Operations QA Analyst: Elevate Dental Ops & Compliance

Delta-Denta; Greenwood Village (CO); Hybrid; USD 34,000 - 46,000; Full time

Benefits offered by this job

PTO 23 days

11 paid holidays

6 paid illness days

Medical health plans

Dental insurance

Vision and hearing plan

401(k) match

Retirement savings plan

Life insurance

Short-term disability

Long-term disability

Wellness program

ECO Passes

Job summary

Delta Dental of Colorado is seeking an Operations Quality Assurance Analyst to ensure workflows, systems, policies, and procedures meet DDCO standards and industry regulations. This role involves reviewing, testing, and analyzing various aspects of Delta Dental of Colorado, including claims processing, customer experience, provider relations, and Clinical Management.

The Analyst identifies opportunities to mitigate risk and drive service excellence within Operations.

Qualifications

• Strong QA knowledge for a health insurance company.
• Experience with data extraction and quality control is preferred.
• Familiarity with DDCO workflows and policies is a plus.

Responsibilities

• Conduct and prepare detailed QA audits focused on workflows and internal processes.
• Create and distribute Quality Assurance reports on a regular basis.
• Maintain and update QA policies and procedures.
• Collaborate with other departments to identify and resolve issues within Payor systems.

Skills

Quality assurance

Data analysis

Salesforce

Tableau

Power BI

Healthcare knowledge

Communication

MS Office

Education

High school diploma or equivalent

Tools

Salesforce

Job description

Delta Dental of Colorado is seeking an Operations Quality Assurance Analyst to ensure workflows, systems, policies, and procedures meet DDCO standards and industry regulations. This role involves reviewing, testing, and analyzing various aspects of Delta Dental of Colorado, including claims processing, customer experience, provider relations, and Clinical Management.

The Analyst identifies opportunities to mitigate risk and drive service excellence within Operations.