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: Candidate must be located in the Denver Metro Area.

At Sun Life, we look for optimistic people who want to make life brighter for ourClients.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 challengedbyworking withdynamic colleaguesto find new and innovative ways to make Sun Life the best benefits company in America.

The opportunity: The Provider Partner is the primary on site point person for providers to improve their understanding of our benefit programs, policies and procedures. The Provider Partner is responsible for provider networks with regard to office education, technology promotion, network recruitment (expansion and strengthening utilization), and onboarding of newly contracted providers. The Provider Partner is also responsible for administering on-site office reviews as required by network rules and regulatio

How you will contribute:

Analyze and monitor provider cost reports on an ongoing basis in order to educate and improve providers' cost and quality performance.

Maintain network participation by providing support to dentists and dental office managers to improve their understanding of all available benefit programs.

Educate providers by instructing and advising of the comprehensive policies and procedures involving all phases of the corporation's benefits and contracts through office visits and communication over the phone and email.

Promote dentist adoption of technology solutions by promoting Web applications and increasing the volume of electronic claims.

Negotiate special deals to maintain compliance and increase access in weak networks.

Seek continuous improvements by recommending changes in internal methods and procedures to Quality Assurance process.

Facilitate Oral Health presentations to various educational institutions and organizations.

Assist provider offices in filing their claims electronically.

Serve as a partner with dental offices by answering remittance, payment, benefit, claims, and eligibility questions when necessary.

Follow up with all termination letters submitted.

Represent clients and company at trade shows, health fairs, audits, dental summits, etc. throughout the designated market.

Maintain and submit all required reports.

Assist in resolving elevated complaints and issues for clients, members and providers.

Obtain letters of recommendation from providers.

Develop complete understanding of the Office Reference Manuals.

Develop and continually improve personalized presentations of company benefit programs

Recruit participating and non-participating providers to higher level of participation for all applicable market LOBs.

Manage CAP office performance

Provide recommended solutions to market related issues.

Organize and present information to providers and their staff by speaking before various provider organizations nd representing the corporation in dental related activities.

Assist in problem resolution by... For full info follow application link.

Sun Life Financial is an equal employment and affirmative action employer. All qualified applicants will receive consideration without regard to race, color, sex, religion, age, national origin, disability, veteran status, sexual orientation, gender identity or expression, marital status, ancestry or citizenship status, genetic information, pregnancy