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.
Job Description:
Location: Must reside in Michigan
The opportunity:
Member Outreach and Engagement Consultant develop member outreach initiatives that maximize goals related to improvements in oral health outcomes and oral health literacy and network with community organizations, providers and health plans to increase oral health awareness.
How you will contribute:
Collaborate with internal teams including marketing, data science and national outreach and connect with external community groups and state agencies to develop and execute customized outreach strategies for improving oral health outcomes of enrollees
Implement enrollee outreach and education programs with the goal of improving oral health literacy as well as ensuring compliance l with contractual requirements.
Develop and implement strategy to increase enrollee utilization to and achieve dental EPSDT goals as required by client contract and/or goals.
Establish community relationships and partnerships that provide for participation in health care initiatives and programs in the dental and medical public health arena to create dental and program awareness.
Develop educational materials and training tools in accordance with federal and state requirements for non-dental healthcare providers, managed care organizations and community organizations to engage them in the effort to educate Medicaid enrollees on the importance of oral health.
Manage workflow, time and program interventions within budget parameters and contractual timelines.
Provide enrollee care coordination including collaboration with Case Managers, Client Engagement and/or Provider Engagement to facilitate enrollee access to care
Track and monitor performance measures and report results to management and state agency if applicable.
Organize, plan and source community opportunities to participate in events (health fairs, faith-based organizations, schools etc.) to provide enrollees with education on oral health and when feasible secure provider to conduct onsite dental screenings.
Provide enrollees with guidance and referrals during events based on information gathered during interactions with enrollees and results of dental screening.
Attend and plan events throughout the state based on results of EPSDT metrics, county demographics and utilization patterns. Ensure events are distributed equally throughout the state, rural and urban areas and comply with quota and requirements of the contract.
Represent the company in a professional manner at all times.
Communicate to management ways to improve processes and productivity of company.
Establish and maintain professional relationships with client and community contacts.
Complete special projects as requested.
What you will bring with you:
High school diploma
College degree in a related field is preferred.
2 years job related experience.
Familiarity with computer software such as Microsoft Office (Word, Excel, Outlook)
Typing skills of 40+ words per minute.
Effective oral communication and business writing skills.
Attention to detail, accuracy and organizational skills.
Effective interpersonal skills.
Ability to prioritize and adapt to changing priorities.
Required to attend additional training as requested/deemed necessary.
Frequent travel up to 50% of the time, including ability to travel long distances.
Experience working in a managed care environment is preferred.
Knowledge of healthcare advocacy activities is preferred.
Knowledge of the Medicaid program requirements is preferred.
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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.
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Sun Life Financial is an equal employment and affirmative action employer. All qualified applicants will receive consideration without regard to race, color, sex, religion, age, national origin, disability, veteran status, sexual orientation, gender identity or expression, marital status, ancestry or citizenship status, genetic information, pregnancy status or any other characteristic protected by law. Sun Life Financial is committed to building a diverse and inclusive company culture.
Sun Life Financial is a leading provider of group insurance benefits in the U.S., helping people protect what they love about their lives. More than just a name, Sun Life symbolizes our brand promise of making life brighter – for our customers, partners, and communities. Join our talented, diverse workforce and launch a rewarding career. Visit us at www.sunlife.com/us to learn more.
