Client Partner, DentaQuest

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 our partner dental practices and operate nationwide.

Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities.  

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.

Location: Sacramento CA area

The opportunity:

The Client Partner is accountable for contract deliverables, including compliance reporting, financial reporting, and service level performance reporting. The Client Partner is also responsible for ensuring effective coordination and communication of client requests to ensure client expectations are satisfied.

How you will contribute:

• Manage the operations of the Community Advisory Committee (CAC) in compliance with all statutory rules and contract requirements.
• Will work with the local CA team to identify a CAC Selection Committee.
• Ensuring compliance with all CAC reporting and public posting requirements. Maintain CAC committee membership, including outreach, recruitment, and onboarding of new members.
• Accountable for developing relationships with CAC members to establish trust and the longevity of their commitment to CAC.
• Responsible for ongoing, effective communications and service to the current clients via on-site meetings, conference calls, and day-to-day interaction.
• Provide aid 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 RFP and contract.
• Identify and communicate client expectations to leadership and staff, and ensure expectations are delivered effectively. Resolve issues and strengthen relationships at various professional levels within the client’s organization.
• Handles for coordination and serving as the primary point of contact for client audits of DentaQuest programs, to include coordination of documentation requests, meeting organization, and answering auditor follow-up requests.
• Develop and maintain relationships with appropriate functional areas within DentaQuest to ensure effective contract performance.
• Maintain 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 the same to ensure compliance with state and federal guidelines.
• Perform functions that handle timely and accurate reporting to clients. Responsible for updating Office Reference Manuals, implementing corrective action plan replies, and effectively organizing client audits.
• 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.
• Provides regular updates to senior management on internal and external issues affecting market performance.
• Represent the company at health fairs, conferences, and advisory meetings throughout the State.
• Other duties as assigned.

What you will bring with you: 

• 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 excellent service to internal and external customers.
• Well-organized and exceptional 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 without supervision 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.

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 influenced 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

Salary:  $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. We are dedicated to creating a work environment where everyone is rewarded for their contributions. 

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We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive.  We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate.  We encourage applications from qualified individuals from all backgrounds.

Life is brighter when you work at Sun Life

At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.  Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account.  Enjoy a flexible, inclusive and collaborative work environment that supports career growth.  We’re proud to be recognized in our communities as a top employer.  Proudly Great Place to Work® Certified in Canada and the U.S., we’ve also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row.  Visit our website to learn more about our benefits and recognition within our communities.

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 [email protected] 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.