Medicaid & Dental Compliance Director

Sun Life Financial; United States; Hybrid; USD 134,000 - 200,000; Full time

Benefits offered by this job

Generous vacation and sick time

Paid family leave

Paid parental leave

Paid adoption leave

Medical coverage

Life and AD&D insurance

Disability programs

401(k) with employer match

Stock purchase plan

Job summary

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. You will oversee regulatory activities, advise leadership, and drive strong controls across the organization.

In this role you will partner with Privacy, Financial Crimes, Conduct, and Enterprise Compliance teams to support examinations, audits, and risk management, shaping a culture of compliant operations across Sun Life.

Qualifications

• Bachelor's degree in a regulated healthcare field or equivalent.
• 7+ years in regulatory compliance, risk management, or related functions.
• Deep knowledge of Medicaid, Medicare and dental regulatory requirements.
• Experience with regulators, examinations, audits, and remediation activities.
• Ability to interpret complex regulations and implement controls.
• Experience with governance, risk, and compliance systems.

Responsibilities

• Lead the Dental Regulatory Compliance Management Program and risk assessments.
• Interpret emerging laws for Medicaid/Medicare and dental products.
• Collaborate with business leaders to strengthen compliance controls.
• Coordinate with Privacy, Financial Crimes, Conduct, and Enterprise Compliance.
• Support regulatory examinations, audits, and remediation activities.
• Deliver management reporting on program effectiveness and risks.

Skills

Regulatory compliance

Medicaid knowledge

Medicare knowledge

Audits & examinations

Compliance testing

Archer experience

Data visualization tools

MS Office proficiency

Stakeholder influence

Prioritization & independence

Education

Bachelor's degree

Tools

Archer

Job description

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. You will oversee regulatory activities, advise leadership, and drive strong controls across the organization.

In this role you will partner with Privacy, Financial Crimes, Conduct, and Enterprise Compliance teams to support examinations, audits, and risk management, shaping a culture of compliant operations across Sun Life.