Sun Life
Provider Partner Consultant, DentaQuest (Upstate South Carolina)
Columbia, South Carolina
Sponsorship not specifiedDetected 6 days ago
ResearchCommunicationProblem SolvingPublic Speaking
About the role
- The role is responsible for provider networks with regard to office education, technology promotion, network recruitment (expansion and strengthening utilization), and onboarding of newly contracted providers.
- Analyze and monitor provider cost reports on an ongoing basis in order to educate and improve providers' cost and quality performance.
- Promote dentist adoption of technology solutions by promoting Web applications and increasing the volume of electronic claims.
Responsibilities
- Negotiate special deals to maintain compliance and increase access in weak networks.
- Develop complete understanding of the Office Reference Manuals.
- Manage CAP office performance
- Help to maintain a secondary network.
- Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities.
- Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals.
Requirements
- Maintain and submit all required reports.
Benefits
- 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.
- We have more than 6,400 employees and associates in our partner dental practices and operate nationwide.
- DentaQuest manages dental and vision benefits for more than 33 million Americans.
- With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all.
- Maintain network participation by providing support to dentists and dental office managers to improve their understanding of all available benefit programs.
- Facilitate Oral Health presentations to various educational institutions and organizations.
- Develop and continually improve personalized presentations of company benefit programs
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This listing is sourced directly from Sun Life's careers page and normalized into a canonical job model.