Member Outreach and Engagement Consultant, DentaQuest (Michigan)

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.

Location: Must reside in Michigan

The opportunity: 
Member Outreach and Engagement Consultant develop member outreach initiatives that maximize goals related to improvements in oral health outcomes and oral health literacy and network with community organizations, providers and health plans to increase oral health awareness.

How you will contribute:

• Collaborate with internal teams including marketing, data science and national outreach and connect with external community groups and state agencies to develop and execute customized outreach strategies for improving oral health outcomes of enrollees
• Implement enrollee outreach and education programs with the goal of improving oral health literacy as well as ensuring compliance l with contractual requirements.
• Develop and implement strategy to increase enrollee utilization to and achieve dental EPSDT goals as required by client contract and/or goals.
• Establish community relationships and partnerships that provide for participation in health care initiatives and programs in the dental and medical public health arena to create dental and program awareness.
• Develop educational materials and training tools in accordance with federal and state requirements for non-dental healthcare providers, managed care organizations and community organizations to engage them in the effort to educate Medicaid enrollees on the importance of oral health.
• Manage workflow, time and program interventions within budget parameters and contractual timelines.
• Provide enrollee care coordination including collaboration with Case Managers, Client Engagement and/or Provider Engagement to facilitate enrollee access to care
• Track and monitor performance measures and report results to management and state agency if applicable.
• Organize, plan and source community opportunities to participate in events (health fairs, faith-based organizations, schools etc.) to provide enrollees with education on oral health and when feasible secure provider to conduct onsite dental screenings.
• Provide enrollees with guidance and referrals during events based on information gathered during interactions with enrollees and results of dental screening.
• Attend and plan events throughout the state based on results of EPSDT metrics, county demographics and utilization patterns. Ensure events are distributed equally throughout the state, rural and urban areas and comply with quota and requirements of the contract.
• Represent the company in a professional manner at all times.
• Communicate to management ways to improve processes and productivity of company.
• Establish and maintain professional relationships with client and community contacts.
• Complete special projects as requested.

What you will bring with you:

• High school diploma
• College degree in a related field is preferred.
• 2 years job related experience.
• Familiarity with computer software such as Microsoft Office (Word, Excel, Outlook)
• Typing skills of 40+ words per minute.
• Effective oral communication and business writing skills.
• Attention to detail, accuracy and organizational skills.
• Effective interpersonal skills.
• Ability to prioritize and adapt to changing priorities.
• Required to attend additional training as requested/deemed necessary.
• Frequent travel up to 50% of the time, including ability to travel long distances.
• Experience working in a managed care environment is preferred.
• Knowledge of healthcare advocacy activities is preferred.
• Knowledge of the Medicaid program requirements is preferred.
   

Not ready to apply yet but want to stay in touch?   Join our talent community to stay connected until the time is right for you! 

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, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.  Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account.  Enjoy a flexible, inclusive and collaborative work environment that supports career growth.  We’re proud to be recognized in our communities as a top employer.  Proudly Great Place to Work® Certified in Canada and the U.S., we’ve also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row.  Visit our website to learn more about our benefits and recognition within our communities.

We will make reasonable accommodations to the known physical or mental limitations 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 thebrightside@sunlife.com to request an accommodation.

For applicants residing in California, please read our employee California Privacy Policy and Notice.

We do not require or administer lie detector tests as a condition of employment or continued employment.

Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances.

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.