Reporting Specialist, DentaQuest

Overview

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.

Denta Quest 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:

Looking for someone who lives in Oregon

The Reporting Specialist ensures accurate and timely reporting of all ongoing deliverables. This position also handles ongoing professional communications with Coordinated Care Organization (CCO) regarding contractual and regulatory deliverables.

• Process, prepare, and deliver contractual and regulatory deliverables to the organization's CCO partners ensuring timeliness standards
• Audit products produced by all areas of Plan Operations to ensure compliance with contractual and regulatory compliance and report findings to management
• Assist with base level data pulls for provider auditing/monitoring purposes
• Assist with the development and review of department SOPs
• Have full knowledge of all Plan policies in order to communicate these accurately to contracted providers
• Meet documented quantity and quality standards
• Other duties as needed or required

• High school diploma or equivalent
• Working knowledge of dental procedures and experience in reading and comprehension of dental records
• 2+ years working knowledge of OHA and CCO regulatory compliance
• 2+ years of experience working in a Medicaid dental environment
• Computer proficiency in a variety of Windows applications
• Attends additional training as requested/deemed necessary

Salary: $47,700 - 64,400

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. 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 are proud to be recognized in our communities as a top employer.…