Business Systems Analyst, DentaQuest
DQ Milwaukee WI, United States
You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll have new and exciting opportunities to make life brighter for our Clients - who are at the heart of everything we do. Discover how you can make a difference in the lives of individuals, families and communities around the world.
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: We support US flexible working arrangements in the contiguous 48 states.
At Sun Life, we look for optimistic people who want to make life brighter for our Clients. We understand the value of diverse cultures, perspectives, and identities, and want you to bring your full and authentic self to work. Every day, you’ll be empowered and challenged by working with dynamic colleagues to find new and innovative ways to make Sun Life the best benefits company in America.
How you will contribute:
Demonstrated ability to drive to deadlines, balancing multiple priorities, and ensuring quality standards.
Provide strategic analysis to define and improve standard solutions, standard deliverables and templates.
Work with IT and business users to evaluate data and extract requests and recommend viable short and long term solutions.
Ability to work on large and small scale projects for new business implementations and for maintaining existing client implementations with a significant focus on dental encounters, claims, eligibility and enrollment via 837, 835, 999, 834, 277 EDI standards.
Ability to document and maintain requirements using source to target maps, data dictionary, process documentation and team defined standards; using tools such as Visio, Word and Excel.
Ability to perform ad hoc data analysis and reconciliation using complex SQL queries.
Working knowledge of Agile and Scrum methodologies.
Ensure data quality through scenario based testing.
Other duties as needed or required.
What you will bring with you:
Required:
BS or equivalent and 2 years’ experience in computer sciences or related field, or equivalent combination.
Must have 2 years of experience as a Business Systems Analyst, Business Analyst, Systems Analyst or Data Analyst.
Must have demonstrated progressive levels of responsibility, experience and leadership.
Excellent organization and prioritization skills with strong ability to shift focus as necessary to meet deadlines.
Excellent interpersonal, listening, oral and written communication skills.
Ability to communicate technical details to technical and non-technical resources.
Ability to facilitate a conference call, WEBEX, in-person meeting with clients and internal team members.
Knowledge of dental or medical insurance claims processing.
Familiarity with appropriate handling of Personal Health Information (PHI) data.
Required to attend additional training as requested/deemed necessary.
PHYSICAL DEMANDS:
Incumbent must be able to communicate effectively.
Requires overall light physical effort (up to 25lbs.)
Manual dexterity and sitting is required in carrying out position own position responsibilities (i.e. use of personal computer).
Ability to travel or move about within and outside serviced facilities required.
Incumbent works primarily in either a private or shared office environment.
Do you see yourself in this role even if you haven’t checked all the boxes above? We welcome all talented candidates and are committed to a culture that represents diversity in all forms. If you think you might thrive in this setting, we would love to hear from you.
Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you!
Life is brighter when you work at Sun Life
Excellent benefits and wellness programs to support the three pillars of your well-being – mental, physical and financial – including generous vacation and sick time, market-leading paid family, parental and adoption leave, a partially-paid sabbatical program, medical plans, company paid life and AD&D insurance as well as disability programs and more
Retirement and Stock Purchase programs to help build and enhance your future financial security including a 401(k) plan with an employer-paid match as well as an employer-funded retirement account
A flexible work environment with a friendly, caring, collaborative and inclusive culture
Great Place to Work® Certified in Canada and the U.S.
Named as a “Top 10” employer by the Boston Globe's “Top Places to Work” two years running
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.
Salary Range: $67,300 - $101,000
At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions.
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.
At Sun Life we strive to create a flexible work environment where our employees are empowered to do their best work. Several flexible work options are available and can be discussed throughout the selection process depending on the role requirements and individual needs.
#LI-remote
Our Affirmative Action Program affirms our commitment to make reasonable accommodation to the known physical or mental limitation 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.com to request an accommodation.
At Sun Life we strive to create a flexible work environment where our employees are empowered to do their best work. Several flexible work options are available and can be discussed throughout the selection process depending on the role requirements and individual needs.
For applicants residing in California, please read our employee California Privacy Policy and Notice.
Job Category:
Business Analysis - SystemsPosting End Date:
24/04/2025All 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
ApplyJob Profile
Must be located in contiguous 48 states
Benefits/PerksAdoption leave Company Paid Life and AD&D Insurance Disability Programs Diverse culture Diversity Dynamic colleagues Empowerment and challenge Excellent benefits Flexible work Flexible work environment Flexible working arrangements Generous vacation Generous vacation and sick time Inclusive culture Life and AD&D insurance Medical plans Retirement account Sabbatical Program Sick time Stock purchase programs Wellness programs
Tasks- Data Analysis
- Document and maintain requirements
- Documentation
- Ensure data quality
- Evaluate data and extract requests
- Perform ad hoc data analysis
- Prioritization
- Provide strategic analysis
Agile Analysis Business Analysis Claims processing Communication Data analysis Data Quality Testing Dental Claims Processing Diversity Documentation EDI Standards Equity Excel Interpersonal Leadership Oral health Organization Process documentation Scrum SQL Training Visio Word Written communication
Experience2 years
EducationB.S. Business Equivalent Related Field
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9