Associate Network Analyst- Dental Home (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.

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:

Location: Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work.

The opportunity: 

The Dental Home Associate Network Analyst manages the assignments of members to primary care dental offices. By assessing member assignments through reporting, regular auditing and working with various functional areas, this role ensures members are assigned to their appropriate dental home so they are able to access the oral health care they need. Additionally, this role assists implementations by attending meetings with internal and external customers and completing all tasks relating to the set-up and maintenance of a new dental home market.

How you will contribute: 

• It is essential the Dental Home Network Analyst possesses strong systematic and problem-solving skills in order to identify and resolve contrary assignment trends.
• Proven ability to resolve complicated requests requiring numerous steps, from start to finish.
• Proven solid investigative and problem-solving skills
• Proven ability to provide consultative services to meet client and internal customer needs
• Initiative: Self-starter with proven ability to conceive and prepare comprehensive, detailed data analyses
• Ability to work in excess of 40 hours per week as needed or required to meet business objectives.
   

What you will bring with you: 

• Bachelor’s Degree in Business Administration or a related field, preferred
• 2 years of experience in the health insurance field.
• PC skills: Microsoft Excel – Advanced level, Microsoft Word - Intermediate level and Microsoft Access –Intermediate level, including, but not limited to, Visual Basic.
• Proven ability to resolve complicated requests requiring numerous steps, from start to finish.
• Proven solid logical and problem-solving skills.
• Proven ability to provide consultative services to meet client and internal customer needs.
• Attention to detail and persistence when addressing day-to-day assignments and solving problems.
• Proven ability to learn, study, and master new computer systems, applications and processes with minimal instruction.
• Proven effective organizational skills.
• Proven ability to discern process flows and downstream impacts of actions.
• Proven effective communication skills in English and Spanish in some markets, both written and oral.
• Proven discretion in handling confidential data.
• Initiative: Self-starter with proven ability to conceive and prepare comprehensive, detailed data analyses.
• Ability to work in excess of 40 hours per week as needed or required to meet business objectives
   

Salary: $50,900 - 68,700
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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