Account Manager, Network Partnerships, 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.

The Account Manager, Network Partnerships role is responsible for spearheading the management of key leased network partner relationships. The primary focus will be on ensuring client retention, pinpointing growth opportunities, and optimizing revenue streams. Collaborating closely with our Senior Manager, Network Development, as well as the broader business.  The Account Manager will play a pivotal role in delivering top-tier service and proactive solutions to uphold and strengthen our network relationships

How you will contribute:  

• Leverage prior experience and solid knowledge of the Network business to build relationships with representatives of each network partner and deliver individualized support and guidance

• Act as a liaison / single point of contact between Sun Life networks and their leasing clients

• Resolve provider claims and network access issues for all network partnerships, managing issues from discovery to resolution

• Develop reporting methodology and analyze Network Utilization trends to manage and mitigate any changes in volume, identify risks such as volume decreases, service gaps, changes in network level relationships, recommended business solutions, and collaborate with internal partners and clients to drive implementation of solutions

• Act as a subject matter expert for the Network team and resolve escalated customer inquiries that require a more experienced team member

• Lead weekly / monthly / quarterly check ins with select leasing customers as needed to support account maintenance and drive continuous improvement

• Lead annual CDT fee update project with internal partners and lease clients to determine new fees, update fee schedules and ensure fees are loaded before 1/1 of the new year

• Provide business support throughout the implementation process for newly added networks

• Collaborate with internal IT partners and external lease partners to manage intake and export of network files including troubleshooting and monitoring errors, managing rejection files, and developing recommendations to address recurring issues

• Maintain current overview and rules of engagement for each network partner

• Maintain knowledge of provider data consolidation process to ensure that records are surviving as they should be with regard to network stack configuration

• Remain abreast of changing and evolving healthcare landscape, regulations and related health plan/payer trends

• Acquire an understanding of network expectations, objectives, initiatives and opportunities for growth

What you will bring with you:  

• 3-6 experience working with network leasing arrangements, TPAs or PPO networks in account management or similar

• College degree preferred

• Previous experience within dental benefits field

• Strong communication skills-ability to synthesize complex issues and communicate clearly to network partners, as well as internal stakeholders

Our Affirmative Action Program affirms our commitment to make reasonable accommodation to the known physical or mental limitation of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email recruitingUS@sunlife.com to request an accommodation.

At Sun Life we strive to create a flexible work environment where our employees are empowered to do their best work. Several flexible work options are available and can be discussed throughout the selection process depending on the role requirements and individual needs.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran