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Dental Provider Contract Recruiter, 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.  

  

The opportunity:  

This role is responsible for managing all aspects of network contracting and reimbursement to assure a highly efficient network in accordance with the cost and quality requirements and guidelines within the program administration. The representative is responsible for building long-term relationships with provider offices and clients and negotiating on all provider contracting elements, reimbursement structure, technology promotion, and access to care. The role is responsible for provider negotiation, contracting and credentialing for all products, including Medicaid, Medicare Advantage, Marketplace and Direct to Consumer, Commercial and any blend of dental products. Negotiations and contract execution needs to take place with decision makers at the provider entities, including CEOs, Vice Presidents and other executive leadership at the provider offices as well as individual dentists depending on the office size, location and corporate entity. 

How you will contribute: 

  • Solicit and represent the DentaQuest brand to the provider community, including the potential network of providers and dental groups in assigned markets. 

  • Effective negotiation of provider …

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