Client Partner Consultant, 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.

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.

The opportunity: The Client Partner is responsible 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:

• Responsible for ongoing, effective communications and service to the current clients via on-site meetings, conference calls, and day-to-day interaction.
• Provide support to Denta Quest 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 DQ leadership and staff, and ensure expectations are delivered effectively. 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 Denta Quest programs to include coordination of documentation requests, meeting organization, and responding to auditor follow-up requests to Denta Quest.
• Develop and maintain relationships with appropriate functional areas within Denta Quest 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 updating Office Reference Manuals, implementing corrective action plan response 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 Denta Quest at health fairs, conferences and advisory meetings through the State.
• 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 working with Medicare Advantage programs/
• 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…