Demo

Jr. Business Systems Analyst, DentaQuest (Remote)

Sun Life
South Portland, ME Remote Full Time
POSTED ON 1/26/2025
AVAILABLE BEFORE 4/25/2025

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 virtual 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 resource supports our Sales team and Clients by being a technical point of contact to set expectations, provide updates and drive implementations through to completion. Support IT goals and objectives by working closely with internal Scrum team members and Stakeholders to ensure that integrations and implementations exceed Client expectations. Work within a distributed team to document, prioritize, develop, test, and release small to large scale EDI solutions with Clients located across the country.

How you will contribute :

Demonstrated ability to drive to deadlines, balancing multiple priorities, and ensuring quality standards with minimal oversight

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

Work on large- and small-scale projects for new business implementations and 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 :

Must have at least 2 years of experience as a Business Systems Analyst, Business Analyst, Systems Analyst or Data Analyst

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 / video call, in-person meeting with clients and internal team members

Knowledge of dental or medical insurance claims processing

Experience in the EDI transactions supporting dental and medical claims processing

Familiarity with appropriate handling of Personal Health Information (PHI) data

Familiarity with various file structures, such as XML, character delimited, and EDI

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.comto 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 - Systems

Posting End Date : 27 / 02 / 2025

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 vetera n

Salary : $67,300 - $101,000

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