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Dental and Vision Benefits Manager

1 month ago

Wellesley, Massachusetts, United States Sun Life Full time

About the Role:

We are seeking a highly skilled and experienced professional to join our team as a Dental and Vision Benefits Manager. As a key member of our team, you will be responsible for managing dental and vision benefits for our clients, ensuring compliance with state and federal guidelines, and providing exceptional customer service.

Key Responsibilities:

  • Manage contract deliverables, including compliance reporting, financial reporting, and service level performance reporting.
  • Ensure effective coordination and communication of client requests to ensure client expectations are satisfied.
  • Provide primary support to DentaQuest leadership for administration of the client's program, and communicate information accurately and efficiently.
  • Proactively identify client expectations, communicate expectations to DQ leadership and staff, and ensure expectations are delivered effectively.
  • Responsible for coordination and serving as primary point of contact for client audits of DentaQuest programs.
  • Develop and maintain relationships with appropriate functional areas within DentaQuest to ensure effective contract performance.
  • Support innovative business practices and process improvement opportunities for current and prospective clients.
  • Monitor changes in regulations and fee schedules and communicate same to ensure compliance with state and federal guidelines.
  • Perform functions that support timely and accurate reporting to clients.
  • Responsible for ensuring Office Reference Manuals are kept up to date, corrective action plans are implemented, and client audits are organized effectively.
  • Develops and submits IODs based on CMS, market- or client-specific program requirements.
  • Manages process for obtaining program requirements, documentation, support and other special requests from clients, providers, and other organizations.
  • May be responsible for local DQ staff, including performance and wage evaluations, performance improvement plans, disciplinary processes, and terminations.
  • Provides regular updates to senior management on internal and external issues affecting market performance.
  • Represent DentaQuest at health fairs, conferences, and advisory meetings through the State.

Requirements:

  • Bachelor's degree in business, Healthcare Administration (or related field) or equivalent, relevant work experience.
  • Five years' experience working with external clients/customers; proven track record of providing superior service to internal and external customers.
  • Two years' experience in a supervisory role.
  • Well-organized and superior organizational, written, and oral communication skills, particularly presentation skills.
  • Knowledge of group benefits and proven ability to provide consultative services to proactively meet customer needs.
  • Ability to work independently and as part of a team.
  • Proficient with general computer software including Microsoft Excel, Word and Outlook.
  • Proven problem-solving skills and ability to make good judgment conclusions based on data available with minimal supervision.
  • Ability to prioritize and organize multiple tasks with tight deadlines.
  • Excellent customer service skills.
  • Up to 50% local travel required.

Physical Demands:

  • Ability to work in a traditional professional office setting/remote equivalent.
  • Ability to effectively operate computer equipment.
  • Work schedule may vary and is determined by project schedules.
  • 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.

What We Offer:

We offer a dynamic and supportive work environment, competitive compensation and benefits package, and opportunities for professional growth and development.

How to Apply:

If you are a motivated and experienced professional looking for a new challenge, please submit your application, including your resume and cover letter, to [insert contact information].