Business Project Development Administrator

Job Title:

Business Project Development Administrator

Number of Positions:

1

Location:

Okemos, MI

Location Specifics:

Hybrid Position

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 for all. 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

Supports and consults with all departments, Enterprise-wide, plans and oversees automated rule-based projects by leading in the analysis, development and testing of the business rules in the Enterprise Technology Solution (ETS) claims system in order to ensure claims processing is in accordance with client contracts and administrative processing policies. 

Primary Job Responsibilities

• Develops, executes, and oversees project assignments, defines procedures and processes and assist in defining solutions to ensure claims are processed accurately and new products are implemented accordingly. Through this process, identifies areas for improvements and creates the necessary test cases and reports that are used for validation.
• Assists in defining business requirements and participates in the review of system design, user acceptance testing, and implementation procedures, as well as evaluates and communicates the impact changes may have on various departments within the Enterprise.
• Works directly with IT staff clarifying business requirements in the resolution of defects or implementing new enhancements related to business rules, ETS, or other applications within the Enterprise.
• Analyzes and implements rule enhancements improving the efficiency and accuracy of claims processing.
• Provides support to business users within the Enterprise resolving complex problems related to business rules and claims processing.
• Creates documentation summarizing the business impacts related to system enhancements and defect resolution for the business users. Develops and conducts presentations, meetings and training sessions with internal and external customers to explain procedures, system functions and business rules processes.
• Organizes, updates and implements departmental/Enterprise procedure manuals and claims processing reference materials.
• Assists management staff in development of department strategies, goals, and objectives.

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 administration, computer science, or a related field and five years of experience analyzing, developing, or testing business rules for the administration of benefit contracts, auditing dental claims, or documenting or training on dental office processes or procedures. Will accept any suitable combination of education, training, or experience.

Position requires advanced knowledge of project management approaches and techniques, as well as complex business processing knowledge; resolve complex problems and use independent judgment; effective verbal and written communication skills; strong analytical and problem solving skills; ability to handle multiple projects; ability to work off hours to support system maintenance; advanced knowledge with word processing, spreadsheet, presentation, and database software.

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.