You are as unique as your background, experience and point of view. Here, you'll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll have new and exciting opportunities to make life brighter for our Clients - who are at the heart of everything we do. Discover how you can make a difference in the lives of individuals, families and communities around the world.
DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all.
Job Description:
Location: We support US flexible working arrangements in the contiguous 48 states.
At Sun Life, we look for optimistic people who want to make life brighter for our Clients. We understand the value of diverse cultures, perspectives, and identities, and want you to bring your full and authentic self to work. Every day, you'll be empowered and challenged by working with dynamic colleagues to find new and innovative ways to make Sun Life the best benefits company in America.
The opportunity:
Responsible for contract deliverables, including compliance reporting, financial reporting, and service level performance reporting. Also responsible for ensuring effective coordination and communication of client requests to ensure client expectations are satisfied.
How you will contribute:
- Responsible for on-going, effective communications and service to the current clients via on-site meetings, conference calls, and day-to-day interaction.
- Provide primary support to DentaQuest leadership for administration of the client's program, and communicate information accurately and efficiently, to ensure that DQ is meeting and exceeding client expectations, and the terms of the RFR and contract.
- Proactively identify client expectations, communicate expectations to DQ leadership and staff, and ensure expectations are delivered effectively. Proactively resolve issues and strengthen relationships at various professional levels within the client's organization.
- Responsible for coordination and serving as primary point of contact for client audits of DentaQuest programs to include coordination of documentation requests, meeting organization, and responding to auditor follow-up requests to DentaQuest.
- Develop and maintain relationships with appropriate functional areas within DentaQuest to ensure effective contract performance.
- Support innovative business practices and process improvement opportunities for current and prospective clients (e.g., P4Q, QARR, ER Diversion).
- Monitor changes in regulations and fee schedules and communicate same to ensure compliance with state and federal guidelines.
- Perform functions that support timely and accurate reporting to clients.
- Responsible for ensuring Office Reference Manuals are kept up to date, corrective action plans are implemented, and client audits are organized effectively.
- Develops and submits IODs based on CMS, market- or client-specific program requirements.
- Manages process for obtaining program requirements, documentation, support and other special requests from clients, providers, and other organizations.
- May be responsible for local DQ staff. Responsible for the determination and implementation of performance and wage evaluations, performance improvement plans, disciplinary processes, and terminations for local staff, in accordance with company policy.
- Provides regular updates to senior management on internal and external issues affecting market performance.
- Represent DentaQuest at health fairs, conferences, and advisory meetings through the State.
- Other duties as assigned.
What you will bring with you:
Required:
- Bachelor's degree in business, Healthcare Administration (or related field) or equivalent, relevant work experience.
- Five years' experience working with external clients/customers; proven track record of providing superior service to internal and external customers.
- Two years' experience in a supervisory role.
- Well-organized and superior organizational, written, and oral communication skills, particularly presentation skills.
- Knowledge of group benefits. Proven ability to provide consultative services to proactively meet customer needs, using management reports, offering training opportunities and recommending innovative solutions.
- Ability to work independently and as part of a team.
- Proficient with general computer software including Microsoft Excel, Word and Outlook.
- Proven problem-solving skills.
- Ability to make good judgment conclusions based on data available with minimal supervision.
- Ability to prioritize and organize multiple tasks with tight deadlines.
- Excellent customer service skills.
- Up to 50% local travel required.
Physical Demands:
- Ability to work in a traditional professional office setting/remote equivalent.
- Ability to effectively operate computer equipment.
- Work schedule may vary and is determined by project schedules.
- Ability to travel as projects dictate.
- Ability to efficiently operate all job-related office equipment.
- Ability to communicate via telephone and work in virtual teams.
- The office environment is active with high voice levels and interruptions that may challenge hearing and concentration.
Do you see yourself in this role even if you haven't checked all the boxes above? We welcome all talented candidates and are committed to a culture that represents diversity in all forms. If you think you might thrive in this setting, we would love to hear from you.
Life is brighter when you work at Sun Life:
Excellent benefits and wellness programs to support the three pillars of your well-being - mental, physical and financial - including generous vacation and sick time, market-leading paid family, parental and adoption leave, a partially-paid sabbatical program, medical plans, company paid life and AD&D insurance as well as disability programs and more.
Retirement and Stock Purchase programs to help build and enhance your future financial security including a 401(k) plan with an employer-paid match as well as an employer-funded retirement account.
A flexible work environment with a friendly, caring, collaborative and inclusive culture.
Great Place to Work Certified in Canada and the U.S.
Named as a "Top 10" employer by the Boston Globe's "Top Places to Work" two years running.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Job Category: Sales - Client Relationship Management
Posting End Date: 31/10/2024
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