Qureos Mentor

Delta Dental

<div>Description:
<p><b>
Come Smile with Us!</b></p><p>
Join our mission-driven team at Delta Dental of Iowa as a <b>Financial Accountant </b>where you will play a key part in preparing and reviewing GAAP and statutory financials, regulatory filings, tax reporting, and intercompany activity for Delta Dental's for-profit subsidiaries - ensuring accuracy, compliance, and timely completion of deadlines. You will partner closely with leadership, auditors, and cross functional teams, providing financial insight that informs strategic decisions - all while working in a collaborative environment. If you enjoy complex accounting work with purpose and impact, this is an opportunity to make a difference.</p><p>
Learn why Sherry enjoys working on the Finance team.</p><p><b>
Why Delta Dental of Iowa?</b></p><p><b>
For your smile. For your health. For your community.</b></p><p>
At Delta Dental of Iowa, we&rsquo;re more than just a dental and vision insurance company. Improving health and wellness is at the center of everything we do. As a not-for-profit, we aim to build stronger communities by investing in actions that promote and improve health. Delta Dental of Iowa invests 40% of our dollars directly back into the communities we serve.</p><p>
Come see why we are passionate about &quot;Bringing Smiles&quot; to our customers. Our team enjoys competitive pay and benefits, an awesome &quot;One Team&quot; approach, and a company culture that fosters &quot;Exceptional Quality Service&quot; and &quot;Leadership at All Levels.&quot; Together, we can make a difference &ndash; not only in Iowa but across the country.</p><p><br>
</p><p><b>Essential Functions and Principal Accountabilities:</b></p><ul><li>
Prepare, understand, and review various regulatory filings including the annual and quarterly statutory blanks.</li><li>
Responsible for completion of accounting journal entries in accordance with GAAP.</li><li>
Complete accurate and timely financial statements in accordance with Generally Accepted Accounting Principles and Statutory Accounting Principles.</li><li>
Analyze and prepare intercompany journal entries and other subsidiary related transactions.</li><li>
Assist with external audits including workpaper preparation and audit report preparation.</li><li>
Lead and monitor the annual 1099 process and ensure completion by IRS deadlines.</li><li>
Prepare various management reports for senior leadership and other target audiences as required including Board of Directors and Committee presentations.</li><li>
Coordinate and complete tax entries.</li><li>
Coordinate and prepare budgets, forecasts, and strategic financial plans, as well as analysis of financial results.</li><li>
Backup to various processes within the Accounting department.</li><li>
Perform other duties as assigned.</li></ul>
Requirements:<p><br>
</p><p><b>Required</b></p><ul><li>
Bachelor&rsquo;s degree in Accounting or equivalent combination of education and experience required.</li><li>
4-6 years&rsquo; accounting experience required.</li><li>
Knowledge of GAAP accounting principles required.</li><li>
Advanced Excel skills required.</li><li>
Strong accounting, analytical and decision-making skills.</li><li>
Excellent verbal and written communication skills.</li><li>
Strong interpersonal skills in order to communicate across business unit lines.</li><li>
Detail-orientation with high level of accuracy.</li><li>
Ability to work independently on multiple projects simultaneously.</li></ul><p><b>
Preferred</b></p><ul><li>
Knowledge of statutory accounting principles as they relate to the insurance industry.</li><li>
Tax experience in Corporate Federal &amp; State income taxes and 1099&rsquo;s strongly preferred; Premium taxes.</li><li>
Business Central and Solver software experience.</li></ul><p>
Delta Dental of Iowa is an Equal Opportunity Employer that does not discriminate on the basis of race, sex, national origin, religion, age, disability and any other characteristic protected by applicable law. It is also the policy of Delta Dental of Iowa to take affirmative action to employ and to advance in employment, all persons regardless of their status as individuals with disabilities or protected veterans, and to base all employment decisions only on valid job requirements.</p></div>

Financial Accountant

<div><p>Culture rules at Delta Dental. It's key to our becoming the leading dental benefits carrier in the state, reaching over 500,000 Idahoans with our dental plans and community outreach programs. We're small on ego and big on grins. You'll see us involved in community events and &quot;Did you make someone smile today?&quot; on our To-Do lists. Our employees have the opportunity to make a difference in people's lives while working in an environment full of challenge, collaboration, flexibility, and industry-leading growth potential. Join our team committed to better oral health for all Idahoans.</p><p>
The Enrollment and Billing Specialist performs a variety of general accounting and enrollment/eligibility duties including reconciling eligibility for select employer groups according to group contracts and underwriting guidelines, enrollment additions and changes, reconciling payment and billing for both groups and individuals, and providing excellent customer service.</p><p><b>
Essential Functions:</b></p><ul>
<li>Reconcile eligibility and enroll or terminate subscribers and dependents according to group contracts and underwriting guidelines and on the individual plan.</li>
<li>Serve as a liaison with subscribers, groups, and agencies to answer eligibility, benefit, payment, electronic enrollment file and contract questions.</li>
<li>Reconcile daily receipts and research variances.</li>
<li>Apply receipts to outstanding invoices.</li>
<li>Import electronic enrollment file and distribute discrepancy report to groups within designated timelines.
</li><li>Perform COBRA administration for designated groups according to federal regulations.</li>
<li>Perform PERSI administration for designated groups according to state regulations.</li>
<li>Perform project support functions for IT and Eligibility projects.</li>
<li>Perform testing for IT changes.</li>
<li>Demonstrate a commitment to the organization&rsquo;s vision, mission, values, code of ethics, and compliance/security standards.</li>
<li>Other duties as assigned.</li><br>
</ul><br>
<br>
<b>Requirements</b><br>
<ul><li>
High school diploma or equivalent.</li><li>
Experience in bookkeeping, AP/AR, accounting, or a related field.
</li><li>Competency in Microsoft Office &ndash; Word, Excel, and Outlook.</li><li>
10-key data entry</li><li>
Detail-oriented with the ability to understand benefits and contract provisions.</li><li>
Strong written and verbal communication skills.</li><li>
Strong time management skills with the ability to determine priorities and critical tasks.
</li><li>Ability to maintain a highly responsive relationship with Customer Service, Sales, Underwriting, and Eligibility departments and clients.</li><li>
Ability to represents and promote Delta Dental of Idaho services in a positive and professional manner at all times.</li></ul><p></p><p><b>
Physical and Mental Requirements:</b></p><ul><li>
Sitting/Standing (alternatively) continuously</li><li>
Keyboard Use/Repetitive Hand motion continuously</li><li>
Skill/ability related to comprehension, organization, reasoning/decision-making and communication appropriate to position/level</li></ul><br>
<b>
Benefits</b><p><br>
Delta Dental of Idaho offers a competitive benefits plan including:</p><ul><li>
Medical, dental, and vision</li><li>
401K with up to 6% company contribution</li><li>
Generous PTO and up to 9 paid holidays</li><li>
Community Service Time</li><li>
Flexible, hybrid schedule (2 days in office per month) and 1/2 day Fridays
</li><li>Tuition and continuing education reimbursement</li><li>
Casual dress code</li><li>
...and more!</li></ul><p></p><p><b>
OUR CULTURE</b></p><p>
DDID seeks to provide a positive workplace where employees are treated with respect, and all are accountable for living our values and Code of Ethics while empowered to help the organization succeed in achieving its mission and vision.</p><p>
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.</p><p>
Individuals that may need assistance with the applicant or interview process may contact Delta Dental of Idaho at hr@deltadentalid.com or by phone: 208-488-7741.</p></div>

Enrollment and Billing Specialist

<div><p>We are looking for a dedicated Business Intelligence Analyst responsible for analyzing oral health data to evaluate the utilization and reimbursement of dental services and the associated costs. The role involves working closely with the clinical teams, actuaries, and other stakeholders to identify trends, develop strategies to optimize resource use, create and maintain reimbursement analytics, and improve cost-efficiency with improved patient care quality.</p>
<p>
At Delta Dental of Washington our vision is that all people can enjoy good oral and overall health, with no one left behind. We succeed because of a shared commitment to a set of values that guide everything we do &ndash; for our customers, for our communities, and for each other. We are Accountable. We lean in with Courage. We stay Curious. We are Inclusive. We act with Integrity.</p>
<p>
We offer a highly competitive medical, dental and vision plans as well offering a generous 401k match and all employees start accruing vacation and sick time from their very first day. We empower employee development through our tuition reimbursement plan, professional development plans, and employee-led communities.</p>
<p>
The pay range for this position varies between $70,900.00 &ndash; $118,100.00. Washington Dental Service and its affiliates, including Delta Dental of Washington and Arcora Foundation intends to offer the selected candidate a base pay within this range, dependent on job-related, non-discriminatory factors such as experience. Base pay will also be adjusted based on the candidate's geographic location.</p>
<p><b>
Essential Responsibilities include the following: </b>The list of responsibilities listed is not intended to be comprehensive. Washington Dental Service and its affiliates, including Delta Dental of Washington and Arcora Foundation reserve the right to change the responsibilities at any time with or without notice.</p>
<ul>
<li>Uses various analytic tools (SQL, Tableau) to perform statistical analysis and visualization of clinical and claims data to create actionable insights and support decision-making.</li>
<li>Analyze claims and clinical data to identify financial improvement opportunities.</li>
<li>Provide analytics that support metric driven goals with providers.</li>
<li>Analyzes provider reimbursement patterns and provides actionable data to provider facing team members.</li>
<li>Develop and maintain comprehensive reports on utilization trends, cost drivers and financial performance.</li>
<li>Collaborate with clinical teams to develop and implement utilization management protocols and best practices.</li>
<li>Solutions and process improvement projects to achieve operational and business goals.</li>
<li>Conducts provider specific fraud and abuse research.</li>
<li>Monitor existing metrics and develop and propose new metrics.</li>
<li>Stay updated with industry trends, best practices and regulatory changes related to cost and utilization of dental services.</li>
<li>Performs ad hoc research and analysis as needed.</li>
</ul>
<p><b>Experience, skills, and education do you need to have to succeed in the position: </b>The requirements listed below are representative of the knowledge, skill, and/or ability required to successfully perform the essential functions of the position.</p>
<ul>
<li>Proficiency in data analysis tools and software (e.g. SSMS, SSRS, Snowflake, Excel, Tableau)</li>
<li>Ability to build data visualizations (e.g., Tableau).</li>
<li>Experience in healthcare systems, and knowledge of dental and insurance terminology.</li>
<li>Strong analytical and problem-solving skills with the ability to interpret complex data and provide actionable insights</li>
<li>Excellent communication skills, both written and verbal, with the ability to present findings to various stakeholders.</li>
<li>Detail-oriented with strong organizational skills.</li>
<li>Bachelor's degree (B. A.) from four-year College or university; and two years related experience and/or training; or equivalent combination of education and experience.</li>
</ul>
<p><i>Washington Dental Service and its affiliates, including Delta Dental of Washington and Arcora Foundation is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.</i></p>
<p><i>
We are committed to the highest standards of information security and HIPAA compliance, ensuring the confidentiality, integrity, and protection of all data. All staff are expected to support this commitment by following relevant policies.</i></p></div>

Business Intelligence Analyst

<div><div>Delta Dental of Kentucky is seeking a dynamic individual to fill the position of Business &amp; Operations Support Specialist for DDKY's enterprise system.
</div>
<div></div><div><div><b>Job Summary</b></div>
<div><div>This position is responsible for assisting with end user production support, documentation, testing, and configuration of the system; assisting with business analyst functions such as needs assessment, planning, analysis, and implementation; supporting requests for new functionality; aiding in vendor communication; monitoring system processes.</div>
<div></div><div><b>Primary Job Responsibilities
</b></div><ul><li>Assist with troubleshooting and tracking of reported production support issues, including development, testing, and implementation of solutions</li>
<li>Establish a rapport with the internal business unit leaders and foster on-going communication regarding business needs to develop proactive solutions</li>
<li>Assist in system configuration and coordination of mass updates and change requirements</li>
<li>Participate in implementing SKYGEN Enterprise System (ES) quarterly releases, including coordination and/or execution of preliminary and detailed impact analysis of all system changes with business owners and IT</li>
<li>Assist with development of data/test scripts used for automated and manual testing scenarios for use in facilitation/execution of smoke testing, regression testing, and User Acceptance Testing (UAT) of ES releases</li>
<li>Triage and report issues found during release testing and ensure readiness for production</li>
<li>Triage work orders and change requests to determine necessary department specific system enhancements</li>
<li>Participate in organization-level strategic initiatives as well as operating system process-based initiatives</li>
<li>Facilitate custom solution delivery through regression tests, establishing plan for enhancement delivery and implementation</li>
<li>Further analyze system functionality and identify/recommend enhancements and/or process changes to accommodate future operational and product needs</li>
<li>Interact with process owners, business owners, and system users to translate business requirements into technical specifications</li>
<li>Facilitate updates to ES to accommodate required corporate policy and regulatory/global changes</li>
<li>Assist with management of defect management and coordination of deployment of solutions with ES vendor and internal resources</li>
<li>Assist with management of inventory of business process workflows, training catalogs, custom functionality, and test cases</li>
<li>Proactively anticipate problems and provide alternatives as needed</li>
<li>Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above</li>
</ul>
<div></div><div><b>Minimum Qualifications</b></div>
<div>Position requires a bachelor&rsquo;s degree in business or equivalent technical institute degree or significant or relevant on-the-job experience in lieu of degree. The preferred candidate will have a background of 3 or more years&rsquo; experience in insurance or healthcare, a background of business analysis and quality assurance testing. Will accept any suitable combination of education, training or experience.</div>
<div></div><div>Position requires the ability to work with business units to analyze, document, and make recommendations on process improvements; ability to map functional requirements for ES to vendor and internal system modifications; strong analytical and problem-solving skills with the ability to make timely and sound decisions; excellent verbal and written communications, presentation, and effective listening skills; strong meeting facilitation and communication skills working across all levels of the organization; ability to manage competing priorities in a complex environment.</div>
<div></div><div>Position also requires proficiency in technology applications and tools, specifically Microsoft Office skills (Outlook, Word, Excel, PowerPoint, OneNote) and hosting online meetings with tools such as WebEx, GoToMeeting, Teams or Zoom. Infrequent overnight travel may be required.</div>
<div></div><div><i>Delta Dental of Kentucky, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, or veteran status.</i></div></div></div></div>

Business & Operations Support Specialist

<div><div><b>About Us</b></div><div></div><div><br>
Delta Dental of New Jersey and Delta Dental of Connecticut are proud to be leaders in the dental insurance industry, offering a wide range of plans to meet the needs of individuals and employers alike. As New Jersey&rsquo;s largest dental coverage provider, we are committed to delivering high-quality, cost-effective solutions designed to meet the diverse needs of our customers and our team is growing.</div><div></div><div><br>
In Connecticut, Delta Dental of Connecticut, Inc. provides fully insured dental coverage, while Delta Dental of New Jersey administers self-funded dental benefit programs. We proudly serve over 1.7 million individuals through more than 1,800 groups, including commercial, school board, and government programs.</div><div></div><div><br>
Since 1969, Delta Dental has been at the forefront of innovation, offering programs that control costs while ensuring the highest level of benefits.</div><div></div><div><br>
As a member of the national Delta Dental Plans Association, we provide national dental coverage to over 75 million people across 139,000 groups. Our commitment to excellence is reflected in our prestigious Standard &amp; Poor&rsquo;s &ldquo;A+&rdquo; rating for financial strength. Join us and be a part of a trusted company with a rich history of delivering quality dental benefits to millions.</div><div>
We value our associates and support everyone with learning and development, active wellness and diversity initiatives, and volunteer opportunities at causes that you care about.</div><div></div><div><b><br>
About the Position</b></div><div></div><div><br>
Our Claims Examiners are provided with established company guidelines and examine and adjudicate dental claims using these guidelines, with expected levels of quality and productivity.</div><div></div><div><br>
During the first five weeks of employment, you will participate in full‑time, paid training conducted in the office five days per week, Monday through Friday, from 8:30 a.m. to 4:30 p.m. Following the completion of training, this role will transition to a full‑time, hybrid schedule working Monday through Friday from 8:00 a.m. to 4:30 p.m., with in‑office days on Tuesday and Wednesday and remote work on Monday, Thursday, and Friday. This position starts at $22.05 per hour and is benefits-eligible.</div><div></div><p><br>
The expected Start date for this position is April 20th, 2026.</p><div></div><div><b><br>
Essential Functions &amp; Responsibilities</b></div><div><ul><li>
Accesses systems and keys claim data and other information and notations from work queues. Suspends, routes and adjudicates claims and performs research as required. Also, inputs fee filing data, as required</li></ul></div><div><ul><li>
Creates and processes claims for pre-treatment estimates with payments.</li></ul></div><div><ul><li>
Maintains and updates subscribers files with information obtained through inquiries and submitted claims and documents, i.e., family on hold codes applied or removed, student status deferred, addresses updated. Reports file discrepancies to management.</li></ul></div><div><ul><li>
Responsible for researching and retrieving all documentation and resolving all claims in question, including student documentation, provider research, some coordination of benefits, diagnostics materials, etc.</li></ul></div><div><ul><li>
Understands rejects and applies appropriate RFS codes as well as processing policies on applicable claims.</li></ul></div><div><ul><li>
Requests information from providers and subscribers through telephone contact or written correspondence.</li></ul></div><div><ul><li>
Resolves claims related system generated error and adjustment reports.</li></ul></div><div><ul><li>
Supports and participates in completing claims related projects.</li></ul></div><div><ul><li>
Acquire necessary skills through in-house training for Claim Examiner II position. Achieve Level II position within 36 months from start of Claims Examiner I.</li></ul></div><div><ul><li>
When necessary, refers inquiries to management, dental consultants or appropriate outside organizations.</li></ul></div><div><ul><li>
Provides management with required production figures as requested.</li></ul></div><div><ul><li>
Other duties as assigned</li></ul></div><div></div><div><b><br>
Essential Qualifications</b></div><div></div><div><b><br>
Competencies</b></div><div></div><div><div><div><br>
Adaptability-Flexibility</div><div><br>
Communication Skills</div></div><div><div><br>
Computer Skills</div><div><br>
Customer Focus</div></div><div><div><br>
Dependability</div><div><br>
Job Knowledge</div></div><div><div><br>
Productivity</div><div><br>
Quality</div></div><div><div><br>
Teamwork</div></div></div><div></div><div><b><br>
Technical and Functional</b></div><ul><li>
Personal computer skills with the ability to type 25 words per minute</li><li>
Possess the ability to use Microsoft Word and Excel</li><li>
Excellent written and oral communication skills</li><li>
Ability to research and troubleshoot problems</li><li>
Demonstrate good analytical and proofreading skills</li><li>
Attention to detail</li><li>
Good organizational skills</li></ul><div><b>
Key Performance Indicators</b></div><ul><li>
Meet-exceed CPH of 30 or above</li><li>
Maintain TQM of 99% or higher</li></ul><div><b>
Required Physical Abilities</b></div><div>
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</div><br>
<div></div><ul><li>
Ability to sit and perform extensive close keyboard and PC work</li><li>
Ability to walk, talk or hear</li><li>
Occasionally required to stand and reach with hands and arms</li></ul><div><b>
Working Environment</b></div><ul><li>
Ability to meet deadlines and attendance standards.</li><li>
The noise level in the work environment is usually moderate.</li><li>
This classification will be required to sign a confidentiality agreement.</li></ul><div></div><div><b><br>
Experience, Education and Certifications Required</b></div><div></div><div><b><br>
Experience Required</b></div><ul><li>
1-3 years claims processing or related service experience</li><li>
Dental Assistant education/experience preferred</li></ul><div><b>
Required Educational Level</b></div><div><ul><li>
Requires high school diploma or equivalent.</li></ul></div></div>

Claims Examiner