Director, Medicaid Compliance — Hybrid Dental Leader

Sun Life; Hartford (CT); Hybrid; USD 134,000 - 200,000; Full time

Job summary

Sun Life U.S. is seeking a Director-level Medicaid Compliance expert to lead the Regulatory Compliance Management Program for the U.S. Dental Business Unit.

The role oversees regulatory activities, guides business leaders, and strengthens controls to meet federal and state requirements. The successful candidate will collaborate with Privacy, Financial Crimes, Conduct, and Enterprise Compliance teams, coordinate regulatory examinations, and drive remediation across the organization.

Qualifications

• 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.
• 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.
• Demonstrated ability to manage competing priorities, adapt to changing business needs, work independently, and maintain compliance expertise through professional development and industry engagement.

Responsibilities

• 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; translate requirements into practical processes and controls.
• Partner with first‑line business leaders to strengthen compliance risk management and ownership of controls.
• Collaborate with Enterprise Compliance and key oversight programs to ensure requirements are implemented within the Dental Business Unit.
• Support regulatory examinations, audits, and other matters by coordinating information requests, preparing responses, tracking commitments, and remediation activities.
• Develop and deliver management reporting on compliance program effectiveness, risks, issues, testing results, trends, and remediation progress.

Skills

Analytical skills

Critical thinking

Communication

Research

Presentation skills

Influence & collaboration

Education

Bachelor's degree

Tools

MS Office

AI tools

Data visualization tools

BI tools

Archer

Job description

Sun Life U.S. is seeking a Director-level Medicaid Compliance expert to lead the Regulatory Compliance Management Program for the U.S. Dental Business Unit.

The role oversees regulatory activities, guides business leaders, and strengthens controls to meet federal and state requirements. The successful candidate will collaborate with Privacy, Financial Crimes, Conduct, and Enterprise Compliance teams, coordinate regulatory examinations, and drive remediation across the organization.