Job Details

Description

We are looking for a dedicated Business Intelligence Analyst responsible for analyzing oral health data to evaluate the utilization and reimbursement of dental services and the associated costs. The role involves working closely with the clinical teams, actuaries, and other stakeholders to identify trends, develop strategies to optimize resource use, create and maintain reimbursement analytics, and improve cost-efficiency with improved patient care quality.

At Delta Dental of Washington our vision is that all people can enjoy good oral and overall health, with no one left behind. We succeed because of a shared commitment to a set of values that guide everything we do – for our customers, for our communities, and for each other. We are Accountable. We lean in with Courage. We stay Curious. We are Inclusive. We act with Integrity.

We offer a highly competitive medical, dental and vision plans as well offering a generous 401k match and all employees start accruing vacation and sick time from their very first day. We empower employee development through our tuition reimbursement plan, professional development plans, and employee-led communities.

The pay range for this position varies between $70,900.00 – $118,100.00. Washington Dental Service and its affiliates, including Delta Dental of Washington and Arcora Foundation intends to offer the selected candidate a base pay within this range, dependent on job-related, non-discriminatory factors such as experience. Base pay will also be adjusted based on the candidate's geographic location.

Essential Responsibilities include the following: The list of responsibilities listed is not intended to be comprehensive. Washington Dental Service and its affiliates, including Delta Dental of Washington and Arcora Foundation reserve the right to change the responsibilities at any time with or without notice.

• Uses various analytic tools (SQL, Tableau) to perform statistical analysis and visualization of clinical and claims data to create actionable insights and support decision-making.
• Analyze claims and clinical data to identify financial improvement opportunities.
• Provide analytics that support metric driven goals with providers.
• Analyzes provider reimbursement patterns and provides actionable data to provider facing team members.
• Develop and maintain comprehensive reports on utilization trends, cost drivers and financial performance.
• Collaborate with clinical teams to develop and implement utilization management protocols and best practices.
• Solutions and process improvement projects to achieve operational and business goals.
• Conducts provider specific fraud and abuse research.
• Monitor existing metrics and develop and propose new metrics.
• Stay updated with industry trends, best practices and regulatory changes related to cost and utilization of dental services.
• Performs ad hoc research and analysis as needed.

Experience, skills, and education do you need to have to succeed in the position: The requirements listed below are representative of the knowledge, skill, and/or ability required to successfully perform the essential functions of the position.

• Proficiency in data analysis tools and software (e.g. SSMS, SSRS, Snowflake, Excel, Tableau)
• Ability to build data visualizations (e.g., Tableau).
• Experience in healthcare systems, and knowledge of dental and insurance terminology.
• Strong analytical and problem-solving skills with the ability to interpret complex data and provide actionable insights
• Excellent communication skills, both written and verbal, with the ability to present findings to various stakeholders.
• Detail-oriented with strong organizational skills.
• Bachelor's degree (B. A.) from four-year College or university; and two years related experience and/or training; or equivalent combination of education and experience.

Washington Dental Service and its affiliates, including Delta Dental of Washington and Arcora Foundation is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

We are committed to the highest standards of information security and HIPAA compliance, ensuring the confidentiality, integrity, and protection of all data. All staff are expected to support this commitment by following relevant policies.

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Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
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