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Delta Dental Of Iowa - Johnston, IA

posted 2 months ago

Full-time - Mid Level
Hybrid - Johnston, IA

About the position

The Associate Data Analyst - Government Programs at Delta Dental of Iowa plays a crucial role in leveraging data to enhance community health outcomes. This position focuses on clinical analytics, healthcare data management, and quality measure reporting, specifically related to Medicaid and Medicare Advantage programs. The analyst will compile and analyze data from various sources, communicate findings, and make strategic recommendations to optimize programs and improve the lives of community members. The role offers a hybrid working environment, emphasizing collaboration and a commitment to exceptional service.

Responsibilities

  • Develop a comprehensive understanding of Government Programs contract requirements, deliverables, and overall goals.
  • Collaboratively work with internal stakeholders to identify informatics, reporting requirements, and desired outcomes measurement.
  • Lead the development, analysis, and distribution of reports related to Government Programs contract deliverables, including ad hoc data requests.
  • Perform deep dive analysis to effectively translate broad data sets into performance insight, present findings, and recommendations to multiple levels of management.
  • Provide support to the care coordination team to educate and assist program members about behaviors that can enhance their oral health and overall health.
  • Develop, monitor, and provide all ODAG reporting required for CMS Medicare Advantage data submission and audits to ensure compliance.
  • Participate in all Medicaid and Medicare Advantage audits and present and defend data provided.
  • Create and manage all required reporting and analysis that contribute to the overall management and performance success of Government Programs and other initiatives.
  • Analyze data to derive business insights and identify potential issues, drive communication and resolution.
  • Develop reporting, provide analysis, and work with the outreach and care coordination team for oral health surveys to identify members who need assistance.
  • Serve as Data Steward for Government Programs on Delta Dental Data Governance Committee.
  • Utilize Business Objects, Power BI, SQL, and other tools to mine databases for analytic data.
  • Support the Government Programs team to ensure appropriate metrics are developed, analyzed, and distributed to monitor and ensure contract compliance.
  • Collaborate with other business areas and decision makers to create and propose recommendations for program and process enhancements.
  • Effectively communicate results to internal and external stakeholders.
  • Ensure department knowledge and compliance with contractual and regulatory filings related to Government Programs.
  • Promote the service quality efforts of the corporation and demonstrate a commitment to developing a team environment with all other company team members.
  • Lead eligibility file contract requirements and manage eligibility file error correction process.

Requirements

  • Bachelor's degree in Data Analytics, Public Health, Business, Finance, Mathematics, or related field or equivalent experience.
  • Three to five years of relevant work experience required, preferably in population health, financial, or operational data analysis.
  • Insurance or public health experience is strongly preferred, dental experience a plus.
  • Must possess superior math and impact analysis skills.
  • Self-motivated and able to work with a high degree of autonomy.
  • Ability to work as an analytical problem solver who can make high-quality judgments and decisions quickly.
  • Excellent organizational skills to work across functions, with internal leadership, and external customers.
  • Ability to interpret and develop contract data reporting and monitoring requirements.
  • Experience using critical thinking skills working with results, metrics, and data management.
  • Strong collaboration skills and the ability to work effectively on project teams, as well as independently.
  • Excellent verbal, written, and communication skills working with all levels of employees, including Leadership.
  • High level of proficiency with Microsoft Office applications and strong working knowledge of database environments required.
  • Strong understanding of SQL scripting.
  • Previous Power BI experience preferred.

Nice-to-haves

  • Experience in dental insurance or public health sectors.
  • Familiarity with data governance practices.

Benefits

  • Dental insurance
  • Competitive pay
  • Hybrid working environment
  • Community investment initiatives
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