Current jobs related to Vision Contract Compliance Associate, Dentaquest - Wellesley Hills - DentaQuest

  • Assistant Compliance Officer

    4 months ago

    Wellesley Hills, United States Needham Bank Full time

    Job DescriptionJob DescriptionUnder the direction of the Compliance Officer, conduct monitoring and periodic testing of compliance with laws and regulations in line with the Bank's compliance monitoring program. The incumbent will be responsible for overseeing quality control processes for/within business lines and for continuously improving a...

  • Vice President of Regulatory Compliance

    4 weeks ago

    Wellesley Hills, Massachusetts, United States Sun Life Financial Full time

    You are unique, and your diverse background, experience, and perspective are valued here. At Sun Life Financial, we foster an environment where you are encouraged, empowered, and challenged to excel. Collaborate with dynamic colleagues who are experts in their fields and eager to share their insights. Our leadership team is dedicated to inspiring you to...

  • Assistant Vice President of Compliance

    4 weeks ago

    Wellesley Hills, Massachusetts, United States Sun Life Financial Full time

    You are as unique as your background, experience, and perspective. Here, you'll be encouraged, empowered, and challenged to be your best self. You'll collaborate 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,...

  • BSA Compliance Support Officer

    4 weeks ago

    Wellesley Hills, Massachusetts, United States Needham Bank Full time

    Job OverviewUnder the supervision of the BSA Officer, the incumbent plays a crucial role in supporting the operational management and development of team members, fostering robust business relationships with management throughout the organization, and facilitating the execution and administration of the Bank Secrecy Act Compliance Program.KEY...

  • BSA Compliance Assistant Officer

    4 weeks ago

    Wellesley Hills, Massachusetts, United States Needham Bank Full time

    Job OverviewUnder the supervision of the BSA Officer, the incumbent will assist in the operational management and development of team members, fostering robust business relationships with management throughout the organization, while facilitating the execution and administration of the Bank Secrecy Act Compliance Program.KEY RESPONSIBILITIESOversees the...

  • Compliance Officer

    5 days ago

    Wellesley, Massachusetts, United States Needham Bank Full time

    Job SummaryWe are seeking a highly skilled Compliance Officer to join our team at Needham Bank. As a key member of our compliance team, you will be responsible for ensuring that our bank operates in accordance with all relevant laws and regulations.Key ResponsibilitiesDesign and implement compliance testing and monitoring programs to ensure adherence to...

  • Optical Sales Associate

    3 weeks ago

    Auburn Hills, Michigan, United States National Vision Full time

    Job DescriptionKey Responsibilities:Greet customers in a friendly and professional manner, ensuring high-quality customer service.Meet National Vision's sales objectives by effectively promoting and selling eyeglass features and specialty lenses.Maintain awareness of same-day service using the 'Ready When Promised' production board.Ensure customers receive...

  • Sales Associate

    2 weeks ago

    Auburn Hills, Michigan, United States National Vision Full time

    Job DescriptionJob Title: Sales Associate - Eyeglass WorldJob Summary:We are seeking a highly motivated and customer-focused Sales Associate to join our team at Eyeglass World. As a Sales Associate, you will be responsible for providing exceptional customer service, meeting sales objectives, and maintaining a clean and organized store environment.Key...

  • BSA Compliance Support Officer

    4 weeks ago

    Wellesley Hills, Massachusetts, United States Needham Bank Full time

    Job OverviewUnder the supervision of the BSA Officer, the incumbent plays a crucial role in aiding the operational management and growth of team members, fostering robust business relationships with management throughout the organization, and facilitating the execution and administration of the Bank Secrecy Act Compliance Program.KEY RESPONSIBILITIESOversees...

  • Food Service Associate

    3 weeks ago

    Wellesley Hills, Massachusetts, United States Compass Group USA Inc Full time

    Job SummaryWe are seeking a skilled Food Service Worker to join our team at Compass Group USA Inc. As a Food Service Worker, you will be responsible for preparing, presenting, and serving food to our customers.Key ResponsibilitiesPrepare ingredients for food preparation, including washing, peeling, cutting, and seeding fruits and vegetables.Weigh and measure...

  • Assistant Dean, Accreditation and Compliance

    4 weeks ago

    Wellesley, Massachusetts, United States Babson College Full time

    Job SummaryBabson College seeks a highly skilled and experienced Assistant Dean, Accreditation and Compliance to oversee all aspects of accreditation for the College's three accreditors: NECHE, AACSB, and EQUIS. The successful candidate will serve as the administrative liaison with the Appointments Decision Making Body (ADMB) and be a member of the academic...

  • Federal Contracting Specialist

    2 weeks ago

    Wellesley, Massachusetts, United States Calm Water Business Partner, LLC Full time

    Business Development Associate/Proposal WriterWe are seeking a highly motivated and experienced Business Development Associate/Proposal Writer to join our team at Calm Water Business Partner, LLC. As a key member of our federal agency project management company, you will play a critical role in driving business growth and securing new contracts.Key...

  • Director of Operations

    3 weeks ago

    Wellesley Hills, Massachusetts, United States Compass Group Careers Full time

    Job SummaryWe are seeking a highly skilled and experienced Director of Operations to join our team at Compass Group Careers. As a key member of our leadership team, you will be responsible for managing the food service operation, maintaining established costs and quality standards, and ensuring superior service and maximum profits.Key Responsibilities:Lead...

  • Patient Care Associate II

    2 weeks ago

    Wellesley Hills, Massachusetts, United States Mass General Brigham Full time

    About the RoleMass General Brigham is seeking a skilled Patient Care Associate II to join our team in Wellesley Hills, Massachusetts.Job SummaryThe Patient Care Associate II provides high-quality patient care and performs various unit activities under the direction of the Registered Professional Nurse. Key responsibilities include direct patient care...

  • Patient Care Associate II

    2 weeks ago

    Wellesley Hills, Massachusetts, United States Mass General Brigham Full time

    About the RoleMass General Brigham is seeking a skilled Patient Care Associate II to join our team in Wellesley Hills, Massachusetts.Job SummaryThe Patient Care Associate II provides high-quality patient care and performs various unit activities under the direction of the Registered Professional Nurse. Key responsibilities include direct patient care...

  • Patient Care Associate II

    2 weeks ago

    Wellesley Hills, Massachusetts, United States Mass General Brigham Full time

    About the RoleMass General Brigham is seeking a skilled Patient Care Associate II to join our team in Wellesley Hills, Massachusetts.Job SummaryThe Patient Care Associate II provides high-quality patient care and performs unit activities under the direction of the Registered Professional Nurse. Key responsibilities include direct patient care activities such...

  • Patient Care Associate II

    1 week ago

    Wellesley Hills, Massachusetts, United States Recruitics JB Full time

    About the RoleWe are seeking a highly skilled Patient Care Associate II to join our team at Mass General Brigham. As a Patient Care Associate II, you will play a vital role in providing exceptional patient care and support to our patients and families.Key ResponsibilitiesProvide direct patient care and support, including taking vital signs, assisting with...

  • Patient Care Associate II

    1 week ago

    Wellesley Hills, Massachusetts, United States Recruitics JB Full time

    About the RoleWe are seeking a highly skilled Patient Care Associate II to join our team at Mass General Brigham. As a Patient Care Associate II, you will play a vital role in providing exceptional patient care and support to our patients and families.Key ResponsibilitiesProvide direct patient care and support, including vital sign monitoring, assistance...

  • Wealth Management Client Associate

    6 days ago

    Wellesley Hills, Massachusetts, United States Bank of America Full time

    Job Title: Wealth Management Client AssociateWe are seeking a highly skilled and motivated Wealth Management Client Associate to join our team at Bank of America. As a key member of our client service team, you will be responsible for providing exceptional support to our Financial Advisors and their clients.Key Responsibilities:Provide timely and accurate...

  • Patient Care Associate II

    2 weeks ago

    Wellesley Hills, Massachusetts, United States Mass General Brigham Full time

    About the RoleMass General Brigham is seeking a skilled Patient Care Associate II to join our team in Wellesley Hills, Massachusetts.Job SummaryThe Patient Care Associate II provides high-quality patient care and performs various unit activities under the direction of the Registered Professional Nurse. Key responsibilities include direct patient care...

Vision Contract Compliance Associate, Dentaquest

3 months ago

Wellesley Hills, United States DentaQuest Full time

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 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 Vison Contract Compliance Associate is responsible for contract deliverables, including audits, provider contracts, fee schedules, IOD’s and new/existing business benefit/program changes. This role handles internal review on an ongoing basis of vision systems and processes to ensure regulatory, client, and program quality standards are being met. The Vision Contract Compliance Associate will provide action plans and updates as needed based on findings.

**How you will contribute**:

- Primary point of contact within the vision department for Audits as it relates to coordination of documentation requests, completing audit tools, pulling universes, and responding to follow-up requests as it pertains to audits of the programs for Claims, UM, Correspondence and Network. Materials will be delivered accurately and within a timely fashion. Provide updates to Management on status of Audits
- Present information in person (or as required) to client for audits and answers questions regarding program(s) and information provided.
- Primary point of contact for new/existing business and program/benefit change implementations as it relates to Claims, UM, Correspondence, and Network
- Provide assists to Vision Leadership by managing current Vision programs and through implementation of new Vision programs related to, UM, Network, Claims, Correspondence, and Reporting. Provide weekly updates to management on the status of implementations
- Develops and submits IOD’s based on CMS, market, or client specific program requirements
- Handles replying to client CAPs for vision and ensuring all CAP deliverables are coordinated and delivered in a timely manner
- Identify areas of improvement in existing new implementation and audit related processes, operating mechanisms and methodologies. Work across the department to implement improvements.
- Develops tracking documents to coordinate follow ups of inter-departmental projects for vision team.
- Handle external client relationship calls, communication, project tracking and management/internal updates including relationships with systems partner, lab partner and other client project(s) as needed for programs.
- Coordinate implementation of new outbound client communication including letters, NOAs, and other program communications to ensure compliance with contractual approvals as necessary.
- Develop process for and monitor, outgoing communications and ensure continual compliance with contractual/program requirements. Review policies and procedures for ongoing compliance and manage projects for necessary updates identified internally or through client/external changes or review.
- Ensure changes needed due to audit deficiencies are implemented into production.
- Leads new business implementation projects that impact Vision.
- Lead new business and program change implementations including coordinating meetings, documentation, internal updates to CRDs or other documents, follow ups, communication and status updates for management and clients.
- Conduct Inter-rater reliability test for determinations made by prior-authorization processors.
- Coordinate and conduct general departmental training for new vision hires.
- Other duties as needed or required.

**What you will bring with you**:

- High School diploma or equivalent.
- 5 years’ experience within the healthcare field.
- Well-organized and exceptional organizational, written and oral communication skills, particularly presentation skills.
- Ability to work alone and as part of a team.
- Proficient with gener