DentaQuest · 1 month ago
Associate Operations Correspondence Analyst, DentaQuest
Kansas City, MO
Full-time
Hybrid
Mid Level
$54K/yr - $73K/yr
3+ years expDentaQuest is a leader in managing dental and vision benefits for millions of Americans. The Associate Operations Correspondence Analyst will implement and maintain correspondence templates based on operational activities and regulatory requirements, ensuring accurate content and compliance.
DentalHealth CareHospitalInsuranceMedicalWellness
Responsibilities
Manage efforts to implement and revise correspondence, resulting from operation activity for utilization management, claims, and complaints/grievance/appeals, to ensure accurate content within the templates and the templates are implemented or revised within the timelines required
Completion of the client requirement document (CRD) to accurately reflect contract and regulatory requirements
Presentation of the CRD content to the client. Coordinate revisions necessary to final completion and client approval
Identify the templates required for implementation, based on operational process and requirements. Draft a template document, as necessary
Ensure template content meets requirements based on client contract, regulations, NCQA and/or URAC
Perform gap analysis for correspondence requirements and system functionality and/or current process and develop strategic solutions to ensure compliance with requirements
Coordinate template implementation and revisions with the client, client services, operations, the correspondence technical team and the Operations Correspondence Senior Manager
Define the rules necessary to accurately populate variable information within the template. Communicate the rules effectively to the correspondence technical team
Mock up samples of the templates and submit to the correspondence technical team to draft production samples. Define the parameters to be utilized to produce the samples, when necessary. Review production samples provided to ensure accuracy
Obtain approval from the client of the production samples. Coordinate through client services, as necessary
Coordinate production of the template with the correspondence technical team after approval has been received
Coordinate with the Operations Correspondence Senior Manager to create cases to test triggers for templates for complaint/grievance/appeals
Obtain translation of template content into non-English language(s), as necessary
Audit production samples of the letter files once the template is put into production
Communicate all template implementation and revisions to the applicable operational department
Audit templates periodically to ensure most recent approved template is in production
Assist the Operations Correspondence Senior Manager to determine root cause for all findings identified in an external audit, relating to correspondence
Correct errors identified by the UM Administrative Coordinators relating to mapping to citations and member denial language
Create and maintain a letter library and tracking mechanism for all current and historical templates for each client. Documentation to include client approval and the version of the template that is approved
Complete the process for Notice of Action (NOA) letters that require modification prior to mailing to the member to ensure modifications completed are accurate and completed timely
Cultivate and maintain professional relationships with both internal and external customers; communicate effectively with both internal and external customers using various methods of communication, including email, conference call, and video conferencing
Demonstrate a detailed understanding of requirements for correspondence for operations, as listed in individual client contracts and in federal and/or state regulations
Demonstrate a detailed understanding of DentaQuest policies and processes for correspondence for operations
Participate in market meetings to understand client requirements and changes. Communicate any items that impacts correspondence
Other duties as needed or required
Qualification
Required
Associate degree in business, healthcare or related field (or equivalent work experience)
Proficient with general computer software including Microsoft Excel, Word and Outlook
Exceptional communication skills and the ability to communicate appropriately at all levels of the organization. This to also include the ability to communicate appropriately with external customers, including clients and/or regulatory agencies
Excellent spirit for teamwork, problem-solving, communication, and decision-making skills
Strong situational analysis and decision-making abilities
Excellent verbal, written, interpersonal, organizational and public speaking/communication skills. Able to effectively communicate visualizations
Ability to prioritize and organize multiple tasks with tight deadlines
Ability to manage multiple projects and priorities in a fast-paced, result-driven environment
Excellent independent problem-solving skills
Self-motivated and has the ability to work with little supervision and make independent decisions
Demonstrated track record of attention to detail
Required to attend additional training as requested/deemed necessary
Preferred
Minimum 3 years demonstrated experience managing multiple complex tasks with varying deadlines and competing priorities
Ability to work closely with internal business partners to ensure project completion
Previous experience managing template documents
Previous experience in professional or academic research
Demonstrated experience managing relationships with internal/external customers and working closely with the external customer to implement processes
Benefits
Generous vacation and sick time
Market-leading paid family, parental and adoption leave
Medical coverage
Company paid life and AD&D insurance
Disability programs
Partially paid sabbatical program
401(k) employer match
Stock purchase options
Employer-funded retirement account
Company
DentaQuest
DentaQuest is a healthcare firm that provides medical and surgical treatments and services in dentistry.
1001-5000 employees
H1B Sponsorship
DentaQuest has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2024 (1)
2023 (5)
2022 (5)
2021 (7)
2020 (7)
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
SMILE Health
2023-08-08Non Equity Assistance
2021-10-03Acquired
Leadership Team
Brian Watts
CEO
Shane Patrick, MBA
Managing Client Director (Oklahoma CEO)
Recent News
2025-10-28
2025-10-16
Company data provided by crunchbase