Director, Medicaid Compliance & Regulatory Programs (Hybrid)

Sun Life Assurance Company of Canada; United States; Ibrido; USD 140.000 - 180.000; Tempo pieno

Descrizione del lavoro

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

This role partners with Privacy, Financial Crimes, Conduct, and Enterprise Compliance to strengthen controls and support regulatory examinations across the organization. Hybrid work is available in the contiguous states plus Alaska. The role requires deep knowledge of Medicaid, Medicare, and commercial dental regulations, with experience in audits,

Competenze

• Bachelor's degree required; 7+ years in regulatory compliance, risk management, or related function in a regulated healthcare setting.
• Deep knowledge of Medicaid/Medicare and commercial dental regulations; familiarity with dentistry regulations is preferred.
• Ability to interpret complex regulatory requirements and implement sustainable compliance processes and controls.
• Experience working with regulators and managing regulatory commitments, examinations, audits, and remediation activities.
• Experience conducting compliance testing and auditing operational processes and controls; ability to analyze results for trends.

Mansioni

• Lead the Dental Regulatory Compliance Management Program, including risk assessments and control testing.
• Interpret emerging Medicaid, Medicare, and dental regulations and translate requirements into practical controls.
• Partner with business leaders to strengthen compliance risk management and control ownership.
• Collaborate with Privacy, Financial Crimes, Conduct, and Enterprise Compliance for program alignment.
• Coordinate information requests and responses for regulatory examinations and audits.

Conoscenze

Regulatory compliance

Risk management

Controls

Governance

Data analysis

Communication

Presentation

Regulatory examinations

Formazione

Bachelor's degree

Strumenti

Archer

Microsoft Office

Data visualization tools

Descrizione del lavoro

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

This role partners with Privacy, Financial Crimes, Conduct, and Enterprise Compliance to strengthen controls and support regulatory examinations across the organization. Hybrid work is available in the contiguous states plus Alaska. The role requires deep knowledge of Medicaid, Medicare, and commercial dental regulations, with experience in audits,