Overview 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. We offer a portfolio of benefits and services through employers, industry partners and government programs, 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. DentaQuest manages dental and vision benefits for more than 33 million Americans with outcomes-based, cost-effective solutions designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. Our focus is on prevention and value to improve the oral health of all.

The opportunity is to manage contract deliverables, including compliance reporting, financial reporting and service level performance reporting, and to ensure effective coordination and communication of client requests to satisfy client expectations.

Responsibilities

Provide ongoing, effective communications and service to current clients via on-site meetings, conference calls, and day-to-day interaction.

Provide primary support to DentaQuest leadership for administration of the client’s program and communicate information accurately and efficiently to ensure DQ meets and exceeds client expectations and contract terms.

Proactively identify client expectations, communicate them to DQ leadership and staff, and ensure expectations are delivered; proactively resolve issues and strengthen relationships within the client’s organization.

Coordinate and serve as the primary point of contact for client audits of DentaQuest programs, including documentation requests, meeting organization, and auditor follow-up responses.

Develop and maintain relationships with functional areas within DentaQuest to ensure effective contract performance.

Support innovative business practices and process improvement opportunities for current and prospective clients (e.g., P4Q, QARR, ER Diversion).

Monitor regulatory changes and fee schedules, and communicate them to ensure compliance with state and federal guidelines.

Perform functions that support timely and accurate reporting to clients.

Ensure Office Reference Manuals are up to date, implement corrective action plans, and organize client audits effectively.

Develops and submits IODs based on CMS, market- or client-specific program requirements.

Manage the process for obtaining program requirements, documentation, support and other special requests from clients, providers and other organizations.

May supervise local DQ staff and oversee performance evaluations, improvement plans, disciplinary processes, and terminations in line with company policy.

Provide 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.

Other duties as assigned.

Qualifications

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 with strong organizational, written and oral communication skills, particularly presentation skills.

Knowledge of group benefits; ability to provide consultative services to proactively meet customer needs, using management reports, training opportunities and innovative solutions.

Ability to work independently and as part of a team.

Proficiency with general computer software including Microsoft Excel, Word and Outlook.

Proven problem-solving skills and ability to make sound judgments based on data with minimal supervision.

Ability to prioritize and manage multiple tasks with tight deadlines.

Excellent customer service skills and up to 50% local travel required.

Ability to work in a traditional professional office setting or remote equivalent.

Ability to operate computer equipment and communicate via telephone; work in virtual teams.

The workplace may have high noise and interruptions; the role requires concentration amid activity.

Salary Salary Range: $78,100 - $117,200

We are committed to pay transparency and equity. Your actual base salary will be determined based on your skills, qualifications, experience, education, and location. This role is eligible for a discretionary annual incentive award based on individual and company performance.

Work Model & Benefits Sun Life embraces a hybrid work model balancing in-office collaboration with virtual work. Team members are expected to be in the office at least 2 days per week. We offer comprehensive benefits, including vacation and sick time, family leave, medical coverage, life and AD&D insurance, disability programs, a 401(k) match, stock purchase options, and an employer-funded retirement account. We are committed to an inclusive environment and encourage applications from qualified individuals of all backgrounds.

Additional Information Posting End Date: 29/11/2025

Sun Life will consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable laws. We provide accommodations for known disabilities or special disabled veterans upon request at thebrightside@sunlife.com.

Job Category: Sales - Client Relationship Management

Employment type: Full-time

Industries: Financial Services and Insurance

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