Client Partner, 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: Sacramento CA area

The opportunity:

The Client Partner is accountable 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:

• Manage the operations of the Community Advisory Committee (CAC) in compliance with all statutory rules and contract requirements.
• Will work with the local CA team to identify a CAC Selection Committee.
• Ensuring compliance with all CAC reporting and public posting requirements. Maintain CAC committee membership, including outreach, recruitment, and onboarding of new members.
• Accountable for developing relationships with CAC members to establish trust and the longevity of their commitment to CAC.
• Responsible for ongoing, effective communications and service to the current clients via on-site meetings, conference calls, and day-to-day interaction.
• Provide aid to DentaQuest 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 leadership and staff, and ensure expectations are delivered effectively. Resolve issues and strengthen relationships at various professional levels within the client’s organization.
• Handles for coordination and serving as the primary point of contact for client audits of DentaQuest programs, to include coordination of documentation requests, meeting organization, and answering auditor follow-up requests.
• Develop and maintain relationships with appropriate functional areas within DentaQuest to ensure effective contract performance.
• Maintain 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 the same to ensure compliance with state and federal guidelines.
• Perform functions that handle timely and accurate reporting to clients. Responsible for updating Office Reference Manuals, implementing corrective action plan replies, 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 the company at health fairs, conferences, and advisory meetings throughout the State.
• Other duties as assigned.

What you will bring with you: 

• 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 excellent service to internal and external customers.
• Well-organized and exceptional 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 without supervision and as part of a team.
• Proficient with general computer software, including Microsoft Excel, Word, and Outl