Sun Life
Denver Provider Partner Consultant, DentaQuest
Greenwood Village, Colorado · Staff+
Sponsorship not specified$63k-$95kDetected 31 days ago
ResearchCommunicationCollaborationProblem SolvingPublic Speaking
About the role
- 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.
- Seek continuous improvements by recommending changes in internal methods and procedures to Quality Assurance process.
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
- Knowledge of Microsoft Office.
- Proven problem-solving skills.
- Up to 50% local travel required).
- Ability to make good judgment conclusions based on data available with minimal supervision.
- Maintain and submit all required reports.
Nice to have
- Candidate must be located in the Denver Metro Area.
Compensation
- $63,000 - $94,500
- At our company, we are committed to pay transparency and equity.
- The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable.
- Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location.
- In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business.
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.
Equal opportunity
- Please email thebrightside@sunlife.com to request an accommodation.
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This listing is sourced directly from Sun Life's careers page and normalized into a canonical job model.