Business Systems Analyst, DentaQuest (Remote)

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:

The opportunity:

The resource supports our Sales team and Clients by being a technical point of contact to set expectations, provide updates and drive implementations through to completion. Support IT goals and objectives by working closely with internal Scrum team members and Stakeholders to ensure that integrations and implementations exceed Client expectations. Work within a distributed team to document, prioritize, develop, test, and release small to large scale EDI solutions with Clients located across the country.

How you will contribute:

• Demonstrated ability to drive to deadlines, balancing multiple priorities, and ensuring quality standards with minimal oversight

• Provide strategic analysis to define and improve standard solutions, standard deliverables, and templates

• Work with IT and business users to evaluate data and extract requests and recommend viable short- and long-term solutions

• Work on large- and small-scale projects for new business implementations and maintaining existing client implementations with a significant focus on dental encounters, claims, eligibility, and enrollment via 837, 835, 999, 834, 277 EDI standards

• Ability to document and maintain requirements using source to target maps, data dictionary, process documentation and team defined standards, using tools such as Visio, Word, and Excel

• Ability to perform ad hoc data analysis and reconciliation using complex SQL queries

• Working knowledge of Agile and Scrum methodologies

• Ensure data quality through scenario-based testing

• Other duties as needed or required

What you will bring with you:

• Must have at least 2 years of experience as a Business Systems Analyst, Business Analyst, Systems Analyst or Data Analyst

• Excellent organization and prioritization skills with strong ability to shift focus as necessary to meet deadlines

• Excellent interpersonal, listening, oral and written communication skills

• Ability to communicate technical details to technical and non-technical resources

• Ability to facilitate a conference/video call, in-person meeting with clients and internal team members

• Knowledge of dental or medical insurance claims processing

• Experience in the EDI transactions supporting dental and medical claims processing

• Familiarity with appropriate handling of Personal Health Information (PHI) data

• Familiarity with various file structures, such as XML, character delimited, and EDI

Salary Range: $67,300 - $101,000

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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