Provider Partner

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🍂 Massachusetts – Remote

🍂 Massachusetts – Remote

💵 $71k - $106k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🪙 Affiliate Manager

🦅 H1B Visa Sponsor

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Sun Life

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1865

💼 Consulting

🏥 Healthcare

💸 Finance

Consulting • Healthcare • Finance

Sun Life is a global financial services company headquartered in Toronto, Canada, offering a diverse range of protection, wealth, and health solutions for individuals, businesses, and institutions. The company provides services in insurance, investments, financial advice, and asset management across various regions including North America, Asia, and Europe. Sun Life is committed to sustainability, diversity and inclusion, and creating a positive impact in communities. With a focus on achieving financial security and healthier lives for their clients, Sun Life integrates comprehensive financial solutions and innovative practices to meet the evolving needs of their clientele.

📋 Description

• Analyze and monitor provider cost reports to educate providers and improve cost and quality performance • Maintain network participation by assisting dentists and dental office managers with benefit programs • Educate providers on benefit and contract policies and procedures through office visits, phone, and email • Promote provider adoption of web applications and electronic claims • Negotiate special deals to maintain compliance and improve access in weak networks • Recommend improvements to internal methods and Quality Assurance procedures • Facilitate oral health presentations for educational institutions and organizations • Assist provider offices with electronic claims filing • Answer remittance, payment, benefit, claims, and eligibility questions • Follow up on provider termination letters • Represent Sun Life and clients at trade shows, health fairs, audits, and dental summits • Maintain and submit required reports • Resolve escalated complaints and issues for clients, members, and providers • Recruit providers and increase participation across applicable market lines of business • Manage CAP office performance and recommend solutions to market issues • Organize and deliver presentations to providers and their staff • Identify improvement opportunities and present program recommendations • Improve information exchange between Sun Life and dental offices • Resolve difficult claims issues with internal resources • Strengthen and expand provider networks to increase member access • Help maintain a secondary network

🎯 Requirements

• Must live in Massachusetts • Bachelor’s Degree in Business, Healthcare Administration, or related field, or relevant work experience • 3 years of related work experience in a healthcare environment • Dental knowledge with five or more years of dental office experience preferred • Strong presentation skills • Excellent verbal and written communication skills • Ability to work independently and as part of a team • Knowledge of Microsoft Office • Proven problem-solving skills • Up to 50% local travel required • Problem-solving and training experience • Ability to make sound judgments based on available data with minimal supervision

🏖️ Benefits

• Discretionary annual incentive award based on individual and business performance • Generous vacation and sick time • Market-leading paid family, parental and adoption leave • Medical coverage • Company-paid life and AD&D insurance • Disability programs • Partially paid sabbatical program • 401(k) employer match • Stock purchase options • Employer-funded retirement account • Flexible, inclusive and collaborative work environment • Career growth and development support