Senior Compliance Analyst, DentaQuest

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.

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

DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all.

Location: Candidate must reside in the state of California.

The opportunity: 

The Senior Compliance Analyst reports directly to the Director of Regulatory and Managed Care Compliance, in California supporting the U.S. Business Unit.  The position is responsible for supporting compliance and quality management programs in one or more Business Units.  This includes the implementation, oversight, and monitoring of the compliance framework with the Business Unit(s). This is an intermediate individual contributor role in the Sun Life U.S. Compliance Department.  The position is responsible for both direct support of compliance and quality program activities and day-to-day oversight and monitoring activities.  This position includes working collaboratively with Compliance and Quality Analysts in the performance of related duties. This collaboration includes guidance, cross-training and mentoring as appropriate. In addition to providing Business Unit support, this position may also support the Financial Crimes Program, Privacy Program, and Regulatory Compliance Management Program.  The position may also assist in the research and investigation of issues arising out of regulatory exams, Internal Audits or other regulatory matters.

How you will contribute: 

• Supports the team in providing a comprehensive monitoring program related to compliance and quality requirements and expectations
• Under the supervision of the Director or Associate Director helps to research and investigate issues arising out of Market Conduct exams, Internal Audits or other regulatory matters 
• Prepares and publishes internal and external reports on Quality and Compliance programs
• Supports the team in providing a comprehensive monitoring program related to regulatory risks and controls
• Assists implementation, monitoring, and reporting of required Quality Improvement Plans and Corrective Action Plans for the California programs
• Maintain familiarity with company risk management policies and procedures
• Drafts company quality/compliance bulletins, reviews and edits marketing materials and forms, correspondence, and other communication
• Participate in compliance and quality projects as needed
• Draft, maintain, and disseminate procedures, records, and reports as needed
• Encourage, promote, and enhance a culture that supports the Code of Conduct, encourages ethical behavior and a commitment to compliance with applicable laws and regulations                                   
• Participate in industry-related calls and events
• Participate in the assessment of new or amended laws and regulations affecting the Company’s business, monitoring necessary actions for implementation, and tracking implementation and compliance with such actions
• Support the development of policies and procedures to maintain effective compliance with legal and regulatory standards as well as Sun Life policies

What you will bring with you: 

• Knowledge of and experience with Quality and Compliance in Managed Care Programs
• Bachelor’s Degree, professional certificate, or equivalent business experience in regulatory compliance and quality, roles and functions

Preferred:

• Ability to work both independently and as a member of a team
• Applies good judgment, analyses issues carefully and proposes practical solutions
• Strong communication (written and oral), research and presentation skills
• Strong computer and database skills
• Demonstrated ability to work within a team-oriented setting and to follow management directions
• Supports others in the execution of their duties

Salary:  $73900 - 110900
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. 

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We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive.  We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate.  We encourage applications from qualified individuals from all backgrounds.

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 [email protected] 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.