Government Programs Claims Analyst - Metrics and Monitoring Delta Dental Plan of MichiganGovernment Programs Claims Analyst - Metrics and MonitoringOkemos, MichiganPosition requires experience with data visualization tools, specifically Power BI and/or Tableau, SQL or similar querying tools, and proficiency in Excel and working with large datasets; strong analytical skills; strong attention to detail and data accuracy; the ability to work independently and as part of a team; the ability to manage multiple assignments with competing deadlines; effective verbal and written communication skills; and the ability to resolve complex problems using independent judgement. At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities.
Compliance Specialist Delta Dental Plan of MichiganCompliance SpecialistOkemos, MichiganFacilitates and coordinates all aspects of any Medicare Advantage, Medicaid or Affordable Care Act audit, request, or inquiry by collecting, reviewing, analyzing and verifying all requested materials prior to submission, including any collaborating with the applicable operational subject matter expert that may be required as a result of the request. Position requires a bachelor’s degree in business administration, health administration, public health/public policy or a related field and three years of compliance or regulatory experience, preferably in the health or insurance industry or five years’ experience related to auditing, quality monitoring, risk management, or operations.
Internship - Application Development Delta Dental Plan of MichiganInternship - Application DevelopmentOkemos, MichiganGain first-hand experience on modern system architecture, such as Service-Oriented Architecture (SOA), Event-Driven Architecture (EDA), Web frameworks, and enabling technology such as REST, JSON, Kafka, containerization, RPA, content management systems etc. At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities.
Dental Economics and Analytics Consultant Delta Dental Plan of MichiganDental Economics and Analytics ConsultantDetroit, MichiganPosition requires knowledge in corporate finance in the areas of budget processes, financial analysis for health care programs and projects, cost accounting principles, managed care pricing, monthly financial reporting, benchmarking and other analytical tools; advanced analytical, problem solving and critical thinking skills; strong verbal and written communication skills; strong interpersonal skills; and the ability to resolve complex problems using independent judgment. At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities.
Data Scientist Delta Dental Plan of MichiganData ScientistOkemos, MichiganPosition requires experience in statistical modeling methods, machine learning algorithms, supervised and unsupervised learning, and data mining techniques; proficiency with statistical software packages like SAS, R, or equivalent preferred; experience with programming languages, especially Python and SQL, or equivalent; excellent communication skills and the ability to clearly and concisely communicate complex information to a variety of audiences, both technical and non-technical; the ability to collaborate in a team. To implement quantitative and predictive models, data science experiments using literate programming techniques such as Python Jupyter Notebooks, develop appropriate visualizations of data, curate and prepare data using appropriate programmatic and non-programmatic data transformation techniques, continuously learn new techniques and methods to improve data science outcomes.
Product Manager, Innovation and Emerging Solutions Delta Dental of MassachusettsProduct Manager, Innovation and Emerging SolutionsBoston, MA$132,260–$155,600 / yearThis Product Manager applies disciplined innovation and strong product management practices to translate customer, market, and strategic insights into a robust pipeline of pilots, emerging products and solutions with clear value propositions, measurable success criteria, and operational and regulatory readiness. The Product Manager, Innovation and Emerging Solutions is responsible for developing and bringing new early-stage products and solutions to market to advance Delta Dental of Massachusetts’ business and mission.
Senior Director, People & Culture Business Partner Delta Dental of MassachusettsSenior Director, People & Culture Business PartnerCharlestown, MA$225,000–$250,000 / yearWe’re seeking a Senior Director, People & Culture Business Partner to serve as a trusted advisor to senior leadership and the President of Delta Dental of Massachusetts—driving high-impact people strategies that advances our mission and strengthens our culture. As a member of the senior leadership team, you’ll influence decisions that shape the future of the organization, ensuring our people strategy fuels growth, engagement, and long-term success.
Account Coordinator Delta Dental of MassachusettsAccount CoordinatorCharlestown, MA$73,015–$85,900 / yearThey research issues, identify root causes, and connect internal teams to drive timely and complete solutions for a variety of client service needs, including but not limited to, enrollment, billing, reporting, portals, and other day-to-day administrative tasks. Acting as the front-line resource of client programs, this role manages both urgent and ongoing requests, overseeing resolutions from start to finish while ensuring programs operate at the expected level.
NewCustomer Service Trainee Delta Dental Plan of MichiganCustomer Service TraineeFarmington Hills, MichiganRemoteSuccessful completion of the customer service simulation test (minimum score of 62 out of a possible 100) (assessment waived if candidate previously passed test while at Delta Dental or if previously held Customer Service Trainee, Customer Service Advisor or Customer Service Associate position). At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities for all.
NewInternship- Utilization Management and Special Investigation Unit Delta Dental Plan of MichiganInternship- Utilization Management and Special Investigation UnitOkemos, MichiganAt Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities. We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation.
Internship - Compliance Training and Technology Delta Dental Plan of MichiganInternship - Compliance Training and TechnologyOkemos, MichiganAt Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities for all. Must be a Sophomore, Junior or Senior pursuing a bachelor's degree in a related field (Business, Instructional Design, Human Resources, Communications, Information Technology, Computer Science, Education, etc.).
Assistant General Counsel II - Contracts Delta Dental Plan of MichiganAssistant General Counsel II - ContractsOkemos, MichiganWith limited oversight from senior attorneys and/or department leadership, support company litigation efforts and/or assist senior attorneys’ company litigation efforts as necessary, including but not limited to: drafts legal pleadings, motions, memorandums, trial briefs and appeals; represents the company before courts, arbitration panels and/or administrative agencies; prepares for and/or conducts depositions; participates in settlement negotiations on behalf of the company; drafts/negotiates settlement agreements; and communicates with outside counsel. Protect the legal interests of the company and minimize legal risk by providing legal counsel and support services on behalf of Delta Dental of Michigan and its affiliates and subsidiaries in compliance with applicable laws, regulations, corporate governance documents, contracts and internal policies.
Compliance Technology and Data Administrator Delta Dental Plan of MichiganCompliance Technology and Data AdministratorOkemos, MichiganPosition requires business analyst experience identifying requirements and installing upgrades; knowledge in system administration and LTI integration and deployment preferred; experience with provisioning and documentation related to System Administration; customer service experience providing support to users; proven experience in developing and deploying Power Apps solutions; hands-on experience in creating and managing workflows using Power Automate; strong understanding of the M365 suite, leveraging M365 tools to enhance productivity and collaboration within an organization; excellent problem-solving and analytical skills; ability to effectively communicate and collaborate. At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities.
Senior Encounter Data Specialist Delta Dental Plan of MichiganSenior Encounter Data SpecialistOkemos, MichiganPosition requires knowledge of word processing, spreadsheet, presentation, and database applications; strong verbal and written communication skills; strong analytical skills; the ability to lead a team; the ability to manage multiple assignments with competing deadlines; strong interpersonal skills, including the ability to represent and present to organizational leadership; and the ability to identify and resolve complex problems using independent judgement. Monitors and evaluates related processes to ensure internal and external requirements are met, represents the encounter team when partnering with functional areas to maintain claims system support tables, and coordinates data entry or general data maintenance for eligibility, providers, fee sets, and benefits for related records.
Actuarial Analyst Delta Dental Plan of MichiganActuarial AnalystOkemos, MichiganPosition requires intermediate knowledge of word processing and spreadsheet applications; strong verbal and written communication skills; strong analytical skills; the ability to work independently and as part of a team; and the ability to solve problems using independent judgment. Provides actuarial and underwriting assistance to other Delta Dental Plans, the Delta Dental Plan Association and Renaissance, including total business rating analysis, development of manual rating formula, and requested rating factor calculations.
NewRural Health Transformation Program Lead Delta Dental Plan of MichiganRural Health Transformation Program LeadNashville, TennesseePosition requires knowledge of dental insurance and payer operations, group contracts, summary plan documents, eligibility processes, claims systems and operational workflows, and dental terminology and procedure codes; experience working with Medicaid programs; project management skills with the ability to manage multiple implementations simultaneously; strong verbal and written communication skills; ability to analyze complex issues, exercise independent judgment, and drive solutions; and strong organizational skills and attention to detail in a highly regulated environment. Position requires a bachelor’s degree in business administration, healthcare administration, public health, marketing, communications, or a related field and five years of experience in dental insurance or payer operations, group benefit implementations, project management, or account management.
NewSystems Engineer Delta Dental Plan of MichiganSystems EngineerOkemos, MichiganPosition requires a knowledge of infrastructure technologies such as physical and virtual compute including rack and blade servers, DAS and SAN storage, physical and virtual networks systems from vendors such as Supermicro, Dell, and CISCO; a proficiency with virtualization technologies and concepts, such as virtual machines (VMs), servers, storage, and compute management with common hypervisors such as VMware, KVM, OpenStack, or Nutanix AHV; a proficiency with the use of infrastructure-as-code (IaC) tools such as Ansible, Terraform, BitBucket and Git; the ability to manage compute, storage, and network infrastructures, including CPU and memory controls, storage management, and system networking; the ability to manage, optimize, plan, and design infrastructure that uses Server Operating Systems such as Microsoft Windows, Red Hat Enterprise Linux, and Ubuntu, and related technologies such as Active Directory and DNS; a familiarity with security best practices and tools for cloud environments, including identity and access management (IAM), encryption, and monitoring; strong problem-solving skills and the ability to troubleshoot complex issues in a physical and virtual environment; the ability to provide on-call support twenty-four hours a day, seven days a week; basic scripting and automation skills using languages such as Python, Bash, or PowerShell, Ansible, Terraform, BitBucket and Git; and solid communication and collaboration skills, with the ability to work effectively in cross-functional teams. Position requires a bachelor’s degree in Computer Science, Information Technology, Engineering, or a related field and three years' experience in the application of infrastructure technologies with hands-on experience in designing, implementing, and managing physical and virtual infrastructure.
Government Programs Customer Service Representative Delta Dental Plan of MichiganGovernment Programs Customer Service RepresentativeFarmington Hills, MichiganRemoteSuccessful completion of the customer service simulation assessment with a minimum score of 62 out of a possible 100 (assessment waived if candidate previously passed test while at Delta Dental or if previously held Customer Service Trainee, Customer Service Advisor, or Customer Service Associate position). Promptly and professionally responds to member, client and provider questions through multiple channels, including, but not limited to telephone, email, fax and U.S. mail communication using proper etiquette, grammar, punctuation, etc.
Senior Utilization Management Compliance and Accreditation Specialist Delta Dental Plan of MichiganSenior Utilization Management Compliance and Accreditation SpecialistOkemos, MichiganPosition requires general knowledge of federal and state laws, rules, and regulations; strong verbal and written communication skills; effective relationship building and interpersonal skills; strong data analytical and problem-solving skills; ability to use independent judgement to make decisions; ability to multitask and work on multiple projects at any given time; and experience with Microsoft Office applications. Leads the Government Programs utilization management (UM) compliance functions, including the National Committee for Quality Assurance (NCQA), Utilization Review Accreditation Commission (URAC), Credentialing and Recredentialing (CR) accreditations, reaccreditations, and quality improvement compliance activities.
Compliance Liaison Delta Dental Plan of MichiganCompliance LiaisonOkemos, MichiganPosition requires general knowledge of state and federal regulations; effective verbal and written communication skills; critical thinking and advanced problem solving skills; experience working with Microsoft office; ability to resolve complex problems and use independent judgment to make decisions; knowledge of dental terminology, procedures, dental insurance products, ETS, Provider System, Client and provider contracts and auditing experience preferred. Performs quality control reviews and continuous monitoring on updates and changes within the Provider Records department; including but not limited to, provider system new adds, deletions, changes, updates, and verifying that credentialing is compliant with CMS and NCQA requirements.
Account Manager I Delta Dental Plan of MichiganAccount Manager IDublin, OhioEnsures that all service needs are met for the corporation’s clients, including resolution of issues (not limited to, research of resolution of issues, billing, claims, eligibility, etc.) and provides ongoing training and education to clients on the strengths and advantages of the organization to ensure that renewal goals are met. At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities.
Professional Services Representative Delta Dental Plan of MichiganProfessional Services RepresentativeOhioRemotePosition requires an associate's degree, technical, vocational, or business school with coursework in public relations, communications, dental assisting, or dental hygiene and two years' related work experience in customer service, sales, or recruiting as well as one year work experience in chair side assisting. Position requires advanced knowledge of claims adjudication, dental terminology, dental procedures and dental insurance products; advanced presentation skills; effective verbal and written communication skills; experience working with word processing and spreadsheet software, ability to resolve complex problems and use independent judgment.
Supervisor, Focused Review Delta Dental Plan of MichiganSupervisor, Focused ReviewOkemos, MichiganPosition requires advanced knowledge of the insurance industry operations; strong investigative skills related to fraud, waste, and abuse; proficiency with analytical tools, word processing, spreadsheet, and presentation software skills; strong verbal and written communication skills, strong organizational and analytical skills; the ability to lead investigative teams; the ability to interpret contract language and identify indicators of fraudulent activity; the ability to manage multiple assignments with competing deadlines; and the ability to resolve complex problems using independent judgment. Oversees staff engaged in data research, report development, and analytics, serving as a resource for audit and research questions and providing guidance to internal and external stakeholders on reporting issues, provider agreements, processing policies, client contracts, and regulatory compliance for both commercial and government programs.
Inserter Operator Delta Dental Plan of MichiganInserter OperatorOkemos, MichiganAt Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities. We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation.
Supervisor, Compliance Delta Dental Plan of MichiganSupervisor, ComplianceOkemos, MichiganPosition requires working knowledge of applicable laws and regulations; the ability to provide guidance to others; strong organizational, analytical, verbal, and written communication skills; attention to detail; ability to manage multiple priorities; and the ability to work collaboratively across the organization. At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities.
NewContract Position: On-Call Benefits Enroller Delta Dental Ins.Contract Position: On-Call Benefits EnrollerSalt Lake City, UTLocationsGreater Los Angeles, San Francisco Bay Area, Greater Sacramento Area, Fresno, Las Vegas, Inland Empire/High Desert, Dallas, Houston, Austin, Baltimore, Pittsburg, Philadelphia, New York City, Upstate NY, Connecticut, New Jersey, Rhode Island, Utah, Phoenix, Louisiana, San Antonio, Florida, and Georgia. High School diploma or GED.Insurance license required for residents of FL and KY.Valid driver's license and reliable transportation; proof of automobile insurance with minimum liability limits required by the state of residence.
NewSenior Commissions Accountant Compliance & Leadership Delta Dental Ins.Senior Commissions Accountant Compliance & LeadershipOakland, CACandidates must demonstrate advanced analytical skills and proficiency in Microsoft applications.#J-18808-Ljbffr. Delta Dental Ins. is seeking a Senior Commissions Accountant in Oakland, California.
Customer Service Agent Delta Dental of MinnesotaCustomer Service AgentMNHowever, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. The Company takes into consideration a candidates education, training, and experience, as well as the positions work location, expected quality and quantity of work, external market and internal value, including merit process and internal pay alignment when determining the salary for potential new team members.
Customer Service Agent Delta Dental of MinnesotaCustomer Service AgentMNHowever, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. The Company takes into consideration a candidates education, training, and experience, as well as the positions work location, expected quality and quantity of work, external market and internal value, including merit process and internal pay alignment when determining the salary for potential new team members.
Customer Service Agent Delta Dental of MinnesotaCustomer Service AgentMNHowever, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. The Company takes into consideration a candidates education, training, and experience, as well as the positions work location, expected quality and quantity of work, external market and internal value, including merit process and internal pay alignment when determining the salary for potential new team members.
NewCustomer Service Agent Delta Dental of MinnesotaCustomer Service AgentMinneapolis, MNThe Company takes into consideration a candidate's education, training, and experience, as well as the position's work location, expected quality and quantity of work, external market and internal value, including merit process and internal pay alignment when determining the salary for potential new team members. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.
NewProduct Marketing Analyst II Delta Dental of ArizonaProduct Marketing Analyst IIScottsdale, AZ$66,900–$92,700 / yearDelta Dental of Arizona - Product Marketing AnalystDelta Dental of Arizona (DDAZ), the state's #1 dental and vision insurance company and a leading health and wellness company, is looking for a Product Marketing Analyst to join our Product team. As our Product Marketing Analyst, you'll sit right at the intersection of product, marketing, and data; you will help turn research and market trends into the products our customer wants.
NewIT Support Specialist Delta Dental of ArizonaIT Support SpecialistScottsdale, AZ$42,300–$58,000 / yearDelta Dental of Arizona, the state's #1 dental and vision insurance company, is looking for a driven IT Support Specialist who thrives on creating a seamless employee experience by delivering reliable, human-centered technical support across devices, applications, and connectivity. Above all, you bring a human-centered mindsettranslating tech speak into plain English, spotting opportunities to improve processes, and delivering an employee experience that's seamless, proactive, and maybe even a little delightful.
NewProduct Marketing Analyst II Hybrid, Data-Driven Growth Delta Dental of ArizonaProduct Marketing Analyst II Hybrid, Data-Driven GrowthScottsdale, AZ$66,900–$92,700 / hourThis role combines product, marketing, and data to create offerings that meet customer needs. Delta Dental of Arizona is seeking a Product Marketing Analyst to join the Product team.
Clinical Review and Education Representative Delta Dental of WashingtonClinical Review and Education RepresentativeSpokane, WA$45,083–$60,946 / yearAs a Clinical Review and Education Representative, you will review and adjudicate dental claims by evaluating clinical documentation and records such as radiographs, narratives, and chart notes in accordance with group contracts and Delta Dental guidelines, ensuring accuracy, identifying potential fraud or abuse, and collaborating with Dental Consultants, Customer Service, and other internal teams to achieve one call resolution for providers and members. Research and review dental claims and supporting clinical documentation and records including radiographs, periodontal charts, intra and extra oral images, narratives, and chart notes to determine benefits based on group contracts and Delta Dental guidelines.
Clinical Review and Education Representative Delta Dental of WashingtonClinical Review and Education RepresentativeSeattle, WA$45,083–$60,946 / yearAs a Clinical Review and Education Representative, you will review and adjudicate dental claims by evaluating clinical documentation and records such as radiographs, narratives, and chart notes in accordance with group contracts and Delta Dental guidelines, ensuring accuracy, identifying potential fraud or abuse, and collaborating with Dental Consultants, Customer Service, and other internal teams to achieve one call resolution for providers and members. Research and review dental claims and supporting clinical documentation and records including radiographs, periodontal charts, intra and extra oral images, narratives, and chart notes to determine benefits based on group contracts and Delta Dental guidelines.
NewSystems Analyst Delta Dental of WashingtonSystems AnalystSpokane, WA$67,200–$105,500 / yearAt TriForza, we use technology to drive digital transformation and advance customer experiences across the oral health industry to promote access to affordable and quality care for everyone - with no one left behind. Bachelor's degree and 4+ years' relevant work experience performing business analysis related tasks, or equivalent experience in technical or business environment.
NewDocumentation Specialist Delta Dental of WashingtonDocumentation SpecialistSeattle, WA$40,560–$58,800 / yearThis role requires that the individual has the ability to organize, manage, and lead the documentation processes, prepare new documents, and manage the documentation repository of policy and procedures for Operations. The pay range for this position In Western Washington varies between $44,304 - $59,700 and for Eastern Washington varies between $40,560 - $58,800.
NewSystems Analyst Delta Dental of WashingtonSystems AnalystWA$67,200–$105,500 / yearAt TriForza, we use technology to drive digital transformation and advance customer experiences across the oral health industry to promote access to affordable and quality care for everyone - with no one left behind. Bachelor's degree and 4+ years' relevant work experience performing business analysis related tasks, or equivalent experience in technical or business environment.
NewDocumentation Specialist Delta Dental of WashingtonDocumentation SpecialistSpokane, WA$40,560–$58,800 / yearThis role requires that the individual has the ability to organize, manage, and lead the documentation processes, prepare new documents, and manage the documentation repository of policy and procedures for Operations. The pay range for this position In Western Washington varies between $44,304 - $59,700 and for Eastern Washington varies between $40,560 - $58,800.
NewDocumentation Specialist Delta Dental of WashingtonDocumentation SpecialistWA$40,560–$58,800 / yearThis role requires that the individual has the ability to organize, manage, and lead the documentation processes, prepare new documents, and manage the documentation repository of policy and procedures for Operations. The pay range for this position In Western Washington varies between $44,304 - $59,700 and for Eastern Washington varies between $40,560 - $58,800.
Program Manager, Sales Delta Dental of WashingtonProgram Manager, SalesSpokane, WA$80,000–$125,500 / yearThe Program Manager, Sales serves as a portfolio and execution partner to Sales Executive Leadership, including the Chief Revenue Officer, while working extensively across the enterprise with leaders in Finance, Operations, IT, Marketing, and other functional areas to ensure alignment of priorities and execution of strategic initiatives. Experience leveraging skills typically gained through Chief of Staff, Enterprise Program Management, or Transformation/Strategy Office roles, including strategic planning, executive alignment and program execution.
Program Manager, Sales Delta Dental of WashingtonProgram Manager, SalesWA$80,000–$125,500 / yearThe Program Manager, Sales serves as a portfolio and execution partner to Sales Executive Leadership, including the Chief Revenue Officer, while working extensively across the enterprise with leaders in Finance, Operations, IT, Marketing, and other functional areas to ensure alignment of priorities and execution of strategic initiatives. Experience leveraging skills typically gained through Chief of Staff, Enterprise Program Management, or Transformation/Strategy Office roles, including strategic planning, executive alignment and program execution.
NewSystems Analyst Delta Dental of WashingtonSystems AnalystSeattle, WA$67,200–$105,500 / yearAt TriForza, we use technology to drive digital transformation and advance customer experiences across the oral health industry to promote access to affordable and quality care for everyone - with no one left behind. Bachelor's degree and 4+ years' relevant work experience performing business analysis related tasks, or equivalent experience in technical or business environment.
Program Manager, Sales Delta Dental of WashingtonProgram Manager, SalesSeattle, WA$80,000–$125,500 / yearThe Program Manager, Sales serves as a portfolio and execution partner to Sales Executive Leadership, including the Chief Revenue Officer, while working extensively across the enterprise with leaders in Finance, Operations, IT, Marketing, and other functional areas to ensure alignment of priorities and execution of strategic initiatives. Experience leveraging skills typically gained through Chief of Staff, Enterprise Program Management, or Transformation/Strategy Office roles, including strategic planning, executive alignment and program execution.
Clinical Review and Education Representative Delta Dental of WashingtonClinical Review and Education RepresentativeWA$45,083–$60,946 / yearAs a Clinical Review and Education Representative, you will review and adjudicate dental claims by evaluating clinical documentation and records such as radiographs, narratives, and chart notes in accordance with group contracts and Delta Dental guidelines, ensuring accuracy, identifying potential fraud or abuse, and collaborating with Dental Consultants, Customer Service, and other internal teams to achieve one call resolution for providers and members. Research and review dental claims and supporting clinical documentation and records including radiographs, periodontal charts, intra and extra oral images, narratives, and chart notes to determine benefits based on group contracts and Delta Dental guidelines.
NewDocumentation Specialist Delta Dental of WashingtonDocumentation SpecialistSpokane, WA$40,560–$58,800 / yearPart timeThis role requires that the individual has the ability to organize, manage, and lead the documentation processes, prepare new documents, and manage the documentation repository of policy and procedures for Operations. The pay range for this position In Western Washington varies between $44,304 – $59,700 and for Eastern Washington varies between $40,560 - $58,800.
NewSystems Analyst Delta Dental of WashingtonSystems AnalystSeattle, WA$67,200–$105,500 / yearPart timeAt TriForza, we use technology to drive digital transformation and advance customer experiences across the oral health industry to promote access to affordable and quality care for everyone – with no one left behind. Bachelor’s degree and 4+ years’ relevant work experience performing business analysis related tasks, or equivalent experience in technical or business environment.
Chief Financial Officer Delta Dental Plan of New MexicoChief Financial OfficerAlbuquerque, New MexicoDevelop, Leverage & Maintain Industry & Service Relationships - Create, develop, and maintain strong and positive relationships with current and prospective customers and other external contacts and stakeholders while providing excellent service overall. Management & Oversight of Affiliation Services - Assure efficient, timely, and quality services provided through affiliation agreements with Renaissance Health Service Corporation and its affiliates to deliver “best in class” service to stakeholders.
NewContract Position: On-Call Benefits Enroller Delta DentalContract Position: On-Call Benefits EnrollerLos Angeles, CACurrently hiring in the following locations: Greater Los Angeles, San Francisco Bay Area, Greater Sacramento Area, Fresno, Las Vegas, Inland Empire/High Desert, Dallas, Houston, Austin, Baltimore, Pittsburgh, Philadelphia, New York City, Upstate NY, Connecticut, New Jersey, Rhode Island, Utah, Phoenix, Louisiana, San Antonio, Florida, and Georgia. High School diploma or GED.Insurance license required for residents of FL and KY.Valid driver's license and reliable transportation; proof of automobile insurance with minimum liability limits required by the state of residence.