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.

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 ourClients.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 challengedbyworking withdynamic colleaguesto find new and innovative ways to make Sun Life the best benefits company in America.

The opportunity:
The Vison Contract Compliance Associate is responsible for contract deliverables, including audits, provider contracts, fee schedules, IOD's and new/existing business benefit/program changes. This role handles internal review on an ongoing basis of vision systems and processes to ensure regulatory, client, and program quality standards are being met. The Vision Contract Compliance Associate will provide action plans and updates as needed based on findings.

How you will contribute:

• Primary point of contact within the vision department for Audits as it relates to coordination of documentation requests, completing audit tools, pulling universes, and responding to follow-up requests as it pertains to audits of the programs for Claims, UM, Correspondence and Network. Materials will be delivered accurately and within a timely fashion. Provide updates to Management on status of Audits
• Present information in person (or as required) to client for audits and answers questions regarding program(s) and information provided.
• Primary point of contact for new/existing business and program/benefit change implementations as it relates to Claims, UM, Correspondence, and Network
• Provide assists to Vision Leadership by managing current Vision programs and through implementation of new Vision programs related to, UM, Network, Claims, Correspondence, and Reporting. Provide weekly updates to management on the status of implementations
• Develops and submits IOD's based on CMS, market, or client specific program requirements
• Handles replying to client CAPs for vision and ensuring all CAP deliverables are coordinated and delivered in a timely manner
• Identify areas of improvement in existing new implementation and audit related processes, operating mechanisms and methodologies. Work across the department to implement improvements.
• Develops tracking documents to coordinate follow ups of inter-departmental projects for vision team.
• Handle external client relationship calls, communication, project tracking and management/internal updates including relationships with systems partner, lab partner and other client project(s) as needed for programs.
• Coordinate implementation of new outbound client communication including letters, NOAs, and other program communications to ensure compliance with contractual approvals as necessary.
• Develop process for and monitor, outgoing communications and ensure continual compliance with contractual/program requirements. Review policies and procedures for ongoing compliance and manage projects for necessary updates identified internally or through client/external changes or review.
• Ensure changes needed due to audit deficiencies are implemented into production.
• Leads new business implementation projects that impact Vision.
• Lead new business and program change implementations including coordinating meetings, documentation, internal updates to CRDs or other documents, follow ups, communication and status updates for management and clients.
• Conduct Inter-rater reliability test for determinations made by prior-authorization processors.
• Coordinate and conduct general departmental training for new vision hires.
• Other duties as needed or required.

What you will bring with you:

• High School diploma or equivalent.
• 5 years' experience within the healthcare field.
• Well-organized and exceptional organizational, written and oral communication skills, particularly presentation skills.
• Ability to work alone and as part of a team.
• Proficient with general computer software including Microsoft Excel, Word and Outlook.
• Proven problem-solving skills.

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.

If you are a California resident, the salary range for this position is:

• Southern region: $53,600 - 72,400 annually
• Central region: $56,500 - 76,300 annually
• Northern region: $60,400 - 81,500 annually

If you are a Colorado resident, the salary range for this position is $51,500 - 69,000 annually.
If you are a New York resident, the salary range for this position is $64,400 - 81,500 annually.
If you are Washington resident, the salary range for this position is $56,500 - 76,300 annually.

We consider various factors in determining actual pay including your skills, qualifications, and experience. In addition to salary, this position is eligible for incentive awards based on individual and business performance as well as a broad range of competitive benefits.

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 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.

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 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.

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