Job Location: Remote
JOB DESCRIPTION
The Business Analyst is responsible for providing analytical support for business operations through research, data gathering and reporting, and interpretation and development of policies and procedures. This position will analyze, document and translate operation requirements into system deployments and business process changes, developing seamless solutions delivered on time, within budget and within scope.
This role will evaluate end-to-end claims processes, from claims intake to preprocessing, adjudication and post-payment and presentment, to clearly assess process changes and solutions and identify impacts to the business, stakeholders and/or external customers.
RESPONSIBILITIES
Researches and analyzes data to identify trends, operational gaps or potential issues; develops plans and proposals to address issues.
Interacts with business stakeholders and subject matter experts to understand business needs and provide guidance to address desired capabilities.
Performs system checkouts and testing for system implementations and periodic builds and releases.
Participates in the development and management of project plans from project planning and design through testing, implementation, and maintenance.
Prepares written reports and verbal presentations summarizing project objectives, analysis, conclusions, and recommendations.
Communicates with staff and/or project team members to meet project objectives.
Develops scope statements for developing project plans to support best practices for change management in collaboration with business sponsor.
Develops case scenarios in the development of new or enhanced systems.
Serves as the liaison and Claims Operations subject matter expert (SME) to the Agile Claims Product & IT teams during development and implementation of technical solutions to ensure Claims Operations impacts are identified, assessed, and considered in the solution.
Manages Claims Operations business readiness throughout the lifecycle of a project/initiative.
This list is not all-inclusive and you are expected to perform other duties as requested or assigned
QUALIFICATIONS
2+ w/Bachelor’s degree
Strong analytical and problem-solving skills to evaluate business processes and recommend effective solutions.
Strong organizational skills that reflect ability to perform and prioritize multiple tasks seamlessly while maintaining excellent attention to detail.
Knowledge of process and data-driven structured analysis techniques.
Ability to interact with all levels of personnel and communicate clearly in a professional manner.
Proficiency with the Microsoft Office Suite, including Word, Excel, Outlook, etc.
ABOUT THE TEAM
At Delta Dental, our success is only as strong as the people who execute it! We take enormous pride in being the nation’s most recognized and widely-used provider of dental insurance – and we’ve come this far by living our core values of innovation, excellence, service and trust. Our vision is to motivate and empower every employee so that we’re all inspired to take exceptional care of our customers, providers and ourselves. We believe in integrity, accountability, collaboration, and giving every employee equitable opportunity for their voice to be heard and development to be fostered.
If you’re excited about the prospect of transforming the future of health care and growing in your career, join our smile revolution!
To see some of the smiling faces behind Delta Dental and to learn more about what our values and culture look like in action, connect with us on social media: Delta Dental Ins. on Facebook and Instagram, #LifeatDDins on Facebook and Instagram , Delta Dental Ins. on Twitter and Delta Dental Ins. on LinkedIn .
We are part of the Delta Dental Plans Association, a network of companies that provides dental coverage to 74 million people in the U.S. Delta Dental of California, Delta Dental of New York, Inc., Delta Dental of Pennsylvania and Delta Dental Insurance Company, together with our affiliate companies, form one of the nation’s largest dental benefits delivery systems, covering 33 million enrollees. All of our companies are members, or affiliates of members, of the Delta Dental Plans Association, a network of 39 Delta Dental companies throughout the country.
Delta Dental is an equal opportunity employer. We are committed to building and maintaining a diverse and inclusive workplace for all employees. Applicants will not be discriminated against because of race, color, religion, creed, national origin, ancestry, citizenship status, sex (including pregnancy), sexual orientation, gender or identity expression, age, disability, marital status, medical status, veteran status or any other status protected under federal, state, or local law. In addition to federal law requirements, Delta Dental complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Unfortunately, our Delta Dental Enterprise is unable to hire individuals residing in Alaska, North Dakota, Nebraska, Hawaii, Oklahoma, Vermont, Maine, West Virginia, New Hampshire, Wyoming, Puerto Rico or other US Territories at this time.
Proof of eligibility to work in the United States must be provided if selected for hire.
Delta Dental* has enacted a COVID-19 vaccination policy to protect all employees and the communities we serve due to the ongoing impacts of the COVID-19 pandemic. Accordingly, we require all employees to be fully vaccinated for COVID-19. Are you able to comply with our policy of being fully vaccinated by your start date if an offer is made or have a medical or sincerely held religious exemption for receiving a COVID-19 vaccine? Failure to comply with our policy and submit proof of compliance or receive approval for a valid medical or sincerely held religious belief exemption prior to your start date will nullify any offer of employment extended to you.
- Delta Dental includes: Delta Dental of California, Delta Dental Insurance Company, Delta Dental of Pennsylvania, and Delta Dental of New York
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