Sr. Manager, Provider Provider Partner - Iowa(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.

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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: Must live in Iowa

The opportunity:  
The Sr. Manager, Provider Partner provides guidance and oversight to Provider Partners regarding benefit programs, policies and procedures. The role is also handles identifying and addressing network gaps, recognizing and implementing process improvement opportunities, and monitoring CAP performance. This position mentors and coaches their team in provider recruitment and engagement.  In addition to staff supervision, the Sr. Manager, Provider Partner may also cover larger or more complex markets.

How you will contribute:  

• Supervise and guide provider engagement staff
• Ensure provider engagement staff recruits providers within cost and access goals
• Authorize and negotiate special deals
• Develop strategic action plan to address network gaps
• Develop provider education curriculum and approach
• Covers more markets or highly complex markets
• Organize amendment and recruitment projects
• Identify and coordinate implementation of quality/cost improvements
• Manage reporting process to identify and modify provider outlier
• Provide cross-market support (where applicable)
• Evaluate and monitor provider cost reports
• Participate in and often present during client, organized dentistry and key stakeholder meetings/events
• Identify continuous improvement opportunities
• Manage CAP office performance
• Coordinate and implement appropriate performance management strategies for team members to include:
• Assist in the hiring process, including interviewing candidates.
• Assist, train and motivate team members.
• Evaluate and measure effectiveness of team members.
• Monitor attendance and company approved time off for team members.
• Participate in the determination and implementation of Performance Improvement Plans and performance management initiatives.
• Other duties as assigned

 
What you will bring with you:  

• Bachelor’s degree in Business, Healthcare Administration (or related field) or equivalent, relevant experience.
• 5 years’ experience in healthcare practice or managed care environment.
• 5 years’ supervisory/management experience.
• Excellent verbal and written communication skills.
• Ability to work alone and as part of a team.
• Knowledge of Microsoft Office.
• Proven problem-solving skills.
• Problem solving and training experience.
• Ability to make sound judgment conclusions based on data available with minimal supervision.
• Supervisory/leadership experience, preferred. 
• Experience in communicating with and training provider offices and customers.
• Experience in a managed care environment.

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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

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,