Teams at Delta Dental of Michigan

Manage, service, and retain assigned group clients; act as liaison among groups, agents, and consultants; resolve billing/claims/eligibility issues; support implementations, renewals, and benefit events; assist small-market growth and develop agent relationships.

Performs actuarial and statistical tasks for product and rate development, fee schedules, forecasting, and reporting. Designs and maintains data applications, compiles and analyzes data for pricing, budgeting, and filings, supports new product rating and underwriting, responds to bids, and provides internal and external reporting on claims liabilities and experience. Collaborates with other Delta Dental plans and stakeholders on rating analyses and special reports.

Support and manage the Compliance Program: develop and deliver training, monitor regulatory/document revisions, maintain document repository, coordinate audits (Medicare/Medicaid/ACA), perform risk assessment, track remediation, liaise with stakeholders, and ensure policies and procedures meet legal, contractual and regulatory requirements.