirements, and reporting obligations.Military dental leadership. Command of a dental clinic or department, with responsibility for provider readiness, credentialing, standards enforcement, and quality assurance in a chain of command structure.Additionally Valued, In Any CombinationMobile or portable dentistry experience, including treating patients outside a fixed operatoryTeledentistry experience, whether synchronous or store and forward, including remote review and consultation workflowsExperience with government and insurance contracts for dental care, including Medicaid, Medicare Advantage, PACE, managed care, or state program contractingExperience working for a dental insurance company or dental benefits administrator, particularly in utilization review, prior authorization, dental consultant, or dental director rolesFamiliarity with capitated and per member per month payment models, benefit design, and frequency limitationsGeriatric, long term care, special needs, or hospital dentistry experienceQuality assurance, peer review, or dental board complaint process experienceMulti state licensure, particularly in the western regionWhat this role is notThis is not a production role with director duties attached. Chair time is capped at one day a week and is deliberate. The role is judged on regional clinical leadership, not chair production.J-18808-Ljbffr