Associate Provider Partner Consultant, DentaQuest (Iowa)

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 employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide.

Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities.

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: Candidate must live in Iowa

The opportunity:
The Associate Provider Partner Consultant serves as a key liaison between DentaQuest and its network of participating providers while also functioning as an operational and analytical resource to the broader Provider Engagement organization. This role blends direct provider relationship management with data reporting, project coordination, training, and communication responsibilities to ensure consistent and compliant engagement across all markets and lines of business.

How you will contribute:
Provider Engagement & Education

• Educate dental offices on policies, procedures, and value-based programs via phone, email, webinars, and in-office visits.
• Promote technology adoption including web portal functionality, electronic claims submission, and EFT options.
• Support onboarding of new providers and re-credentialing processes, ensuring accurate data, directory updates, and timely activation.
• Conduct training sessions and webinars; serve as SME on company tools, portals, and engagement processes.

Operational Support

• Manage team SharePoint and internal resource sites; maintain updated link libraries, acronyms, and definition pages for Provider Partners.
• Create and maintain dashboards to track provider engagement metrics and outcomes.
• Generate leadership reports and monthly summaries highlighting performance, network status, and key initiatives.
• Submit AP requests, Committee submissions, and vendor oversight tracking (Trachmar, Veritas, etc.).
• Maintain communication templates, newsletters, FAQs, quick reference guides, and provider notifications with appropriate approvals (DMX, client, and compliance).
• Prepare and distribute provider scorecards, performance summaries, and compliance updates where applicable.

Project Management & Collaboration

• Coordinate internal and client-facing projects by creating project plans, maintaining timelines, recording notes, and following up on deliverables.
• Track new business implementations and network loads, including opt-outs, amendments, and provider terminations.
• Participate with initiatives, ensuring materials, ORMs, and communications are validated and timely.
• Support implementation of new tools and systems, serving as a super user or trainer for new software/hardware rollouts.
• Partner with marketing and communications to align materials across all markets for consistency and professional presentation.

Data, Reporting, and Compliance

• Run and validate reports to maintain provider directories, GeoAccess, and network validation compliance.
• Perform Excel-based comparisons, file merges, and network analyses to identify disruptions, gaps, or discrepancies.
• Maintain tracking logs for provider notifications, trainings, and regulatory deliverables.
• Ensure compliance with all policies, CMS, and state contractual requirements including annual provider compliance trainings.

Training, Support & Internal Leadership

• Develop and facilitate team training on dashboards, reporting, purchasing, vendor management, and provider communications.
• Lead and coordinate internal engagement efforts (holiday events, team meetings, SME presentations, etc.) to promote collaboration.

What you will bring with you:

• Associate's degree; Bachelor's preferred (Business, Healthcare Administration, or related field) or relevant years of experience
• Minimum of 3 years' experience in healthcare or managed dental care, including provider support or network administration.
• Proficiency in Microsoft Office Suite (Excel, PowerPoint, Word, Teams, SharePoint).
• Strong project management, data analysis, and organizational skills.
• Excellent written and verbal communication; ability to work across teams and with providers.
• Up to 25% travel required for provider office visits, meetings, and events.

Preferred Qualifications:

• 5+ years of dental or managed care experience.
• Experience with DentaQuest systems (Oracle, Veritas, Trachmar, DMX, NGPP).
• Demonstrated expertise in provider training, communications, and process improvement.
• Experience building dashboards, managing SharePoint content, and coordinating multi-state initiatives.

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We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds.

Life is brighter when you work at Sun Life

At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities.

We will make reasonable accommodations to the known physical or mental limitations 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 thebrightside@sunlife.comto request an accommodation.

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