Sr. Manager, Provider Partner, Dentaquest (Pulaski County- Arkansas )

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.

Location: We welcome applicants in Pulaski County, Arkansas.

The Supervising Provider Partner provides guidance and oversight to Provider Partners regarding DentaQuest’s benefit programs, policies and procedures. The Supervising Provider Partner is also responsible for identifying and addressing network gaps, recognizing and implementing process improvement opportunities, and monitoring CAP performance. This position is responsible for mentoring and coaching their team in provider recruitment and engagement. In addition to staff supervision, the Supervising Provider Partner may also have responsibility for covering larger or more complex markets.

• Supervise and Guide provider engagement staff
• Ensure provider engagement staff recruits providers within cost and access goals
• Authorize and negotiate special deals
• Develop strategic action plan to address network gaps
• Develop provider education curriculum and approach
• Covers more markets or highly complex markets
• Organize amendment and recruitment projects
• Identify and coordinate implementation of quality/cost improvements
• Manage reporting process to identify and modify provider outlier
• Provide cross-market support (where applicable)
• Analyze and monitor provider cost reports
• Participate in and often present during client, organized dentistry and key stakeholder meetings/events
• Identify continuous improvement opportunities
• Manage CAP office performance
• Coordinate and implement appropriate performance management strategies for team members to include:
  • Assist in the hiring process, including interviewing candidates.
  • Assist, train and motivate team members.
  • Evaluate and measure effectiveness of team members.
  • Assist in preparation of performance and wage evaluations in accordance to company policy.
  • Responsible for attendance and company approved time off for team members.
  • Participate in the determination and implementation of Performance Improvement Plans and performance management initiatives.
• Other duties as assigned

• Bachelor’s degree in Business, Healthcare Administration (or related field) or equivalent, relevant experience.
• 5 years’ experience in healthcare practice or managed care environment.
• 5 years’ supervisory/management experience.
• Previous Medicaid experience
• Excellent verbal and written communication skills.
• Ability to work independently and as part of a team.
• Knowledge of Microsoft Office.
• Proven problem-solving skills.
• Problem solving and training experience.
• Ability to make sound judgment conclusions based on data available with minimal supervision.

Preferred Qualifications:

• Supervisory/leadership experience.
• MBA/MHA
• 5+ years in customer service and provider relations in a health care or managed care environment
• Experience in communicating with and training provider offices and customers.
• Experience in a managed care environment.

Physical Demand:

• Ability to work in a traditional professional office setting/remote environment.
• Ability to travel as projects dictate.
• Ability to efficiently operate all job-related office equipment.
• Ability to communicate via telephone and work in virtual teams.
• The office environment is active with high voice levels and interruptions that may challenge hearing and concentration.

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