Performance and Compliance Management Analyst

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Job Summary:

At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities. We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation.

At Delta Dental, we celebrate our All In culture. It’s a mindset, feeling and attitude we wrap around all that we do – from taking charge of our careers, to helping colleagues and lending a hand in the community. 

Position Description

Assist and facilitate the execution of corporate compliance and performance guarantees across multiple functional disciplines to improve corporate efficiency and effectiveness, enhances value added services, and minimize corporate risk exposure.

Primary Job Responsibilities

• Monitors, tracks, implements, reports, and analyzes the company’s compliance with regulatory requirements, contracts and contractual performance guarantees/SLAs.

• Interprets and reviews performance data to identify trends, compliance risks, and areas of non-compliance with the ability to analyze and evaluate the risk appropriately.

• Assists with work related to overseeing corporate compliance by analyzing the corporate exposure.

• Produces and validates performance guarantee reports.

• Works with moderate to complex technologies, including applications and databases with analytics-based tools to test theories, identify metrics, automation, reports, forms, interfaces, and enhancements.

• Reviews contract language, performs requirements analysis, and provides reporting, risk analysis and recommendations to internal departments.

• Develops analysis documentation in a collaborative way, communicates compliance requirements effectively and efficiently for contracts, reporting, and assists to troubleshoot problems.

• Assists with risk assessments, data validations and quality checks, enhances controls and helps mitigate risks, and aligns with business continuity, incident management and problem resolution processes.

• Collaborates with business departments to ensure they understand, approve, and can meet the agreed upon compliance requirements and performance guarantees.

• Presents findings and provides recommendations to leadership in a clear and concise manner to help them make informed decisions.

Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.

#LI-Hybrid

Minimum Requirements:

Position requires a bachelor’s degree in business analytics, business administration, operations management, computer science, or a related field and three years of experience in auditing, analytics, process improvement, quality control, or risk management through data mining and monitoring in business or operations environment. Experience with Python and Agile methodology preferred. Will accept any suitable combination of education, training, or experience.
 

Position requires proven analytical abilities, strong business acumen and interpersonal skills; intermediate knowledge of business processes and generating process documentation and reports, principles of quality management, basic knowledge of insurance products, terminology and concepts, incident management and other general business principles; ability to analyze, investigate, and resolve moderate to complex business problems using creative thinking, problem solving skills and independent judgment; proficient in Access, Word and PowerPoint; knowledge of analytics tools such as Excel, SQL, and Access; position requires strong technical skills to understand and adapt to new technologies; good communication skills in order to effectively interact with internal and external customers with an ability to translate data into actionable insights.

The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.