Implementation & Contract Analyst

Job Description

About Us:

Delta Dental of New Jersey, established in 1969 as the state's largest dental coverage provider, has grown over more than 50 years to serve over 1.7 million people across New Jersey and Connecticut. As part of the national Delta Dental Plans Association, we connect over 75 million people with quality dental coverage through 139,000 groups nationwide.

In Connecticut we operate through Delta Dental of Connecticut, Inc., which writes fully insured dental coverage. In New Jersey, Delta Dental of New Jersey, Inc. writes fully insured and self-funded dental benefit programs. Our comprehensive offerings include managed care, approved fee for service, PPO, and HMO-type programs, as well as dental access and individual dental plans. We also offer DeltaVision® in conjunction with VSP®, serving more than 88 million members through nearly 137,000 access points nationwide.

With a team of 300 dedicated employees, we remain committed to innovation and excellence in dental insurance, as reflected in our Standard & Poor's "A+" rating for financial strength. Our commitment extends beyond business through the Delta Dental of New Jersey Foundation, which awards nearly $1 million annually to support dental care for underserved populations, educational scholarships, and community programs.

Our Mission Statement is to promote oral health to the greatest number of people by providing accessible dental benefit programs of the highest quality, service, and value. Join our growing team and be part of an organization that values associate development, promotes wellness initiatives, supports diversity, and provides opportunities to volunteer for causes you care about.

Benefits:

In addition to a great culture, we offer excellent benefits including medical, RX, dental and vision, matching 401k, tuition reimbursement, and generous time off to recharge. We value our associates and support everyone with learning and development, active wellness and diversity initiatives, and even paid time off to volunteer at causes that you care about.

Job Summary

SUMMARY

To interpret, compile and categorize data and information in order to build new group benefits, modify and update existing benefits and maintain client related information based on client requirements. Preparation of new contracts and amendments and Renewals. Review and update existing contracts.

Essential Functions & Responsibilities

Client Management & Implementation

Provide operational support for assigned Delta Dental Markets (Large Group, Small Group, Retiree, Health Plan, etc.) for new implementations, ongoing plan changes, and renewal activity

Manage client expectations, internal and external deliverables, and program timelines

Attend client calls/meetings as needed and internal validation meetings

Prepare contracts, amendments, and renewals with exceptional accuracy

Manage performance guarantee tracking and report distribution for internal/external clients as requested

Technical Expertise

Review, analyze, and verify intent of assigned benefit setups as they relate to products and programs

Identify and communicate need for customization to support client benefit requirements

Research and resolve operational issues

Thorough understanding of contract language and its impact

Solve a range of straightforward problems; analyze possible solutions using standard procedures

Other duties as assigned.

Essential Qualifications

High aptitude for problem solving and analytical thinking.

Highly organized, able to work with limited direct supervision, motivated to successfully meet deadlines, attention to detail and ability to multi-task. Excellent communication skills, oral and written.

DDNJ Competencies (include those that are most necessary for success of position)

Accountability

Adaptability-Flexibility

Communication

Customer Focus

Listening Skills

Planning

Problem Solving-Analysis

Project Management

Collaborative Process-Teamwork

Dependability

Knowledge, Skills & Abilities

Technical and Functional

Excellent verbal and written communication and listening skills.

Exceptional attention to detail and accuracy

Excellent proofreading skills

Ability to effectively work independently and coordinate with the team.

Proactive, highly motivated and deadline driven.

Demonstrates a sense of urgency.

Superior organizational and prioritization skills

Proficient in Microsoft office suite

Ability to work with Delta Dental’s contract management system.

Demonstrates technical proficiency

Required Physical Abilities

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Ability to sit and perform extensive close keyboard and PC work.

Ability to walk, talk or hear.

Occasionally required to stand and reach with hands and arms.

Working Environment

Ability to meet deadlines and attendance standards.

The noise level in the work environment is usually moderate.

This classification will be required to sign a confidentiality agreement.

Experience, Education and Certifications Required

Experience Required

College Degree preferred.

Health Insurance experience preferred (medical, dental etc.)

Knowledge of Dental coding a plus

Familiarity with contracts

Full-time