You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll have new and exciting opportunities to make life brighter for our Clients - who are at the heart of everything we do. Discover how you can make a difference in the lives of individuals, families and communities around the world.
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:
Location: We support US flexible working arrangements in the contiguous 48 states.
At Sun Life, we look for optimistic people who want to make life brighter for our Clients. We understand the value of diverse cultures, perspectives, and identities, and want you to bring your full and authentic self to work. Every day, you’ll be empowered and challenged by working with dynamic colleagues to find new and innovative ways to make Sun Life the best benefits company in America.
The opportunity:
The Account Manager, Network Partnerships role is responsible for spearheading the management of key leased network partner relationships. The primary focus will be on ensuring client retention, pinpointing growth opportunities, and optimizing revenue streams. Collaborating closely with our Senior Manager, Network Development, as well as the broader business. The Account Manager will play a pivotal role in delivering top-tier service and proactive solutions to uphold and strengthen our network relationships
How you will contribute:
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Leverage prior experience and solid knowledge of the Network business to build relationships with representatives of each network partner and deliver individualized support and guidance
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Act as a liaison / single point of contact between Sun Life networks and their leasing clients
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Resolve provider claims and network access issues for all network partnerships, managing issues from discovery to resolution
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Develop reporting methodology and analyze Network Utilization trends to manage and mitigate any changes in volume, identify risks such as volume decreases, service gaps, changes in network level relationships, recommended business solutions, and collaborate with internal partners and clients to drive implementation of solutions
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Act as a subject matter expert for the Network team and resolve escalated customer inquiries that require a more experienced team member
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Lead weekly / monthly / quarterly check ins with select leasing customers as needed to support account maintenance and drive continuous improvement
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Lead annual CDT fee update project with internal partners and lease clients to determine new fees, update fee schedules and ensure fees are loaded before 1/1 of the new year
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Provide business support throughout the implementation process for newly added networks
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Collaborate with internal IT partners and external lease partners to manage intake and export of network files including troubleshooting and monitoring errors, managing rejection files, and developing recommendations to address recurring issues
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Maintain current overview and rules of engagement for each network partner
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Maintain knowledge of provider data consolidation process to ensure that records are surviving as they should be with regard to network stack configuration
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Remain abreast of changing and evolving healthcare landscape, regulations and related health plan/payer trends
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Acquire an understanding of network expectations, objectives, initiatives and opportunities for growth
What you will bring with you:
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3-6 experience working with network leasing arrangements, TPAs or PPO networks in account management or similar
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College degree preferred
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Previous experience within dental benefits field
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Strong communication skills-ability to synthesize complex issues and communicate clearly to network partners, as well as internal stakeholders
Do you see yourself in this role even if you haven’t checked all the boxes above? We welcome all talented candidates and are committed to a culture that represents diversity in all forms. If you think you might thrive in this setting, we would love to hear from you.
Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you!
Life is brighter when you work at Sun Life
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Excellent benefits and wellness programs to support the three pillars of your well-being – mental, physical and financial – including generous vacation and sick time, market-leading paid family, parental and adoption leave, a partially-paid sabbatical program, medical plans, company paid life and AD&D insurance as well as disability programs and more
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Retirement and Stock Purchase programs to help build and enhance your future financial security including a 401(k) plan with an employer-paid match as well as an employer-funded retirement account
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A flexible work environment with a friendly, caring, collaborative and inclusive culture
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Great Place to Work® Certified in Canada and the U.S.
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Named as a “Top 10” employer by the Boston Globe's “Top Places to Work” two years running
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.
If you are a California resident, the salary range for this position is:
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Southern California region: $56,500 - $84,800 annually
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Central California region: $59,600 - $89,400 annually
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Northern California region: $63,700 - $95,600 annually
If you are a Minnesota, Colorado or Nevada resident, the salary range for this position is $53,900 - $80,900 annually
If you are an Illinois, Connecticut or Maryland resident, the salary range for this position is $56,500 - $84,800 max annually
If you are Washington, Washington D.C., and Rhode Island resident, the salary range for this position is $59,600 - $89,400 annually
If you are a New York resident, the salary range for this position is $63,700 - $95,600 annually
We consider various factors in determining actual pay including your skills, qualifications, and experience. In addition to salary, this position is eligible for incentive awards based on individual and business performance as well as a broad range of competitive benefits.
Sun Life Financial is a leading provider of group insurance benefits in the U.S., helping people protect what they love about their lives. More than just a name, Sun Life symbolizes our brand promise of making life brighter -for our customers, partners, and communities. Join our talented, diverse workforce and launch a rewarding career. Visit us at www.sunlife.com/us to learn more.
At Sun Life we strive to create a flexible work environment where our employees are empowered to do their best work. Several flexible work options are available and can be discussed throughout the selection process depending on the role requirements and individual needs.
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Our Affirmative Action Program affirms our commitment to make reasonable accommodation to the known physical or mental limitation 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.
At Sun Life we strive to create a flexible work environment where our employees are empowered to do their best work. Several flexible work options are available and can be discussed throughout the selection process depending on the role requirements and individual needs.
For applicants residing in California, please read our employee California Privacy Policy and Notice.
Job Category:
Dental Network
Posting End Date:
26/12/2024
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
What We Do
A UK company, Sun Life Financial of Canada is focused on building excellent customer service by offering the highest levels of customer care. We have been serving customers in the UK for over 100 years
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