Job Information
Delta Dental Government Programs Claims Analyst - Metrics and Monitoring in Okemos, Michigan
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:
Analyzes, monitors, and reports on claims processing using advanced data analytics and visualization techniques as well as identifies trends, risks, and improvement opportunities.
Primary Job Responsibilities:
- Develops, maintains, and enhances dashboards and reports using Power BI, Tableau, or similar data visualization tools to monitor claims performance and operational metrics.
- Analyzes claims data to identify trends, anomalies, root causes, and performance gaps related to timeliness, accuracy, cost, utilization, and compliance.
- Monitors key performance indicators and service level agreements for claims operations, escalating risks and issues as appropriate.
- Collaborates and communicates closely across departments to ensure reporting data accuracy and consistency.
- Supports internal and external reporting requirements, including new client implementations and support of account management.
- Ensures data integrity, accuracy, and consistency across reports and dashboards.
- Automates recurring reports and improves reporting efficiency where possible.
- Contributes to continuous improvement initiatives related to claims processing and data analytics.
- Responsible for running basic SQL queries and working with Government Programs Reporting for more complex queries.
Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.