CASY-MSCCN Jobs

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:

Job description Develop member focused quality and outreach initiatives that maximize goals related to 1) oral health outcomes 2) clients' overall cost of care, and 3) Enterprise oral health leadership.

Preferred skills Knowledge of quality improvement methodologies and population health management is desirable. Experience working in a managed care, public health or healthcare advocacy. Clinical background in healthcare or dental care

Qualifications College degree or relevant experience required. Project management, organizational skills, and prioritization skills required. Self-motivated, and ability to work with little supervision. Strong analytical skills. Strong problem solving skills and the ability to make independent decisions. Strong written and oral communication skills.

Responsibilities Effectively implement and administer quality and outreach programs to reach established program metrics including impact on cost of care. Successfully execute quality and outreach programs resulting in improvements in performance metrics and/or reaching performance metric targets. Understand financial impact of increases in access as it correlates to cost of care. Be able to demonstrate cost/benefit analysis and options for specific markets, and for general capabilities. Using a data driven approach apply quality improvement methodologies to drive program improvements to achieve optimal results Ability to interpret data both quantitatively and qualitatively Provide strategies and recommendations to increase access to care within stringent budgets. Develop strategies that manifest DentaQuest's oral health mission for members that is tangible both at the national level, as well as within specific states/markets. Collaborate with internal and external stakeholders to ensure optimal program success. Provide Project Management to cross functional teams to assure successful implementations of new business. Create and improve implementation workflows between departments to ensure client deliverables are being met, according to the contract

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.

For applicants residing in California, please read our employee

Job Category: Customer Service / Operations

Posting End Date: 21/12/2023

All qualified applicants will receive consideration