DentaQuest
Client Partner Consultant – DentaQuest
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Client Partner Consultant, DentaQuest
role at
DentaQuest .
About Sun Life U.S. Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in partner dental practices and operate nationwide.
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 oral health for all.
Job Description Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work. Our team members and leaders are expected to foster connection and teamwork by being present in the office at least 2 days per week.
Responsibilities
Maintain ongoing, effective communications and service to current clients via on-site meetings, conference calls, and day-to-day interactions.
Provide support to DentaQuest leadership for administration of the client’s program, ensuring accurate and efficient communication and that DentaQuest meets and exceeds client expectations and contract terms.
Identify and communicate client expectations to DentaQuest leadership and staff, resolve issues, and strengthen relationships at various professional levels within the client’s organization.
Coordinate and serve as primary point of contact for client audits of DentaQuest programs, including documentation requests, meeting organization, and auditor follow-up.
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 them to ensure compliance with state and federal guidelines.
Perform functions that support timely and accurate reporting to clients.
Update Office Reference Manuals, implement corrective action plan responses, and organize client audits.
Develop and submit IODs based on CMS, market- or client-specific program requirements.
Manage the process for obtaining program requirements, documentation, support, and other special requests from clients.
Provide 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.
Perform other duties as assigned.
Qualifications
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.
Well-organized with excellent organizational, written and oral communication skills, including presentation skills.
Knowledge of group benefits and the ability to provide consultative services to proactively meet customer needs.
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 sound judgments with minimal supervision.
Ability to prioritize and organize multiple tasks with tight deadlines.
Excellent customer service skills.
Up to 15% local travel required.
Physical Demands
Work in a traditional professional office setting/remote equivalent.
Effectively operate computer equipment.
Work schedule may vary and is determined by project schedules.
Travel as projects dictate.
Operate all job-related office equipment efficiently.
Communicate via telephone and work in virtual teams.
Office environment is active with high voice levels and interruptions that may challenge hearing and concentration.
Salary Salary Range: $63,000 - $94,500 (competitive nationwide, based on skills, experience, education, and location). Eligible for a discretionary annual incentive award.
EEO Statement We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We encourage applications from qualified individuals from all backgrounds.
We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email thebrightside@sunlife.com to request an accommodation.
For applicants residing in California, please read our employee California Privacy Policy and Notice.
We do not require or administer lie detector tests as a condition of employment or continued employment.
Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances.
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.
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Client Partner Consultant, DentaQuest
role at
DentaQuest .
About Sun Life U.S. Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in partner dental practices and operate nationwide.
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 oral health for all.
Job Description Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work. Our team members and leaders are expected to foster connection and teamwork by being present in the office at least 2 days per week.
Responsibilities
Maintain ongoing, effective communications and service to current clients via on-site meetings, conference calls, and day-to-day interactions.
Provide support to DentaQuest leadership for administration of the client’s program, ensuring accurate and efficient communication and that DentaQuest meets and exceeds client expectations and contract terms.
Identify and communicate client expectations to DentaQuest leadership and staff, resolve issues, and strengthen relationships at various professional levels within the client’s organization.
Coordinate and serve as primary point of contact for client audits of DentaQuest programs, including documentation requests, meeting organization, and auditor follow-up.
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 them to ensure compliance with state and federal guidelines.
Perform functions that support timely and accurate reporting to clients.
Update Office Reference Manuals, implement corrective action plan responses, and organize client audits.
Develop and submit IODs based on CMS, market- or client-specific program requirements.
Manage the process for obtaining program requirements, documentation, support, and other special requests from clients.
Provide 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.
Perform other duties as assigned.
Qualifications
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.
Well-organized with excellent organizational, written and oral communication skills, including presentation skills.
Knowledge of group benefits and the ability to provide consultative services to proactively meet customer needs.
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 sound judgments with minimal supervision.
Ability to prioritize and organize multiple tasks with tight deadlines.
Excellent customer service skills.
Up to 15% local travel required.
Physical Demands
Work in a traditional professional office setting/remote equivalent.
Effectively operate computer equipment.
Work schedule may vary and is determined by project schedules.
Travel as projects dictate.
Operate all job-related office equipment efficiently.
Communicate via telephone and work in virtual teams.
Office environment is active with high voice levels and interruptions that may challenge hearing and concentration.
Salary Salary Range: $63,000 - $94,500 (competitive nationwide, based on skills, experience, education, and location). Eligible for a discretionary annual incentive award.
EEO Statement We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We encourage applications from qualified individuals from all backgrounds.
We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email thebrightside@sunlife.com to request an accommodation.
For applicants residing in California, please read our employee California Privacy Policy and Notice.
We do not require or administer lie detector tests as a condition of employment or continued employment.
Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances.
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.
#J-18808-Ljbffr