Sr. Business Systems Analyst, DentaQuest

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 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

• Mentor other resources on the team and share knowledge

• Other duties as needed or required

What you will bring with you:

• Must have at least 5 years of experience as a Business Systems Analyst, Business Analyst, Systems Analyst or Data Analyst

• Must have proficiency in using complex SQL to perform data analysis

• Must have demonstrated progressive levels of responsibility, experience, and leadership

• 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

• Expertise 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

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.

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