Professional Services Compliance & QA Liaison

Delta Dental of Michigan; Okemos (MI); Hybrid; USD 60,000 - 80,000; Full time

Job summary

Delta Dental of Michigan is hiring a Professional Services Compliance Liaison in Okemos, MI. This hybrid role is focused on developing and implementing compliance policies and ensuring alignment with internal and external standards. Qualified candidates will need a Bachelor's degree in a relevant field and three years of experience in quality management or compliance auditing. Responsibilities include serving as a liaison, researching compliance updates, and performing quality control reviews. Emphasis on communication skills and knowledge of dental terminology is preferred.

Qualifications

• Three years of related experience in quality management or internal/external compliance auditing.
• General knowledge of state and federal regulations.
• Knowledge of dental terminology and procedures preferred.

Responsibilities

• Develop and implement Professional Services policies to ensure compliance.
• Liaison with Compliance Officer and QA Administrator.
• Research and analyze updates on policies and procedures.
• Perform quality control reviews on claims processed.
• Monitor updates within the Provider Records department.

Skills

Effective verbal and written communication skills

Critical thinking

Advanced problem-solving skills

Experience with Microsoft Office

Education

Bachelor's degree in business administration, public administration, or related field

Job description

Delta Dental of Michigan is hiring a Professional Services Compliance Liaison in Okemos, MI. This hybrid role is focused on developing and implementing compliance policies and ensuring alignment with internal and external standards. Qualified candidates will need a Bachelor's degree in a relevant field and three years of experience in quality management or compliance auditing. Responsibilities include serving as a liaison, researching compliance updates, and performing quality control reviews. Emphasis on communication skills and knowledge of dental terminology is preferred.