About the role
Job Title:
Government Programs Electronic Enrollment AnalystNumber of Positions:
1Location:
Okemos, MILocation Specifics:
Hybrid PositionJob Summary:
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. 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.
At Delta Dental, we celebrate our All In culture. It’s a mindset, feeling and attitude we wrap around all that we do – from taking charge of our careers, to helping colleagues and lending a hand in the community.
Position Description:
To coordinate, implement, test and oversee all aspects of electronic eligibility enrollment from external sources across a wide business domain for government programs business.
Primary Job Responsibilities:
Schedules, monitors and updates ongoing electronic data files.
Researches, analyzes, and troubleshoots electronic data files and system problems and provides information to other business units regarding payment and file processing results. Initiates corrective action, providing follow-up to ensure that correction is completed.
Requests, oversees and tests programming changes to electronic data processing; consulting with clients and third-party administrators to determine and resolve electronic data reporting and system logic problems and errors.
Implements electronic data file transmissions and facilitates external user access.
Coordinates and provides additional administrative support for government programs related projects.
Assists programmers in reviewing program code, analyzing, automation and testing projects, and works with current and emerging technologies.
Assist encounter and claims teams regarding claims processes associated with eligibility.
Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.
#LI-Hybrid
Minimum Requirements:
Position requires a bachelor's degree in computer science, business administration or a related field and three years of experience testing, analyzing, researching, verifying, entering, modifying or updating/correcting data. Previous experience processing electronic eligibility data/files preferred. Will accept any suitable combination of education, training, or experience.
Position requires knowledge of word processing, spreadsheet, and database applications; strong analytical, problem solving and organizational skills; strong verbal and written communication skills; the ability to work independently and as part of a team; and the ability to solve problems using independent judgment.
The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.
Skills & Tags
Aplyr's read
Delta Dental is a non-profit leader in dental insurance, offering diverse roles from compliance to data analysis, attracting professionals dedicated to healthcare innovation.
What's promising
- •Strong focus on compliance and regulatory roles ensures robust operational integrity.
- •Diverse job opportunities in technology, data analysis, and healthcare compliance.
- •Non-profit status allows reinvestment into member services and community health initiatives.
What to watch
- •Complex organizational structure with independent member companies may lead to inconsistent experiences.
- •Limited public information about career advancement opportunities within the organization.
- •Potential challenges in aligning goals across various independent member companies.
Why Delta Dental
- •Operates as a non-profit, focusing on community health rather than shareholder profit.
- •Extensive network of independent member companies provides wide geographical coverage.
- •Specialized focus on dental insurance differentiates it from broader healthcare insurers.
Aplyr’s read is generated by AI from public sources. Was it useful?
About Delta Dental
Delta Dental Plans Association is a non-profit organization that provides dental insurance and related services across the United States. It operates through a network of independent member companies, offering a range of dental plans for individuals, families, and employers.
Similar roles
Clinical Assistant/ Medical Assistant, Dermatology
St. Luke's Health
Clinical Assistant/ Medical Assistant, Dermatology
St. Luke's Health
Team Lead, Medical Intelligence
Sun Life
Product Trainer - Pharmacy (French market)
Dexcom
Clinical Development Analyst - Computer Assisted Coding
University Health
Medical Assistant (PRN) - Ambulatory Pediatrics Clinic
Univ of Kansas Health