Client Partner Consultant, DentaQuest

Sun Life-posted 1 day ago

$63,000 - $94,500/Yr

Full-time • Mid Level

Hybrid • Baltimore, MD

5,001-10,000 employees

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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: Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work. The opportunity: Responsible for overall client relationship, satisfaction, and program success. The Client Partner will oversee every element of the contract deliverables, including compliance reporting, financial reporting and service level performance reporting. Also responsible for ensuring effective internal coordination of cross-functional teams and external communication of client requests to ensure client expectations are satisfied.

Responsible for on-going, effective communications and service to the current clients via on-site meetings, web-conference calls, and day-to-day interaction.
Provide primary support to DentaQuest leadership for administration of 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 RFR and contract.
Proactively identify client expectations, communicate expectations to DQ leadership and staff, and ensure expectations requirements are delivered effectively.
Proactively resolve issues and strengthen relationships at various professional levels within the client’s organization.
Responsible for coordination and serving as primary point of contact for client audits of DentaQuest programs to include coordination of documentation requests, meeting organization, and responding to auditor follow-up requests to DentaQuest.
Develop and maintain relationships with appropriate functional areas within DentaQuest to ensure effective contract performance.
Support 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 same to ensure compliance with state and federal guidelines.
Perform functions that support timely and accurate reporting to clients.
Responsible for ensuring Office Reference Manuals are kept up to date, corrective action plans are implemented and client audits are organized effectively.
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, providers and other organizations.
Provides regular updates to senior management on internal and external issues affecting market performance.
Represent DentaQuest at health fairs, conferences and advisory meetings through the State.
Utilize leadership, negotiation, conflict resolution, project management, and strategic problem-solving skills.
Other duties as assigned.

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 superior service to internal and external customers.
Two years’ experience in a supervisory role.
Well-organized and superior 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 independently 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.
Ability to prioritize and organize multiple tasks with tight deadlines.
Excellent customer service skills.
Up to 50% local travel required.

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.

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