[Remote] Senior Manager, Provider Engagement, DentaQuest - South Carolina

Note: The job is a remote job and is open to candidates in USA. 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. The Senior Provider Network Manager provides guidance and oversight to Provider Partners regarding benefit programs, policies, and procedures while mentoring and coaching their team in provider recruitment and engagement.

Responsibilities

• Manage and Guide provider engagement staff
• Ensure provider engagement staff recruits providers within cost and access goals
• Authorize and negotiate special deals
• Develop strategic action plan to address network gaps
• Develop provider education curriculum and approach
• Cover more markets or highly complex markets
• Organize amendment and recruitment projects
• Develop project plans, internal/external reports, and ensure deliverables are met
• Identify and coordinate implementation of quality/cost improvements
• Manage reporting process to identify and modify provider outliers
• Provide cross-market aid as needed
• Analyze and monitor provider performance reports
• Participate in and often present during client, organized dentistry and key stakeholder meetings/events
• Identify continuous improvement opportunities
• Manage CAP office performance
• Coordinate and implement appropriate performance management strategies for team members to include:
• Assist in the hiring process, including interviewing candidates
• Assist, train and motivate team members
• Evaluate and measure effectiveness of team members
• Assist in preparation of performance and wage evaluations in accordance with company policy
• Manages attendance and company-approved time off for team members
• Participate in the drive and implementation of Performance Improvement Plans and performance management initiatives
• Other duties as assigned

Skills

• Bachelor's degree in Business, Healthcare Administration (or related field) or equivalent, relevant experience
• 5 years of experience in healthcare practice or managed care environment
• Excellent verbal and written communication skills
• Ability to work alone and as part of a team
• Knowledge of Microsoft Office
• Proven problem-solving skills
• Problem-solving and training experience
• Ability to make sound judgment conclusions based on data available with minimal oversight
• Up to 20% of travel as needed
• 5 years' supervisory/management experience preferred
• Experience in a managed care environment preferred

Benefits

• 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

Company Overview

Company H1B Sponsorship