Director, Medicaid Compliance

Sunlife; United States; Híbrido; USD 134.000 - 200.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Comprehensive benefits

Hybrid work model

Descripción de la vacante

Sun Life U.S. embraces a hybrid work model and seeks a seasoned Regulatory Compliance leader for the Dental Business Unit. You will own the Regulatory Compliance Management Program, navigate Medicaid/Medicare and dental regulations, and partner with leaders to strengthen risk management and controls.

You will collaborate with Enterprise Compliance, support regulatory examinations, develop reporting, and guide remediation progress, driving compliant growth across the organization.

Formación

• Bachelor's degree and at least 7 years of experience in regulatory compliance, risk management, controls, or related function within a regulated healthcare organization.
• Deep knowledge of Medicaid, Medicare, and commercial dental regulatory requirements; familiarity with dentistry regulations preferred.
• Ability to interpret complex regulatory requirements and implement sustainable compliance processes, controls, and risk mitigation.
• Experience with regulators, examinations, audit responses, and remediation activities.

Responsabilidades

• Lead and maintain the Dental Regulatory Compliance Management Program, including inventories, risk assessments, issue management, controls, testing, and monitoring.
• Interpret emerging laws and translate requirements into practical business processes and controls for Medicaid, Medicare, and dental products.
• Partner with business leaders to strengthen compliance risk management and guide regulatory obligations.
• Collaborate with Enterprise Compliance and oversight programs to implement requirements.
• Coordinate information requests for regulatory examinations and track remediation activities.
• Develop management reporting on compliance program effectiveness, risks, and remediation progress.

Conocimientos

Regulatory compliance

Risk management

Controls

Auditing

Analytical thinking

Communication skills

Presentation skills

GRC systems (Archer)

Educación

Bachelor's degree

Herramientas

Archer

Microsoft Office

Data visualization tools

BI tools

Descripción del empleo

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide.

At Sun Life, we're driven by our Purpose: helping our Clients achieve lifetime financial security and live healthier lives. Our values shape how we work: caring, authentic, bold, inspiring, and impactful.

When you join Sun Life, you'll work with passionate colleagues and empowering leaders who support your growth and celebrate your contributions, so you can make a meaningful difference in our Clients' lives.

Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities.

Job Description

Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work in the contiguous states plus AK.

The opportunity

Are you a compliance professional with extensive experience navigating Medicaid, Medicare, and commercial dental regulations? Join Sun Life's U.S. Compliance team and play a key role in leading the Regulatory Compliance Management Program for the U.S. Dental Business Unit.

How you will contribute

• Lead and maintain the Dental Regulatory Compliance Management Program, including regulatory inventories, risk assessments, compliance issue management, control development, testing, and monitoring activities.
• Identify, interpret, and analyze emerging laws and regulations impacting Medicaid, Medicare, and commercial dental products and translate requirements into practical business processes and controls.
• Partner with first-line business leaders to strengthen compliance risk management, support ownership of controls, and provide guidance on regulatory obligations.
• Collaborate with Enterprise Compliance and key oversight programs, including Privacy, Financial Crimes, and Conduct, to ensure compliance requirements are effectively implemented within the Dental Business Unit.
• Support regulatory examinations, audits, and other regulatory matters by coordinating information requests, preparing responses, tracking commitments, and facilitating remediation activities.
• Develop and deliver management reporting on compliance program effectiveness, key risks, emerging regulatory issues, testing results, trends, and remediation progress.

What you will bring with you

• Bachelor's degree and at least 7 years of experience in regulatory compliance, risk management, controls, or a related function within a regulated healthcare organization, or an equivalent combination of education, certifications, and professional experience.
• Deep knowledge of Medicaid, Medicare, and commercial dental regulatory requirements; familiarity with regulations governing the practice of dentistry is preferred.
• Demonstrated ability to interpret complex regulatory requirements and implement sustainable compliance processes, controls, and risk mitigation strategies.
• Experience working directly with regulators and managing regulatory commitments, examinations, audit responses, and remediation activities.
• Experience conducting compliance testing, auditing operational processes and controls, and applying statistical analysis to evaluate results and identify trends.
• Working knowledge of governance, risk, and compliance systems, with Archer experience strongly preferred.
• Strong analytical, critical-thinking, communication, research, and presentation skills with the ability to influence and collaborate across diverse stakeholder groups.
• Proficiency with Microsoft Office applications and experience using artificial intelligence, data visualization, and business intelligence tools in a responsible and compliant manner.
• Demonstrated ability to manage competing priorities, adapt to changing business needs, work independently, and continuously maintain compliance expertise through professional development and industry engagement.

Salary

$133,600-$200,400

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.

Life is brighter when you work at Sun Life

At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We’re proud to be recognized in our communities as a top employer. Proudly Great Place to Work® Certified in Canada and the U.S., we’ve also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities.

We will make reasonable accommodations to the known physical or mental limitations 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 [e-mail] to request an accommodation.

For applicants residing in California, please read our employee California Privacy Policy and Notice.

We do not require or administer lie detector tests as a condition of employment or continued employment.

Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances.

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.

Job Category

Compliance

Posting End Date

29/11/2026