At Delta Dental, our strategy is only as strong as the people who execute it! We are hiring individuals that are not just right for today but also for our future. We have built a foundation of high-trust by treating all people with dignity, making and keeping commitments, and consistently striving to do the right thing. Our leaders optimistically share future possibilities to inspire and motivate others toward their full potential. We expect our employees to find ways to embrace positive change, be curious and challenge the status quo, and provide solutions to unmet problems. Joining Delta Dental means joining a culture focused on fostering development, building genuine connections, recognizing each other's strengths and sharing in successes. As the Director of Claims Processing, this position will provide strategic direction and leadership to the claims processing organization across multiple locations. This position is responsible for setting and overseeing the achievement of performance objectives and established service level goals for DeltaCare, DDIC, DDP ad DDC. In addition to general operations, this leader may be asked to lead or support enterprise-wide or segment-specific initiatives.
How you will make an impact:
Directs the activities of Claims Processing staff through department managers; determines staffing needs, sets goals, interviews, selects, coaches, trains and evaluates the performance of all direct reports.
Leads, supports and collaborates with others to evaluate and implement enterprise-wide initiatives.
Develops annual department and project budgets; identifies variances and takes corrective actions as appropriate.
Reviews large, high-profile or complex requests and provides claims recommendations to upper management; approves significant claims concessions.
Advises and provides guidance to internal and external customers.
Performs strategic planning, including enterprise business alignment activities.
Prepares and presents documents to support claims decisions to internal and external customers.
In collaboration with management team, continuously assesses department for operational inefficiencies or areas for improvement; develops and communicates changes in policies, guidelines, departmental and corporate objectives as needed.
This list is not all-inclusive and you are expected to perform other duties as requested or assigned.
What we look for:
12+ years w/Bachelor's degree; 3+ years management.
Lean Six Sigma Certification - IASSC, Green Belt or Black Belt Certification Preferred.
Certified Project Management Professional (PMP) - PMI, Preferred.
Operational experience within a union environment preferred.
Extensive knowledge of health care industry, dental procedures codes and nomenclature, and claims processing concepts and related technology.
Excellent organizational and time management, including the ability to multitask.
Strong critical thinking and analytical skills to identify and evaluate business solutions.
Strong management skills to effectively manage division activities enterprise-wide.
Demonstrated skills and experience with developing a high performance culture and work environment.
Demonstrated ability to work effectively with all levels of the leadership, including C-Suite.
Ability to influence others at all levels of the organization.
Demonstrated excellence in communication and negotiation, especially in complex settings and in a cross-cultural environment.
Demonstrated skill in problem analysis and problem resolution at the functional and strategic level.
Benefits and perks:
12 days starting vacation, 12 holidays, 9 sick days and your birthday off!
Low-cost premium medical insurance options
100% paid dental and vision insurance
Generous 401(k) matching and flat contribution
Social responsibility and volunteer opportunities, including 16 paid volunteer hours annually
Employee LiveWell program, focusing on overall employee well-being.
Fertility and diabetes benefits
Employee discount program: AT&T/Verizon, entertainment, travel, and more!
Culture of learning: career development and tuition reimbursement
Career growth: we love promoting from within
#LI-EV1 At Delta Dental we:Promote accountability, integrity and collaboration: Our employees are collaborative, self-aware, and ethical. It is our expectation to do the right thing and follow through on commitments.Foster professional development: Our employees take ownership of developing themselves and others through coaching, mentoring and providing/being open to constructive feedback and identifying learning opportunities.Value customers and cultivate positive experiences: Our employees take time to build rapport with customers, while anticipating and exceeding their needs to ensure positive outcomes. If you think this sounds like you, let's chat. We would love to tell you more! 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: @lifeatddins on Facebook and Instagram, @deltadentalins on Twitter, and Delta Dental Ins. on LinkedIn. ABOUT Delta DentalDelta Dental covers more Americans than any other dental benefits provider. Our vision is to motivate and empower every employee so we're all inspired to take exceptional care of our customers, providers and each other. Our Enterprise Strategy focuses on pillars of Growth and Diversification, supported by the platforms of Culture and People, Process and Technology. Our employees take pride working for a purpose-driven organization and live our values of Trust, Service, Excellence and Innovation. 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 provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, genetics, or any other classification protected by federal or state 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. As a Federal Contractor, we require all employees to be fully vaccinated for Covid-19. You will be required to provide proof of full vaccination upon hire or obtain approval of a valid medical or sincerely held religious exemption from receiving a Covid-19 vaccine prior to your start date.
