The primary role of the Dental Database Analyst is to manage the various dental plan updates, procedure codes and pricing in two separate dental databases referenced by the claim adjudication process. The successful incumbent will be responsible for developing, implementing, and maintaining the dental database activities at ESI Canada. As the Dental Database Analyst you will act as a liaison for dental database issues to the Customer Services Department and the Call Centre. The ideal candidate will serve as a business resource to HCA team for dental plan and database expertise.
Manage the dental database by determining the appropriate procedure code inclusions in the Dental Master – identify, update and evaluate new codes and code changes in the source documents
Coordinate the tasks required to maintain and update the fee schedule information within the database – develop and document the processes involved.
Coordinate data entry tasks, supervise temporary staff where necessary, and prepare the appropriate price files to update the database electronically.
Maintain the equivalent codes necessary to satisfy plan requirements and identify new codes in each fee guide and reference the applicable corresponding code
Review each current fee guide to identify new codes, code modifications and create a recommendations document for current customers.
Determine the appropriate pricing rate for dental codes for each prior fee guide
Update all process documents to accurately reflect dental plan and database management tasks
Act as a business resource for Health Consulting Administration, Information Systems and Customer Service departments by researching and responding to the dental file and procedure code queries
Manage plan update requests as required for various customers
3-5 years relevant dental insurance experience in a claims management environment
Demonstrated familiarity with dental practice is an asset
Experience with data management
Proficient with Microsoft Office Suite of tools
Strong communication skills (written and verbal)
Intermediate to advanced excel skills
Exceptional analytical skills
Experience in client service
Bilingualism (French & English) is an asset
Job requires precise finger/hand movements while working with a keyboard
Need to remain at work station for lengthy periods
Limited travel required
ABOUT EXPRESS SCRIPTS CANADA
Express Scripts Canada, a registered business name of ESI Canada, an Ontario partnership indirectly controlled by Express Scripts, Inc. (Nasdaq: ESRX), is one of Canada’s leading providers of health benefits management services. From its corporate headquarters in Mississauga, Ontario, just outside Toronto, Express Scripts Canada provides a full range of integrated pharmacy benefit management (PBM) services to insurers, third-party administrators, plan sponsors and the public sector, including health-claims adjudication and processing services, Home Delivery Pharmacy Services, benefit-design consultation, drug-utilization review, formulary management, and medical and drug-data analysis services, to better facilitate the best possible health outcomes at the lowest possible cost.
It will be a condition of employment that the successful candidate receives the Enhanced Reliability Clearance from the Federal Government. The candidate will be required to provide supporting documentation in order to receive Clearance if required.
We offer a competitive salary, along with a positive work environment built on solid corporate values, integrity, mutual respect, collaboration, passion, service and alignment.
We are an equal opportunity employer that promotes a diverse, inclusive and accessible workplace. By embracing diversity, we build a more effective organization that empowers our employees to be the best that they can be.
We are committed to creating a working environment that is barrier-free and we are prepared to provide accommodation for people with disabilities. Thank you for your interest in this position, however only qualified candidates will be contacted for an interview. No telephone calls please.