Sun Life

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.

This listing is sourced directly from Sun Life's careers page and normalized into a canonical job model.