Website Sun Life
Make a bright career move
Company: Sun Life / DentaQuest
Location: Remote, Oregon (Candidate must reside in Oregon)
Job Type: Full time
Compensation: $47,700 – $64,400 plus discretionary annual incentive
Also See: Education Account Executive
Help Make Quality Dental Care Accessible for Millions
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 our DentaQuest brand we manage dental and vision benefits for more than 33 million Americans. Our outcomes based cost effective solutions are designed for Medicaid and CHIP Medicare Advantage and businesses of all sizes. With a focus on prevention and value we aim to make quality care accessible and improve the oral health of all
We are looking for a Reporting Specialist to join our team in Oregon. In this role you will ensure accurate and timely reporting of all ongoing deliverables while maintaining professional communications with Coordinated Care Organizations regarding contractual and regulatory requirements
The Opportunity
As a Reporting Specialist you will be the bridge between Plan Operations and our CCO partners. You will process prepare and deliver contractual and regulatory deliverables ensuring timeliness and compliance. This role offers the chance to apply your knowledge of dental procedures and Medicaid regulations in a mission driven environment focused on improving oral health outcomes
What You’ll Do
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Process prepare and deliver contractual and regulatory deliverables to our Coordinated Care Organization partners ensuring all timeliness standards are met
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Audit products produced by all areas of Plan Operations to ensure compliance with contractual and regulatory requirements and report findings to management
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Assist with base level data pulls for provider auditing and monitoring purposes
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Support the development and review of department Standard Operating Procedures
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Maintain full knowledge of all Plan policies to communicate these accurately to contracted providers
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Meet documented quantity and quality standards consistently
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Perform other duties as needed or required
Who You Are
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You have a high school diploma or equivalent
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You possess working knowledge of dental procedures and have experience reading and comprehending dental records
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You have 2+ years of working knowledge of OHA and Coordinated Care Organization regulatory compliance
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You have 2+ years of experience working in a Medicaid dental environment
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You are computer proficient in a variety of Windows applications
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You are committed to ongoing learning and attend additional training as requested
Why Join Sun Life
Life is brighter when you work at Sun Life. We prioritize your well being with comprehensive benefits including
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Generous vacation and sick time
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Market leading paid family parental and adoption leave
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Medical coverage
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Company paid life and AD&D insurance
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Disability programs
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Partially paid sabbatical program
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401(k) employer match
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Stock purchase options
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Employer funded retirement account
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A flexible inclusive and collaborative work environment that supports career growth
We are proud to be recognized as a Great Place to Work Certified in Canada and the U.S. and have been named a Top 10 employer by the Boston Globes Top Places to Work for two years in a row
Location This position is fully remote but candidates must reside in Oregon
Ready to make a difference in dental health
If you have experience in Medicaid dental environments and a passion for compliance and accurate reporting we want to hear from you
Apply Now Reporting Specialist at Sun Life
Sun Life is an equal opportunity employer. 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