Expert Program Manager - Payment Integrity

The Expert Program Manager is a strategic, cross-functional leader within the Payment Integrity organization who partners closely with leadership and multiple business teams to translate strategic priorities into actionable work plans and drive successful execution of key initiatives.

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.

Behind the smile! 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. Our life-changing rewards package includes:

• Competitive base and incentive pay
• 401(k) with robust matching and non-matching contributions
• 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
• Culture of growth and learning: career development; tuition reimbursement; recognition program
• Family support: adoption assistance, fertility treatment, child, elder & pet care assistance
• Social responsibility and volunteer opportunities
• Employee discount program

Fair Chance Ordinances and Criminal Background Considerations

This position requires that the applicant undergo a background check. 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.

Important Work Authorization Information

Please note, Delta Dental will not sponsor applicants for work visas for this position.

#LI-Remote

• Bachelor''s 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.
• Experience working with multiple stakeholders and teams in fast-paced, evolving environments.
• 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.
• Proven ability to drive execution and deliver results across cross-functional teams without direct authority.
• 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
• Exposure to AI, machine learning, or advanced analytics initiatives is a plus, but not required.
• Ability to communicate effectively with both technical and non-technical audiences.
• Strong influencing, facilitation, negotiation, and conflict-resolution skills.
• Experience operating in environments undergoing transformation and organizational change.
• Demonstrated ability to bring clarity, structure, and momentum to evolving programs and strategic initiatives.

Base Pay Information

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.

Pay Grade 24. $123,600 - $267,800.

• 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.
• Develop and maintain integrated program plans, roadmaps, milestones, and status reporting for leadership stakeholders.
• Identify, monitor, and manage program risks, issues, dependencies, and decision points.
• Facilitate cross-functional collaboration to ensure alignment across business and technology teams.
• Lead stakeholder communications and executive reporting, providing visibility into program health, accomplishments, challenges, and key decisions.
• 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.
• Partner with business leaders to prioritize work, address obstacles, and ensure successful delivery of organizational goals.
• Maintain program documentation and knowledge repositories to support transparency and organizational effectiveness.
• Drive continuous improvement of program management processes, tools, and team collaboration practices.
• 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.
• Develop and maintain integrated program plans, roadmaps, milestones, and status reporting for leadership stakeholders.
• Identify, monitor, and manage program risks, issues, dependencies, and decision points.
• Facilitate cross-functional collaboration to ensure alignment across business and technology teams.
• Lead stakeholder communications and executive reporting, providing visibility into program health, accomplishments, challenges, and key decisions.
• 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.
• Partner with business leaders to prioritize work, address obstacles, and ensure successful delivery of organizational goals.
• Maintain program documentation and knowledge repositories to support transparency and organizational effectiveness.
• Drive continuous improvement of program management processes, tools, and team collaboration practices.