The Operations Correspondence Analyst is part of the Operations Compliance team, reporting to the Operations Correspondence & Support Supervisor. The role is responsible for implementation and maintenance of the templates utilized for correspondence required based on operational activity and driven by requirements defined by federal/state regulation, NCQA and URAC.. Primary Job Responsibilities:. Manage efforts to implement and revise correspondence, resulting from operation activity forutilization management, claims, and complaints/grievance/appeals, to ensure accurate content within the temp... view job details
To represent and service the California Dental Network (CDN)/DentaQuest plans by ensuring the retention and growth of current business within designated regions. PRIMARY JOB RESPONSIBILITIES:. Renewals. • Meet specific annual and quarterly business retention and Account Executive new business goals by delivering and successfully negotiating renewals. Complete and file related paperwork. • Meets established criteria and specified goals for retention and new business. Service. • Demonstrates solid knowledge of all CDN/DentaQuest products by being accountable for servicing the specific needs and ... view job details
The Accounts Receivable & Billing Coordinator is responsible for the timely and accurate processing of invoicing, payment and collection activities ensuring Financial accuracy. Provides excellent customer service to both internal and external clients for all inquiries and/or escalations. Recommends, initiates/coordinates revisions and improvements to AR, collection and billing processes.. Primary Job Responsibilities. Responsible for the timely production of all Invoicing & Payment activity reconciling back to the financial transactions to ensure accuracy. Meets all required deadlines, followi... view job details
Under limited supervision, the Accounts Payable Coordinator supports the Finance Department and the organization by processing, recording and reporting cash disbursements. Ensures all departmental and corporate policies and procedures are followed and meet compliance & audit guidelines. Coordinator supports all new project implementations and system upgrades.. PRIMARY JOB RESPONSIBILITIES:. Follows all accounts payable practices while maintaining department efficiencies, by verifying accuracy, control and meeting deadlines for scheduled weekly check runs.. Ensures user documents are updated an... view job details
Support the business goals and objectives of the Accounts Receivable Team, which includes supervising daily operations to provide accurate and efficient services for cash, collections, reporting, and related operations services.. The position performs supervisory duties of staff members ensuring individual objectives, training plans, as well as corporate service level goals are met. Duties include, but are not limited to, acting as coach/mentor to staff members in the areas of production and quality, maintaining relations among staff members and other departments and determining appropriate st... view job details
The Administrative Coordinator provides quality services essential to the mission of the DentaQuest Partnership for Oral Health Advancement and the day-to-day-operations. The Administrative Coordinator supports the activities of the Partnership in maintaining good relations with partners, colleagues and other organizational contacts made in the normal course of conducting operations. The Administrative Coordinator provides professional administrative and function support in a variety of areas including handling and responding to all inquiries related to that office, managing leadership schedul... view job details
The Administrative Coordinator provides quality services essential to the mission of the DentaQuest Partnership for Oral Health Advancement and the day-to-day-operations. The Administrative Coordinator supports the activities of the Partnership in maintaining good relations with partners, colleagues and other organizational contacts made in the normal course of conducting operations. The Administrative Coordinator provides professional administrative and function support in a variety of areas including handling and responding to all inquiries related to that office, managing leadership schedul... view job details
JOB SUMMARY:. The Lead Developer architects, designs, develops, performance tunes and maintains ETL objects and scripts using SSIS and advanced Transact SQL scripting. Provide subject matter expertise (SME) for the Business Intelligence, Enterprise and IT teams in DentaQuest. Manage multiple technical project workflows and ensures data quality from end-to-end. PRIMARY JOB RESPONSIBILITIES:. Microsoft SQL Server, Business Intelligence Reporting, Requirements Analysis and Design, Data Conversion, Data Modeling with relational and dimensional structures. Self-managing and ability to lead project ... view job details
The Associate Client Partner will represent and service DentaQuest plans to accounts by providing excellent customer service and proactive engagement, ensuring the retention and growth of current business within designated regions. PRIMARY JOB RESPONSIBILITIES:. Renewals. Meet specific annual and quarterly business retention and Associate Client Partner new business goals by delivering and successfully negotiating renewals. Complete, seek approval for (as needed), and file related paperwork. Meets established criteria and specified goals for retention and new business. Service. Demonstra... view job details
The Contract Implementation & Compliance Coordinator provides the end-to-end servicing of state and health plan contract work, from generating the initial client contract draft, coordinating approvals and execution, tracking implementation, and preparing submission of all client audits of those contracts for a particular region. PRIMARY JOB RESPONSIBILITIES:. Intake or generate new contracts and amendments to analyze and assign sections to appropriate departments. Manage approval process for new contracts and amendments, including scheduling calls or meetings with subject matter experts and Le... view job details