Government Programs Implementation Specialist

Job Title: Government Programs Implementation Specialist Number of Positions: 1 Location: Okemos, MI Location Specifics: Hybrid Position Job 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 for all. 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. Job Summary: To assist in the implementation of Government Programs clients as well as oversee and/or assist with program changes at renewal to ensure obligations are met. Primary Job Responsibilities: Assists the Government Programs Implementation Lead with new client implementations including, but not limited to, project plan oversight, external and internal meeting involvement, system set-up, review and analysis of CMS bid, client benefit plan description and/or government agency benefit guides, member and/or provider communications and/or mailings, understand billing requirements and assist with facilitation of contract negotiations. Establishes and identifies tasks and timelines to ensure all requirements are completed by the effective date of the contract. Provides administrative support to internal and external clients, but not limited to general and government program related inquiries, claims history cross check, customer service requests and focused review requests. Assists in reviewing and updating group communication documents. Assists in the renewal process of existing Government Programs clients. Collaborates with health plans and/or third party administrators to assist with obtaining eligibility and benefit description. Assists with monitoring client eligibility and benefit design and provides final approval of data entered into Roosevelt. Reviews and aids in determining resolutions for production issues including, but not limited to, billing, claims payment, and client contracts. Assists with the review and update of departmental procedures. Participates in testing and end-user training for system functionality. 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 with coursework in business administration or a related field and three years' related work experience in a health insurance, customer service or sales environment. Experience with Government Programs is preferred. Will accept any suitable combination of education, training, or experience. Position requires basic knowledge of health insurance administration, group contract, summary plan and certificate language, and claims processing; intermediate knowledge of desktop software including spreadsheets, word processing, and presentation software; effective verbal and written communication skills. 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. At Delta Dental, our employees go All In – for themselves, their colleagues, the company and our communities. It’s a mindset, feeling and attitude we wrap around all we do. We celebrate diverse thought, encourage innovation and empower employees to take charge of their careers. Every day we work to improve oral health through benefit plans, advocacy and community support. But oral health isn’t an isolated issue. It’s connected to public health, education and economic development, and we amplify our mission by making investments that build healthy, smart, vibrant communities for all. Delta Dental of Michigan, Ohio, and Indiana has been a dental benefits leader for more than 60 years, and today with our affiliates, we are one of the largest dental plan administrators in the country. We offer employees a comprehensive benefits package including medical, dental and vision coverage, short- and long-term disability, life insurance, 401(k) savings plans, flex spending accounts, and tuition reimbursement or educational assistance. Employees are also eligible for annual incentive compensation based on annual business goals. Additionally, employees receive eight hours of paid volunteer time each year, plus access to an on-staff health coach and personal trainer, virtual lunchtime workouts hosted by the trainer and/or an on-site fitness center. Delta Dental is an Equal Opportunity Employer.

Apply Now