Client Coordinator, DentaQuest (New Hampshire)

Sun Life • Wellesley Hills, MA

8d

About The Position

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. Job Description: How you will contribute: Partner with existing Sr. Client Partner to execute on programmatic requirements within NH DHHS agreement Navigate accountabilities and outcomes across many cross functional groups at DentaQuest (Customer Support, Audit Team, Claims Operations, Reporting, Clinical, etc.) Establish community relationships and partnerships that provide for participation in health care initiatives and programs in the dental and medical public health arena to create dental and program awareness. Manage workflow, time, program requirements and contractual timelines. Collaborate with Access to Care team to provide member coordination of care when needed. Submit regular reporting of access performance measures to management. Represent the company in a professional manner at all times. Communicate to management ways to improve processes and productivity of company. Establish and maintain professional relationships with client and community contacts. Complete special projects as requested. Manage client required reporting deadlines and internal report collection. Utilize reporting software to run ad-hoc reporting requests Assist with Board of Hearings member appeal process, including scheduling, preparation, and implementing overturn decisions.

Requirements

• High School Diploma or GED required
• 2 years job related experience
• Knowledge of general computer software
• Typing skills of 40+ words per minute
• PC experience with knowledge of Windows and Access software applications.
• Effective oral communication and business writing skills.
• Attention to detail, accuracy and organizational skills.
• Effective interpersonal skills.
• Ability to prioritize and adapt to changing priorities.
• Required to attend additional training as requested/deemed necessary

Nice To Haves

• College degree in a related field is desirable.
• Experience working in a managed care environment is preferred.
• Knowledge of healthcare advocacy activities is preferred.
• Knowledge of the Medicaid program requirements is preferred.

Responsibilities

• Partner with existing Sr. Client Partner to execute on programmatic requirements within NH DHHS agreement
• Navigate accountabilities and outcomes across many cross functional groups at DentaQuest (Customer Support, Audit Team, Claims Operations, Reporting, Clinical, etc.)
• Establish community relationships and partnerships that provide for participation in health care initiatives and programs in the dental and medical public health arena to create dental and program awareness.
• Manage workflow, time, program requirements and contractual timelines.
• Collaborate with Access to Care team to provide member coordination of care when needed.
• Submit regular reporting of access performance measures to management.
• Represent the company in a professional manner at all times.
• Communicate to management ways to improve processes and productivity of company.
• Establish and maintain professional relationships with client and community contacts.
• Complete special projects as requested.
• Manage client required reporting deadlines and internal report collection.
• Utilize reporting software to run ad-hoc reporting requests
• Assist with Board of Hearings member appeal process, including scheduling, preparation, and implementing overturn decisions.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED