Welcome to careerzynith – Shaping the Future of Oral Health
At careerzynith, we are more than a dental benefits administrator – we are a catalyst for healthier, smarter, and more vibrant communities. With a legacy spanning over six decades, careerzynith has grown into one of the nation’s largest providers of dental plan administration, serving millions of members across multiple states. Our mission is simple yet powerful: improve oral health through innovative benefit plans, dedicated advocacy, and community‑focused initiatives. We achieve this by fostering an All‑In culture where every employee is empowered to take charge of their career, support colleagues, and give back to the communities we serve.
Why This Role Matters
The Customer Service Government Programs Training & Support Specialist is a cornerstone of careerzynith’s commitment to excellence in government‑related dental programs. This role ensures that both internal teams and external partners receive the guidance, training, and problem‑solving expertise needed to navigate complex Medicare Advantage, Medicaid, and other government‑funded dental initiatives. By delivering precise policy interpretation, high‑quality claims adjudication, and targeted training, you will directly influence the accuracy of benefits administration and the satisfaction of our members.
Position Overview
This is a hybrid position based in Farmington Hills, MI. While you’ll enjoy the flexibility of remote work, you must reside within a reasonable commuting distance to attend on‑site team meetings, collaborative workshops, and in‑person training sessions. You will work closely with the Government Programs department, quality assurance teams, and cross‑functional partners to drive continuous improvement and uphold careerzynith’s standards of service excellence.
Key Responsibilities
- Policy Interpretation & Claims Support: Serve as the primary point of contact for complex dental policy queries, procedure codes, and claims processing related to Medicare Advantage and Medicaid compliance.
- Complex Claims Adjudication: Research, analyze, and resolve difficult claims, inquiries, and grievances, ensuring accurate and timely determinations.
- On‑boarding & Training Development: Design, coordinate, and deliver comprehensive onboarding programs for new hires, as well as ongoing refresher courses for existing staff.
- Instructional Design: Create engaging training materials using a variety of instructional methods (e‑learning, classroom, webinars, job‑aids) to address evolving system functionalities and regulatory updates.
- Process Documentation: Identify, develop, and maintain standard operating procedures for government program support, ensuring consistency across the department.
- Pre‑Screening & Triage: Conduct initial reviews of claims and inquiries before they reach the Professional Review and Focused Review teams, streamlining workflow and reducing turnaround time.
- Cross‑Department Collaboration: Partner with IT, reporting, and quality assurance specialists to troubleshoot system issues, identify process gaps, and recommend enhancements.
- Data‑Driven Improvement: Analyze trends, generate reports, and present findings to leadership to drive strategic improvements in training and operational efficiency.
- Additional Duties: Perform any related tasks that support the overarching goals of the Government Programs department and careerzynith’s mission.
Essential Qualifications
- Minimum of one year of post‑secondary education in dental assisting, dental hygiene, business administration, or a related field.
- At least two years of professional experience in a customer service, claims processing, or dental benefits environment.
- Demonstrated knowledge of dental terminology, procedure codes (e.g., CDT), and insurance products.
- Intermediate proficiency with Microsoft Word and Excel; experience with claims management systems is a plus.
- Strong analytical abilities with a track record of resolving complex problems independently.
- Excellent verbal and written communication skills, including the ability to convey technical information to non‑technical audiences.
- Proven ability to manage multiple projects, meet deadlines, and adapt to shifting priorities.
- Self‑motivated, with a collaborative mindset and the capacity to make informed decisions quickly.
- Flexibility to work occasional weekends and varied hours to support training initiatives and peak claim periods.
Preferred Qualifications
- Direct experience with Medicare Advantage and/or Medicaid dental programs.
- Background in instructional design, adult learning principles, or corporate training delivery.
- Familiarity with learning management systems (LMS) and e‑learning authoring tools.
- Certification in dental assisting or dental hygiene.
- Experience conducting quality assurance reviews or process improvement projects.
Core Skills & Competencies
- Customer‑Centric Mindset: Ability to empathize with both internal and external stakeholders while maintaining a focus on accurate benefits delivery.
- Analytical Thinking: Skilled at dissecting complex claim scenarios, identifying root causes, and recommending corrective actions.
- Instructional Expertise: Talent for translating policy language into clear, engaging training content that drives performance.
- Collaboration: Comfortable working across functional teams, building consensus, and influencing outcomes without direct authority.
- Technology Savvy: Comfortable navigating claim processing platforms, data dashboards, and virtual training environments.
- Organizational Acumen: Strong time‑management and documentation practices to ensure compliance and audit readiness.
Career Growth & Learning Opportunities
careerzynith invests heavily in the professional development of its employees. As a Training & Support Specialist, you will have access to:
- Mentorship programs pairing you with senior leaders in claims administration and learning development.
- Tuition reimbursement and educational assistance for continued coursework or certifications.
- Annual incentive compensation tied to departmental performance and personal development goals.
- Opportunities to lead cross‑functional projects that influence company‑wide policies and processes.
- Regular workshops on emerging trends in dental benefits, government regulations, and instructional technology.
Work Environment & Culture at careerzynith
Our All‑In culture is more than a tagline—it’s a lived experience. Employees at careerzynith enjoy:
- A hybrid work model that balances remote flexibility with collaborative in‑office sessions.
- A diverse and inclusive workplace where varied perspectives are celebrated and every voice matters.
- Eight hours of paid volunteer time each year, encouraging community involvement and personal fulfillment.
- Access to on‑site health coaches, personal trainers, and wellness resources to support a holistic approach to health.
- Team‑building events, recognition programs, and a supportive leadership team that champions employee success.
Compensation, Perks & Benefits
careerzynith offers a competitive total rewards package designed to attract and retain top talent. While exact salary ranges will be discussed during the interview process, candidates can expect:
- Comprehensive medical, dental, and vision coverage for you and eligible dependents.
- Short‑ and long‑term disability insurance, life insurance, and a 401(k) plan with company match.
- Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA) options.
- Annual performance‑based bonuses aligned with business objectives.
- Generous paid time off, holidays, and additional leave for personal milestones.
- Professional development funds, tuition assistance, and access to industry conferences.
- Employee assistance programs, wellness challenges, and a vibrant employee resource group network.
How to Apply
If you are passionate about dental benefits, thrive in a dynamic training environment, and are ready to make a tangible impact on government‑program members, we want to hear from you. Join careerzynith and become part of a team that is truly All In—for the company, for your career, for your colleagues, and for the communities we serve.
Click the link below to submit your application and start your journey with careerzynith today: