Medicaid Compliance Director, Dental Regulation (Hybrid)

Sun Life; Wellesley (MA); Híbrido; USD 134.000 - 200.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Generous vacation and sick time

Paid family, parental and adoption lea

Medical coverage

Life and AD&D insurance

Disability programs

Sabbatical program

401(k) employer match

Stock purchase plan

Descripción de la vacante

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

The role oversees regulatory activities, coordinates with Privacy, Financial Crimes, Conduct, and Enterprise Compliance teams, and advises business leaders on complex regulatory matters. You will guide risk management, ensure control ownership, and support examinations, audits, and remediation efforts, strengthening Sun Life's compliance culture across the

Formación

• 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.

Responsabilidades

• 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.

Conocimientos

Regulatory compliance

Medicaid knowledge

Medicare knowledge

Dental compliance

Risk management

Regulatory examinations

Internal controls

Analytics

Communication

Stakeholder management

Educación

Bachelor's degree

Herramientas

Archer

Descripción del empleo

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

The role oversees regulatory activities, coordinates with Privacy, Financial Crimes, Conduct, and Enterprise Compliance teams, and advises business leaders on complex regulatory matters. You will guide risk management, ensure control ownership, and support examinations, audits, and remediation efforts, strengthening Sun Life's compliance culture across the